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Previous Volume 339:689-693 September 3, 1998 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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There is a growing crisis of confidence in managed care. Because of its success in controlling costs to employers, managed care has triggered fears that necessary health services are being withheld and that decisions about health care are being driven by the financial bottom line. The growth of for-profit managed-care corporations has fanned the flames of this distrust.¹

Managed-care organizations have been accused of withholding necessary services through several mechanisms, including restriction of access to specialists, denial of coverage for new forms of technology, and administrative review of physicians' decisions. But perhaps even more important, there are public fears about . . . [Full Text of this Article]

Ethical Design Principles

The Intensity of Incentives

The Immediacy of Incentives

The Targeting of Incentives

The Balancing of Incentives

The Fairness of Incentives

Conclusions

References

Related Letters:

Ethical Guidelines for Physician Payment Based on Capitation
Woolhandler S., Himmelstein D. U., Robbins D., Neft M. G., Criscione J. R., Leith J. D., Pearson S. D., Sabin J. E., Emanuel E. J.
Extract | Full Text  
N Engl J Med 1999; 340:321-323, Jan 28, 1999. Correspondence

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