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Previous Volume 332:604-607 March 2, 1995 Number 9 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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Managed care changes traditional indemnity insurance and fee-for-service practice by integrating the financing and delivery of medical services, with the aim of controlling costs and improving quality. Both the patient and the physician are managed through policies that restrict the patient's choice of providers and medical options and that limit the clinical autonomy of doctors.

Managed-care organizations use a variety of approaches to change the decisions of doctors and providers.¹ They may use case managers to coordinate medical care in expensive cases, financial incentives to encourage physicians to make medical decisions that conserve resources, gatekeepers to control referrals for specialty . . . [Full Text of this Article]

Two Models of Managed Care

Conflicts in Managed Care

Fiduciary Relations and Conflicts of Interest

Dealing with Conflicts of Interest in Managed Care

Financial Incentives for Physicians to Reduce Spending

Patient Choice and Informed Consent

For Whom Does the Case Manager Work?

References

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