PROLOGUE: For years physicians have decried the advance of managed care as jeopardizing their cli... more PROLOGUE: For years physicians have decried the advance of managed care as jeopardizing their clinical autonomy and attacking the very nature of their profession. One medical journal editor recently wrote: "[L]ike no other issue in recent health care history, the 'managed care movement' has captured the attention and kindled the emotions of physicians and patients alike. . . . Wherever colleagues meet, conversation turns first not to the week's most fascinating case . . . but rather to the threat of economic survival or to cathartic release of agonies of . . . 'intrusion of case reviewers' or 'degradation of fee structure'." In an extensive survey of utilization review firms, the authors of this paper find that managed care can both undermine and reinforce key professional norms.
... Roy Lewicki Management and Human Resources, Ohio State University René Bouwen Center for Orga... more ... Roy Lewicki Management and Human Resources, Ohio State University René Bouwen Center for Organizational and Personnel Psychology, Katholieke Universiteit Leuven ... relationships to others can be characterized as trustworthy or untrustworthy. Greenhalgh and Chapman ...
Inquiry : a journal of medical care organization, provision and financing, 2006
Medicare and Social Security often are assumed to provide universal coverage for the population a... more Medicare and Social Security often are assumed to provide universal coverage for the population age 65 and older. Evidence from New York City raises doubts. Data from the Statewide Planning and Research Cooperative System, the Centers for Medicare and Medicaid Services, the Social Security Administration, and the U.S. Bureau of the Census provide evidence that 16% to 20% of New York City residents age 65 and older lack such coverage. Noncoverage is not unique to this city, but it may be particularly common there. Noncoverage is pronounced in, but not limited to, certain immigrant groups. Because the population share covered by Medicare increases with age and most hospitalizations not covered by Medicare are paid by Medicaid, Medicaid gradually may be replacing Medicare as the payer for hospitalizations for a substantial share of the 65+ population in New York City.
PROLOGUE: For years physicians have decried the advance of managed care as jeopardizing their cli... more PROLOGUE: For years physicians have decried the advance of managed care as jeopardizing their clinical autonomy and attacking the very nature of their profession. One medical journal editor recently wrote: "[L]ike no other issue in recent health care history, the 'managed care movement' has captured the attention and kindled the emotions of physicians and patients alike. . . . Wherever colleagues meet, conversation turns first not to the week's most fascinating case . . . but rather to the threat of economic survival or to cathartic release of agonies of . . . 'intrusion of case reviewers' or 'degradation of fee structure'." In an extensive survey of utilization review firms, the authors of this paper find that managed care can both undermine and reinforce key professional norms.
... Roy Lewicki Management and Human Resources, Ohio State University René Bouwen Center for Orga... more ... Roy Lewicki Management and Human Resources, Ohio State University René Bouwen Center for Organizational and Personnel Psychology, Katholieke Universiteit Leuven ... relationships to others can be characterized as trustworthy or untrustworthy. Greenhalgh and Chapman ...
Inquiry : a journal of medical care organization, provision and financing, 2006
Medicare and Social Security often are assumed to provide universal coverage for the population a... more Medicare and Social Security often are assumed to provide universal coverage for the population age 65 and older. Evidence from New York City raises doubts. Data from the Statewide Planning and Research Cooperative System, the Centers for Medicare and Medicaid Services, the Social Security Administration, and the U.S. Bureau of the Census provide evidence that 16% to 20% of New York City residents age 65 and older lack such coverage. Noncoverage is not unique to this city, but it may be particularly common there. Noncoverage is pronounced in, but not limited to, certain immigrant groups. Because the population share covered by Medicare increases with age and most hospitalizations not covered by Medicare are paid by Medicaid, Medicaid gradually may be replacing Medicare as the payer for hospitalizations for a substantial share of the 65+ population in New York City.
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