Regulating Managed Care: Theory, Practice, and Future Options

By Stuart H. Altman; Uwe E. Reinhardt et al. | Go to book overview
Save to active project

Section IV
Managed Care
Regulation in Practice

In this final section, we focus on the practical side of instituting regulatory reform. First we consider how a regulatory apparatus might be structured, then we review the structure that was recommended in California. Finally, we examine the cost of proposed managed care regulations and consider why there has been such a large variation among the different researchers who have estimated the costs.

In the first chapter, Phil Nudelman provides an overview of different models that could be employed in setting and enforcing standards. Observing the rapid change that has occurred in health markets and the proliferation of regulatory measures to deal with those changes, Nudelman recognizes the need for both consistent and enforceable standards. Indeed, he speaks of a “flexible regulation model for national enforceable standards.” The challenge, as he sees it, is to ensure adequate protection of consumers without impeding the ability to innovate and improve quality, while at the same time being mindful of the cost. He considers a range of options balancing the responsibility of creating standards among public, quasi-public, and private bodies, with the responsibility of enforcement divided among the states, the federal government, and voluntary accreditation.

Sara Singer and Alain Enthoven report on the California Health Care Improvement Task Force. This task force was created by the governor of California in 1997 and issued a comprehensive


Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this page

Cited page

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Regulating Managed Care: Theory, Practice, and Future Options
Table of contents

Table of contents



Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 362

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?