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MANAGED CARE INCENTIVES Should Be Disclosed to Patients

USA TODAY, April 1999 | Article details

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MANAGED CARE INCENTIVES Should Be Disclosed to Patients


What if your lawyer got paid more if you received a smaller settlement or your mechanic reaped a bonus for withholding service on your car? In an effort to contain health care costs, many managed care companies reward doctors who restrict medical care. Such financial incentives should be disclosed to patients and consumer groups, argues Thomas H. Gallagher, a primary care physician and instructor in medicine at Washington University School of Medicine in St. Louis (Mo.). "Disclosure might lead plans to be more cautious in the types of incentives they adopt. And it might make patients scrutinize their doctors' recommendations more closely. In theory, it also could allow market forces to …

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