The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care

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Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room. Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources. The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care. John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan. Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.See, e.g., N.Y. Public Health Law As 4408 (McKinney 1997). 18. See, e.g., Ark. Code Ann. As 23-99-413 (Michie 1997), Colo. Rev. ... Central Reserve Life Insurance Co. (39 F.3d 507 (4th Cir. 1994)), which allowed the plana#39;s denial of coverage for HDC/PSCR for small cell lung cancer because the treatment was consideredanbsp;...

Title:The Challenge of Regulating Managed Care
Author:John E. Billi, Gail Bopp Agrawal
Publisher:University of Michigan Press - 2001


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