Approximately one-quarter of the U.S. population is enrolled in
HMOs or similar managed care health plans, and the proportion is
increasing. But even though such plans dominate today's agenda for
health care reform, good, quantitative information on the
performance of managed care programs is scarce. In "Promise and
Performance in Managed Care," Donald Freeborn and Clyde Pope draw
on the research literature and unique data sources to provide that
information.
Focusing on the human experience of managed care, the authors
examine the effects of managed care on members as well as
physicians--assessing whether members are satisfied with the care
they receive, and how physicians evaluate their experience with
managed care. After offering a brief history of managed care in the
United States, the book addresses such questions as what determines
the choice of a health plan, access to care, patient satisfaction,
physician satisfaction, and the implications of these findings for
the future of managed care.
With the issue of health care reform in the forefront of
national debate, the topics raised in "Promise and Performance in
Managed Care" are particularly timely. Serving as both a standard
against which to examine the effectiveness of proposed reforms and
as a methodological "how to" for the evaluation of system changes,
the book will be of interest to professionals and students of
health policy as well as to HMO administrators and
practitioners.
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