The rapid rise of managed care in the United States has
introduced new complexities into ethical dilemmas in health care by
changing the traditional relationships among health plans, payers,
providers, and patients. Through twenty case studies that provide
snapshots of a wide range of ethical challenges, this book explores
the goals, methods, and practices of managed care.
Accompanying each case are questions for consideration and a
pair of commentaries by prominent contributors from diverse fields.
Through the cases and commentaries, this book clarifies the
internal workings of managed care, explains relevant concepts, and
offers practical, constructive guidance in addressing the ethical
and policy issues.
The cases address a broad spectrum of issues concerning
rationing shared resources, financial incentives, quality of care,
and responsibilities to patients, vulnerable populations, and the
community. Specific topics range from coverage of emergency
services through funding medical education to respecting patients'
religious beliefs and caring for the seriously mentally ill.
This casebook offers a wealth of insights into critical issues
that affect the delivery of managed care in an increasingly
competitive market. It will be invaluable for those managing the
delivery and financing of health care and for students and
practitioners of the health professions and health administration,
as well as interested recipients of managed care.
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