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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 6/2015

01-06-2015 | Editorial

Cost Containment and Patient Well-Being

Authors: Kevin R. Riggs, MD, MPH, G. Caleb Alexander, MD, MS

Published in: Journal of General Internal Medicine | Issue 6/2015

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Excerpt

Ever since policymakers began using health care reimbursement as a tool to contain health care costs, physicians have voiced concerns that the resulting financial incentives may conflict with their primary duty of advocating for their patients’ well-being.1 At times, these concerns have had merit. For example, some of the less popular cost-containment mechanisms of the managed care era, such as aggressive gatekeeping, were abandoned in part because of their potential harm to patients.2 …
Literature
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Alexander GC, Lantos JD. The doctor-patient relationship in the post-managed care era. Am J Bioeth. 2006;6:29–32.CrossRefPubMed
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Young GP, Lowe RA. Adverse Outcomes of Managed Care Gatekeeping. Academic Emergency Medicine. 1997;4:1129–36.CrossRefPubMed
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Buie VC, Owings MF, DeFrances CJ, Golosinskiy A. National hospital discharge survey: 2006 annual summary. Vital Health Stat. 2010;13:1–79.
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Rogers WH, Draper D, Kahn KL, et al. Quality of care before and after implementation of the DRG-based prospective payment system: a summary of effects. JAMA. 1990;264:1989–94.CrossRefPubMed
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Coulam RF, Gaumer GL. Medicare’s prospective payment system: A critical appraisal. Health Care Financ Rev. 1992;1991(Suppl):45–77.PubMedCentralPubMed
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Southern WN, Arnsten JH. Increased Risk of Mortality among Patients Cared for by Physicians with Short Length-of-Stay Tendencies. Journal of General Internal Medicine 2015. [SPI 3155]
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Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281:446–53.CrossRefPubMed
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Tomson CR, van der Veer SN. Learning from practice variation to improve the quality of care. Clin Med. 2013;13:19–23.CrossRefPubMed
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Emanuel EJ. Why accountable care organizations are not 1990s managed care redux. JAMA. 2012;307:2263–4.PubMed
Metadata
Title
Cost Containment and Patient Well-Being
Authors
Kevin R. Riggs, MD, MPH
G. Caleb Alexander, MD, MS
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 6/2015
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-015-3219-4

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