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JNCI Journal of the National Cancer Institute 2005 97(4):242-244; doi:10.1093/jnci/dji068
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© 2005 Oxford University Press

EDITORIAL

Managed Care Market Penetration, Spillover Effects, and the Quality of Cancer Care

Joseph Lipscomb

Correspondence to: Joseph Lipscomb, PhD, Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322 (e-mail: jlipsco@sph.emory.edu).

The first 150 words of the full text of this article appear below.

Proponents of managed care extol its potential to control costs and improve quality through an emphasis on prevention, screening, and treatment that is evidence based, coordinated, and prudent in the use of public and private dollars. The focus is on promoting wellness, a win–win situation from the standpoint of both health outcomes and costs.

Critics counter that managed care organizations—budget constrained and unable to fully capture the potential cost savings from aggressive prevention and screening because of inevitable fluctuations in plan enrollment—actually have substantial incentives to limit access to care. Specifically, managed care organizations seek to control costs by modulating the volume and mix of services through a combination of provider incentives and restraints, limits on investments in technology and infrastructure, and a maze of price and nonprice barriers imposed on enrollees.

The complex truth of the matter surely lies somewhere between these two stylized characterizations. This becomes quickly evident . . . [Full Text of this Article]


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Related Memo to the Media

Press Release: Study Examines Effect of Managed Care on Quality of Care for Cancer Patients
Sarah L. Zielinski
J Natl Cancer Inst 2005 97: 241. [Extract] [Full Text]



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