Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: Dr Robinson states "that [the
managed care] experiment can be characterized as an economic success but a
political failure," and that "the protagonists of managed care now are in
full retreat, broadening physician panels, removing restrictions, and reverting
to fee-for-service payment."1 While I agree
that this is the tendency, I also believe that restrictions are being removed
in part due to other factors, including the exchange of information with physicians,
a focus on quality measurements, and the introduction of medical guidelines.
These are all the effects of managed care. Physicians may view their practice
patterns differently after having been exposed to the rigors of utilization
review and other managed care tools.
Beichl L. Managed Care: Success or Failure. JAMA. 2001;286(13):1576-1577. doi:10.1001/jama.286.13.1573