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July 14, 2004

Fee-for-Service vs Managed Care Medicine

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;292(2):170. doi:10.1001/jama.292.2.170-a

To the Editor: From the results of their national survey, Dr Landon and colleagues1 reported that participants in Medicare fee-for-service (FFS) plans were more satisfied with their access to care and quality of services, but that recipients of Medicare managed care (MMC) received more immunizations and repoted fewer difficulties with paperwork. Although the authors performed case-mix adjustment based on age, education, and health status, I am puzzled that the authors did not assess pharmaceutical use.