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Dr Torphy's comments are right on target, and emphasize my editorial note that he quoted. I look forward to seeing those outcome studies on all forms of managed care. In the meantime, I think it is inappropriate for anyone working for any type of managed care organization to make decisions about a patient's needs based primarily on financial rather than health outcomes.
DeAngelis CD. Managed Care Coverage-Reply. Arch Pediatr Adolesc Med. 1995;149(1):102. doi:10.1001/archpedi.1995.02170130104031