I thank Dr Erwin for her comments on our study.1 I share her concern about the outcomes in populations with high health risks. Outcome studies have not yet clearly established whether these vulnerable subgroups experience inadequate care due to capitation or managed care systems.2,3
Feldman DS. Proactive Measures Needed for Health Care Reform. Arch Intern Med. 1999;159(12):1370–1371. doi:
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