Integrated Health Care, Capitated Payment, and Quality: The Role of Regulation

  1. Katherine Swartz, PhD; and
  2. Troyen A. Brennan, MD, JD, MPH
  1. From Harvard School of Public Health, Boston, Massachusetts. Requests for Reprints: Troyen A. Brennan, MD, JD, MPH, Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115. Current Author Addresses: Drs. Swartz and Brennan: Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115.

    Abstract

    Concerns about the effect of managed care techniques on the quality of medical care have been raised in many quarters. Physicians have advocated the reiteration of professional ethics or even the prohibition of market incentives in health care as solutions to the problem of cost-quality tradeoffs in managed care systems. However, few recognize the existing systems for the regulation of managed care or consider how additional regulation could alleviate some of the potential problems posed by market-based competition.

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    1. Ann Intern Med February 15, 1996 vol. 124 no. 4 442-448
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