Research article summary (published 17 May 2006):

Insurer-provider integration, credible commitment, and managed-care backlash.

Full Abstract

People distrust managed care organizations (MCOs) more than traditional health plans. This phenomenon has become known as "managed-care backlash." Using a model of the interaction between insurers, physicians, and patients, this paper identifies two possible motivations for MCO backlash. The first, which comes from traditional health plans' superior ability to credibly commit to providing better than least-cost care, is efficiency promoting. The second, which arises when patients are able to obtain higher-benefit treatments through reneging on their initial insurance contracts through "doctor shopping," may reduce efficiency.

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Author information

Author/s: Miller, Nolan H (NH);

Affiliation: John F. Kennedy School of Government, Harvard University, Cambridge, MA 02138, United States. Nolan_miller(-atsign-)ksg.harvard.edu <Nolan_miller(-atsign-)ksg.harvard.edu>

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of health economics (J Health Econ), published in Netherlands. (Language: eng)

Reference: 2006-Sep; vol 25 (issue 5) : pp 861-76

Dates: Created 2006/08/22; Completed 2006/11/14; Revised 2006/11/15;

PMID: 16712987, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Choice Behavior Humans Managed Care Programs

Patient Satisfaction Trust United States

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