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date: 13 May 2021

Abstract and Keywords

This article discusses managed care organizations, which formally integrate different provider types. It focuses on the potential effects of these arrangements on patients and providers who are not themselves part of the arrangements. It discusses the effects of managed care on patients and on the health care system, including the characteristics and history of managed care plans. It includes patterns of selection that could easily vary with the specific characteristics of the health plans being studied. These studies take a variety of approaches to measuring selection, but they focus on measures of health status. It provides evidence on the impacts of managed care on enrolled patients and on the health care system. It concludes with future directions that demand attention to the effects of health plans and managed care on health care delivery, costs, and efficiency.

Keywords: managed care, providers, health care system, measuring selection, health status

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