Ethical challenges in managed care : a casebook / edited by Karen G. Gervais [and others].

Contents Introduction: Ethical challenges in managed care -- Balancing a plan's obligations to individual patients and its enrolled population -- Coverage of emergency services -- Coverage of investigational interventions for life-threatening conditions -- Coverage of complementary health care -- Coverage exceptions for contractually excluded benefits -- Referral practices under capitation -- Shifting costs and care to public programs -- Choice of venue and provider under capitation -- Credentialing standards and quality care -- CEO salaries in for-profit and nonprofit health plans -- Hospital staffing levels -- Purchaser and plan responsibility for benefit design -- Advocating for patients in managed care -- Similarly-situated patients with different benefits packages -- Respecting patients' cultural and religious beliefs -- Managing care for the seriously mentally ill -- Quality care for elderly nursing home patients -- Managing care for seriously and chronically ill children -- Health plan responibilities for public health activities -- Health plan responsibilities for medical education and research.
Abstract Through twenty case studies that illustrate a wide range of ethical challenges, this book explores the goals, methods, and practices of managed care, and offers practical guidance for addressing the ethical and policy issues inherent in such a system.
Bibliography noteIncludes bibliographical references and index.
Genre/formCase studies.
LCCN 98044645
ISBN0878407197 (pbk. ; acid-free)
ISBN9780878407194 (pbk. ; acid-free)
ISBN0878407189 (cloth ; acid-free)
ISBN9780878407187 (cloth ; acid-free)

Availability

Library Location Call Number Status Item Actions
Joyner General Stacks RA413 .E876 1999 ✔ Available Place Hold