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Managed Care, Health Care Quality, and Regulation

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  • Baker, Laurence C
  • McClellan, Mark B

Abstract

The growth of managed care has prompted numerous questions about its effect on the quality of health care. This paper reviews evidence on the effects of managed care on quality. Most comparisons of care for patients in different plans within similar markets suggest that there is little systematic difference in quality between HMOs and other managed care plans and nonmanaged-care plans. However, these studies may ignore important effects of managed care on the structure and functioning of the health care system that would be evident only across markets. We suggest that these effects could be important and provide evidence from an analysis of treatment patterns for cancer patients. We conclude by describing how more careful attention to the empirical evidence on the effects of managed care could improve current policy debates about managed care regulation. Copyright 2001 by the University of Chicago.

Suggested Citation

  • Baker, Laurence C & McClellan, Mark B, 2001. "Managed Care, Health Care Quality, and Regulation," The Journal of Legal Studies, University of Chicago Press, vol. 30(2), pages 715-741, June.
    • Handle: RePEc:ucp:jlstud:v:30:y:2001:i:2:p:715-41
    DOI: 10.1086/339299
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    References listed on IDEAS

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    1. Editors, 2016. "16 and all that," Stata Journal, StataCorp LP, vol. 16(1), pages 3-4, March.
    2. Laurence C. Baker & Martin L. Brown, 1999. "Managed Care, Consolidation Among Health Care Providers, and Health Care: Evidence from Mammography," RAND Journal of Economics, The RAND Corporation, vol. 30(2), pages 351-374, Summer.
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    Cited by:

    1. Chernew, Michael & DeCicca, Philip & Town, Robert, 2008. "Managed care and medical expenditures of Medicare beneficiaries," Journal of Health Economics, Elsevier, vol. 27(6), pages 1451-1461, December.
    2. Katherine Baicker & Dana Goldman, 2011. "Patient Cost-Sharing and Healthcare Spending Growth," Journal of Economic Perspectives, American Economic Association, vol. 25(2), pages 47-68, Spring.

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