HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sullivan, K Search for Related Content PubMed PubMed Citation Articles by Sullivan, K

Managed care plan performance since 1980: another look at 2 literature reviews.

K Sullivan

COACT, St. Paul, MN, USA. kiprs@aol.com

OBJECTIVES: This article compares the quality of care provided by managed care plans (MCPs) and indemnity (or fee-for-service [FFS]) plans since 1980. METHODS: The 44 studies examined are the studies that Miller and Luft cited in their 1994 and 1997 reviews of the literature comparing MCPs with FFS plans. These studies are examined to determine how well they met Miller and Luft's selection criteria and, in addition, whether they controlled for differences in the breadth of insurance coverage. RESULTS: The 44 studies generated 57 observations. MCPs scored better than FFS plans on 10 of these, equally well on 25, and worse on 22. However, only 44 of these observations met the Miller-Luft criteria plus the coverage criterion. Four of these indicated that MCP care was better, 19 that MCP and FFS care were equivalent, and 21 that MCP care was worse. CONCLUSIONS: The small body of reliable studies comparing the quality of MCP care with that of FFS care indicates that the quality of care provided by MCPs tends to be equal or inferior to that provided by FFS plans.

This article has been cited by other articles:

				H. S. Leff, D. A. Wieman, B. H. McFarland, J. P. Morrissey, A. Rothbard, D. L. Shern, A. M. Wylie, R. A. Boothroyd, T. S. Stroup, and I. E. Allen Assessment of Medicaid Managed Behavioral Health Care for Persons With Serious Mental Illness Psychiatr Serv, October 1, 2005; 56(10): 1245 - 1253. [Abstract] [Full Text] [PDF]

				M. Schlesinger On Values and Democratic Policy Making: The Deceptively Fragile Consensus around Market-Oriented Medical Care Journal of Health Politics Policy and Law, December 1, 2002; 27(6): 889 - 926. [Abstract] [PDF]

				K. Sullivan, R. H. Miller, and H. S. Luft HMO Performance: The Debate Goes On Health Aff., September 1, 2002; 21(5): 303 - 305. [Full Text] [PDF]

				R. H. Miller and H. S. Luft HMO Plan Performance Update: An Analysis Of The Literature, 1997-2001 Health Aff., July 1, 2002; 21(4): 63 - 86. [Abstract] [Full Text] [PDF]

				M. A. Peterson Managed Care Redux Journal of Health Politics Policy and Law, June 1, 2002; 27(3): 345 - 352. [PDF]

				C. J. Conover, P. J. Rankin, and F. A. Sloan Effects of Tennessee Medicaid Managed Care On Obstetrical Care and Birth Outcomes Journal of Health Politics Policy and Law, December 1, 2001; 26(6): 1291 - 1324. [Abstract] [PDF]

				D. P. Scanlon, E. Rolph, C. Darby, and H. E. Doty Are Managed Care Plans Organizing for Quality? Med Care Res Rev, November 1, 2000; 57(3_suppl): 9 - 32. [Abstract] [PDF]