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Universal Emergency Access under Managed Care: Universal Doubt or Mission Impossible?

Published online by Cambridge University Press:  01 April 1999

GREGORY LUKE LARKIN ,
JAMES E. WEBER  and
ARTHUR R. DERSE
GREGORY LUKE LARKIN
Affiliation:
Department of Emergency Medicine, Mercy Hospital and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
JAMES E. WEBER
Affiliation:
Department of Emergency Medicine at Hurley Medical Center at the University of Michigan Medical School, Ann Arbor, Michigan
ARTHUR R. DERSE
Affiliation:
Center for the Study of Bioethics and Medical College of Wisconsin, Milwaukee, Wisconsin
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Abstract

Appropriate concerns about cost and unequal access to healthcare have resulted in the creation of powerful managed networks seeking to share the risks of high healthcare costs among plans, providers, and patients. Much to their credit, these managed networks have slowed the rise in healthcare spending by as much as 44% in markets with high HMO penetration. However, whether these savings will materially improve access and quality remains to be seen.

Type
Research Article
Information
Cambridge Quarterly of Healthcare Ethics , Volume 8 , Issue 2 , April 1999 , pp. 213 - 225
Copyright
© 1999 Cambridge University Press

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