Ethical challenges in managed care : a casebook / edited by Karen G. Gervais [and others].
- Washington, D.C. : Georgetown University Press, ©1999.
x, 372 pages ; 23 cm
- Managed care plans (Medical care) -- Moral and ethical aspects.
Managed care plans (Medical care) -- Moral and ethical aspects.
- Medical subjects:
- Ethics, Institutional.
Managed Care Programs.
- Case Reports.
- 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.
- Includes bibliographical references and index.
- Local notes:
- Acquired for the Penn Libraries with assistance from the Samuel Bellet Book Fund.
- Gervais, Karen Grandstrand, 1944-
Samuel Bellet Book Fund.
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