Decisions about access to health care and accountability for reasonableness

@article{Daniels1999DecisionsAA,
  title={Decisions about access to health care and accountability for reasonableness},
  author={Dr. Norman Daniels},
  journal={Journal of Urban Health},
  year={1999},
  volume={76},
  pages={176-191}
}
Insurers make decisions that directly limit access to care (e.g., when deciding about coverage for new technologies or formulary design) and that indirectly limit access (e.g., by adopting incentives to induce physicians to provide fewer or different services). These decisions raise questions about legitimacy and fairness. By holding health plans accountable for the reasonableness of their decisions, it is possible to address these questions. Accountability for reasonableness involves providing… CONTINUE READING
Highly Cited
This paper has 32 citations. REVIEW CITATIONS

From This Paper

Topics from this paper.
11 Citations
16 References
Similar Papers

Citations

Publications citing this paper.
Showing 1-10 of 11 extracted citations

References

Publications referenced by this paper.
Showing 1-10 of 16 references

Ethical principles to guide physician compensation systems based on capitation

  • SD Pearson, JE Sabin, EJ. Emanuel
  • New Engl J Med
  • 1998

Family Foundation/Harvard national sur- vey of Americans' views on consumer protection in managed care

  • 1998

Similar Papers

Loading similar papers…