Managed Care

Managed Care

As your fourth assignment toward completion of the Session Long Project you are asked to review the paper by A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics and answer the questions below.
1.Consider this idea from the paper: “Medicine is a moral enterprise. Because MCOs are involved in the delivery of medical care, they  too, are moral entities. However, MCOs are also businesses.”
2.Explain the idea that the authors sought to convey.
3.Discuss the physician’s dual function under an MCO model of care.
4.What concerns do you have about the physician- patient relationship under MCOs?

SLP Assignment Expectations
1.Limit your responses to a maximum of two pages, not including title and reference pages.
2.Be sure to utilize at least 3-4 scholarly references to support your discussions.
3.Be sure to properly cite your references within the text of your assignment and listed at the end.
4.Be sure to apply critical thinking skills to the write-up of your assignment, especially numbers 2,3, and 4 above.


Below are the required readings for this task:

Module 4 – Background

Managed Care

Required Reading

D.A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics. The Internet Journal of Law, Healthcare and Ethics. 2004 Volume 2 Number 1. DOI: 10.5580/24ae – See more at:

Managed Care and Physician Incentives: The Effects of Competition on the Cost and Quality of Care.  David J. Cooper and James B. Rebitzer. March 2004 .

Government Agencies Soften Stance on What Constitutes Price Fixing. David A. Ettinger and Mark L. Lasser   (March, 2008)

Diagnosing Physician-Hospital Organizations. Susan A. Creighton. Federal Trade Commission Remarks Before American Health Lawyers Association, Program on Legal Issues Affecting Academic Medical Centers and Other Teaching Institutions. January 22, 2004. Washington, DC.

STATEMENT OF DEPARTMENT OF JUSTICE AND FEDERAL TRADE COMMISSION ENFORCEMENT POLICY ON MULTIPROVIDER NETWORKS; Federal Trade Commission; Competition in The Healthcare Market place; Statements of Health Care Antitrust Enforcement Policy; Statement 9.  (July 8, 2009)

Optional Reading

Competition in the health care marketplace

Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice (July 2004)

QuickCounsel Antitrust: U.S. Laws and Regulations. Elizabeth Killingsworth, Esq.

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