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Principles and Practice

Principles and Practice Journal oJ INTEGRATED CARE VIEW FROM AMERICA John M. Luddent and Gordon T. Moore* t Associate Clinical Professor and *Professor of Ambulatory Care and Prevention and Director of Teaching Programs, Harvard Medical School the helter-skelter variation in clinical interventions, Grand declarations and sweeping statements of princi­ managed care has begun the shift to a results-oriented ple are routine American responses to complex public policy issues. On of the most vexing of these issues is system of care focused on clinical outcomes. The one-sided media backlash of anecdote and sto­ how to control health care costs without angering con­ sumers or clinicians accustomed to a free rein. This ries about unreimbursed care and denied services has month, President Clinton's Advisory Commission on fueled anxiety about equity, quality, service, profits Consumer Protection and Quality in the Health Care and priorities. Politicians are quick to jump into this Industry delivered its Consumer Bill of Rights and fray. Three important central questions will arise in Responsibilities. It is expected that these principles will the legislative debate: form the basis of several Federal legislative proposals Will legislation about health insurance practices that will compete with others during debate in 1998. restore patients' trust? Several http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care SAGE

Principles and Practice

Ludden, John M.; Moore, Gordon T.
Journal of Integrated Care , Volume 2 (1): 2 – May 1, 1998
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Publisher
SAGE
Copyright
© 1998 SAGE Publications
ISSN
1462-4567
DOI
10.1177/146245679800200109
Publisher site
See Article on Publisher Site

Abstract

Journal oJ INTEGRATED CARE VIEW FROM AMERICA John M. Luddent and Gordon T. Moore* t Associate Clinical Professor and *Professor of Ambulatory Care and Prevention and Director of Teaching Programs, Harvard Medical School the helter-skelter variation in clinical interventions, Grand declarations and sweeping statements of princi­ managed care has begun the shift to a results-oriented ple are routine American responses to complex public policy issues. On of the most vexing of these issues is system of care focused on clinical outcomes. The one-sided media backlash of anecdote and sto­ how to control health care costs without angering con­ sumers or clinicians accustomed to a free rein. This ries about unreimbursed care and denied services has month, President Clinton's Advisory Commission on fueled anxiety about equity, quality, service, profits Consumer Protection and Quality in the Health Care and priorities. Politicians are quick to jump into this Industry delivered its Consumer Bill of Rights and fray. Three important central questions will arise in Responsibilities. It is expected that these principles will the legislative debate: form the basis of several Federal legislative proposals Will legislation about health insurance practices that will compete with others during debate in 1998. restore patients' trust? Several

Journal

Journal of Integrated Care – SAGE

Published: May 1, 1998

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