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Ethical challenges in managed care : a casebook

Author: Karen Grandstrand Gervais; et al
Publisher: Washington, D.C. : Georgetown University Press, ©1999.
Edition/Format:   Book : EnglishView all editions and formats
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Genre/Form: Case Reports
Document Type: Book
All Authors / Contributors: Karen Grandstrand Gervais; et al
ISBN: 0878407197 9780878407194 0878407189 9780878407187
OCLC Number: 39981766
Description: x, 372 p. ; 23 cm.
Contents: 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.
Responsibility: edited by Karen G. Gervais ... [et al.].

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