City-Wide Ethics Grand
Rounds
ETHICAL ISSUES IN MANAGED CARE: LESSONS FROM MINNESOTA
As a "mature" managed care market, the recent health care experience in
Minnesota is a valuable source of lessons for the ways managed care
affects health care delivery generally, and specifically the ethical
issues that arise. Minnesota, and the Twin Cities in particular, is
heavily "penetrated" by a variety of managed care systems, from staff
models to PPOs, to fully integrated networks for the delivery of care.
This presentation will describe the state of managed care in Minnesota and
discuss some of the ethical issues that come with managed care, including:
financial incentives to physicians, physician satisfaction with practicing
in a managed care environment, access to care and limitations on services,
purchasing groups and contracting for services, and organizational ethics
for managed care entities.
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