Description: The fundamental concept behind managed care is to manage and control healthcare costs, services, and delivery, while providing and improving quality, access and availability. Yet, disparities between theory and practice abound. Managed care successes in terms of quality and performance measurement, evidence-based decision-making and outcomes assessments must be measured against eroding public confidence that their healthcare needs will be appropriately met. This poses new ethical as well as legal challenges. Integrating Managed Care and Ethics identifies and faces these challenges and provides direction to transform such challenges and provides direction to such challenges into more positive outcomes. The book provides physicians and other healthcare professionals with knowledge to butress standards endemic to their practice and profession as well as to negotiate and participate as active and informed partners rather than passive recipients. The book is also a perfect resource for payor, healthcare executives, case mangers and diverse managed care panners seeking better ways of addressing and solving the problems posed by the rapid transformation and emergence of nontraditional healthcare and healthcare financing models. Integrating Managed Care and Ethics addresses legal and ethical challenges that arise in managed care and includes a discussion of trends, alluding to recent legislative/regulatory initiatives, major legal cases, and examines guidance offered through several of the major healthcare trade associations. Its goal is to help the reader develops increased talent, tools, and techniques in help transform challenges and change into more positive outcomes.

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