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Managed care in workers' compensation plans.

Authors
Peele-PB; Tollerud-DJ
Source
Annu Rev Public Health 2001 May; 22:1-13
NIOSHTIC No.
20038129
Abstract
Workers' compensation plans have lagged behind most public and private health care plans in the adoption of managed care techniques. This is largely attributable to the underlying differences between workers' compensation and group health plans. Managed care techniques were developed within group health plans with the objective of health at the lowest cost. In workers' compensation, managed care must address a different objective--restoring a worker to health and productivity at the lowest cost. It is this fundamental difference that makes the application of managed care techniques to workers' compensation plans contentious and at times inappropriate. Research on the impact of managed care on the health and welfare of injured workers is sparse, and important questions remain about the appropriateness of care delivered under workers' compensation managed care plans. In this paper, we discuss the application of managed care to workers' compensation, and highlight the barriers to effective implementation.
Keywords
Medical-services; Medical-treatment; Worker-health; Occupational-health-programs; Health-care; Employee-health; Author Keywords: insurance; employment; occupational health; employment benefits; health services
Contact
Pamela B Peele, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, A649, Pittsburgh, Pennsylvania 15261
CODEN
AREHDT
Publication Date
20010501
Document Type
Journal Article
Email Address
peele@pitt.edu
Funding Type
Grant
Fiscal Year
2001
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003419
ISSN
0163-7525
Priority Area
Disease and Injury: Traumatic Injuries
Source Name
Annual Review of Public Health
State
PA
Performing Organization
University of Pittsburgh at Pittsburgh
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