Strengthening the Consumer Voice in Managed Care: I. Can the Private Sector Meet the Public-Sector Standard?
We contend that unless private-sector managed behavioral health programs emulate public-sector best practices with regard to transparency and consumer participation, the anti- managed-care backlash will intensify. The issue here is not how to make managed care palatable to its critics, but how limit-setting systems can achieve legitimacy. Even if health care in the United States moves to a single payer system or another approach fundamentally different from the current one, that system will also have to address the challenge of setting limits that can be seen as fair and legitimate. (Authors)
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