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Unformatted text preview: limit excessive use of medical services. Yet costs continue to rise, resulting in insurance companies' frequently raising premium prices. The primary intent of managed care is to reduce health care costs. Emphasis is placed on preventive care and early intervention , rather than care provided after an illness or injury has occurred. The responsibility of limiting services is placed on the service provider rather than the consumer. This limitation is achieved by (a) "gatekeeper" policies that require individuals to get referrals for specialized treatment from their primary physicians;(b) financial incentives (either bonuses or withholding money) for providers to restrict services and contain costs; (c) guidelines requiring adherence by providers at the cost of being dropped from the plan for noncompliance; (d) review of services by the managed care organization and denial of payment if services are considered unnecessary....
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This note was uploaded on 02/28/2012 for the course PSY PSY2012 taught by Professor Scheff during the Fall '09 term at Broward College.
- Fall '09