| |
Health Affairs, Vol 17, Issue 4, 80-94
Copyright © 1998 by Project HOPE
Understanding the managed care backlash
R J Blendon,
M Brodie,
J M Benson,
D E Altman,
L Levitt,
T Hoff,
and
L Hugick
This paper examines the depth and breadth of the public backlash against managed care and the reasons for it. We conclude that the backlash is real and influenced by at least two principal factors: (1) A significant proportion of Americans report problems with managed care plans; and (2) the public perceives threatening and dramatic events in managed care that have been experienced by just a few. In addition, public concern is driven by fear that regardless of how well their plans perform today, care might not be available or paid for when they are very sick.

What's this?
This article has been cited by other articles:

|
 |

|
 |
 
M. S. Patel and M. E. Chernew
The Impact of the Adoption of Gag Laws on Trust in the Patient-Physician Relationship
Journal of Health Politics Policy and Law,
October 1, 2007;
32(5):
819 - 842.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Schlesinger and J. S. Hacker
Secret Weapon: The "New" Medicare as a Route to Health Security
Journal of Health Politics Policy and Law,
April 1, 2007;
32(2):
247 - 291.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
W. H. Dow, D. M. Harris, and Z. Liu
Differential Effectiveness in Patient Protection Laws: What Are the Causes? An Example from the Drive-Through Delivery Laws
Journal of Health Politics Policy and Law,
December 1, 2006;
31(6):
1107 - 1127.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
H. M. Krumholz, P. M. Currie, B. Riegel, C. O. Phillips, E. D. Peterson, R. Smith, C. W. Yancy, and D. P. Faxon
A Taxonomy for Disease Management: A Scientific Statement From the American Heart Association Disease Management Taxonomy Writing Group
Circulation,
September 26, 2006;
114(13):
1432 - 1445.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. Nathanson, G. Ramirez-Garnica, and S. A. Wiltrout
Decreased Attendance at Cystic Fibrosis Centers by Children Covered by Managed Care Insurance
Am J Public Health,
November 1, 2005;
95(11):
1958 - 1963.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. A. Halpern
Medical Authority and the Culture of Rights
Journal of Health Politics Policy and Law,
August 1, 2004;
29(4-5):
835 - 852.
[PDF]
|
 |
|

|
 |

|
 |
 
C. C. Havighurst
Starr on the Corporatization and Commodification of Health Care: The Sequel
Journal of Health Politics Policy and Law,
August 1, 2004;
29(4-5):
947 - 968.
[PDF]
|
 |
|

|
 |

|
 |
 
M. Schlesinger
Reprivatizing the Public Household? Medical Care in the Context of American Public Values
Journal of Health Politics Policy and Law,
August 1, 2004;
29(4-5):
969 - 1004.
[PDF]
|
 |
|

|
 |

|
 |
 
C. J. Martin
Employers: Passive Purchasers or Provocateurs?
Journal of Health Politics Policy and Law,
April 1, 2003;
28(2-3):
317 - 340.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Hall, B. Zheng, E. Dugan, F. Camacho, K. E. Kidd, A. Mishra, and R. Balkrishnan
Measuring Patients' Trust in their Primary Care Providers
Med Care Res Rev,
September 1, 2002;
59(3):
293 - 318.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
C. F. Ameringer
Federal Antitrust Policy and Physician Discontent: Defining Moments in the Struggle for Congressional Relief
Journal of Health Politics Policy and Law,
August 1, 2002;
27(4):
543 - 574.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. D. Reschovsky, J. L. Hargraves, and A. F. Smith
Consumer Beliefs and Health Plan Performance: It's Not Whether You Are in an HMO but Whether You Think You Are
Journal of Health Politics Policy and Law,
June 1, 2002;
27(3):
353 - 378.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
D. M. Shahian, S.-L. Normand, D. F. Torchiana, S. M. Lewis, J. O. Pastore, R. E. Kuntz, and P. I. Dreyer
Cardiac surgery report cards: comprehensive review and statistical critique
Ann. Thorac. Surg.,
December 1, 2001;
72(6):
2155 - 2168.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Casalino
Managing Uncertainty: Intermediate Organizations as Triple Agents
Journal of Health Politics Policy and Law,
October 1, 2001;
26(5):
1055 - 1068.
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Hall
Arrow on Trust
Journal of Health Politics Policy and Law,
October 1, 2001;
26(5):
1131 - 1144.
[PDF]
|
 |
|

|
 |

|
 |
 
B. J. Gilchrist
Managed Care Takes to the Highway: Implications for Insureds
J. Law Med. Ethics,
June 1, 2001;
29(2):
203 - 219.
[PDF]
|
 |
|

|
 |

|
 |
 
B. J. Gilchrist
Managed Care Takes to the Highway: Implications for Insureds
J. Law Med. Ethics,
March 1, 2001;
29(1):
203 - 219.
[PDF]
|
 |
|

|
 |

|
 |
 
T. R. Marmor
How Not to Think about Medicare Reform
Journal of Health Politics Policy and Law,
February 1, 2001;
26(1):
107 - 118.
[PDF]
|
 |
|

|
 |

|
 |
 
J. E. Sabin
Managed Care and Health Care Reform: Comedy, Tragedy, and Lessons
Psychiatr Serv,
November 1, 2000;
51(11):
1392 - 1396.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. M. Shahian, W. Yip, G. Westcott, and J. Jacobson
Selection of a cardiac surgery provider in the managed care era
J. Thorac. Cardiovasc. Surg.,
November 1, 2000;
120(5):
978 - 989.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. E. Sabin and N. Daniels
Managed Care: Public-Sector Managed Behavioral Health Care: VI. The Iowa Approach to Profit and Community Reinvestment
Psychiatr Serv,
October 1, 2000;
51(10):
1239 - 1247.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. O. Schweitzer
Differences in Managed Care Drug Formularies: What can Consumers Learn?
Med Care Res Rev,
September 1, 2000;
57(3):
326 - 339.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
R. McEldowney and W. L. Murray
Not Just for Bureaucrats Anymore: Bureaucrat Bashing, Overhead Democracy, and Managed Care
Administration Society,
March 1, 2000;
32(1):
93 - 110.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Bodenheimer
Disease management in the American market
BMJ,
February 26, 2000;
320(7234):
563 - 566.
[Full Text]
|
 |
|

|
 |

|
 |
 
K. Grumbach, J. V. Selby, C. Damberg, A. B. Bindman, C. Quesenberry Jr, A. Truman, and C. Uratsu
Resolving the Gatekeeper Conundrum: What Patients Value in Primary Care and Referrals to Specialists
JAMA,
July 21, 1999;
282(3):
261 - 266.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Blumenthal
Health Care Reform at the Close of the 20th Century
N. Engl. J. Med.,
June 17, 1999;
340(24):
1916 - 1920.
[Full Text]
|
 |
|

|
 |

|
 |
 
J. E. Sabin
Treating the Least Well Off
Psychiatr Serv,
February 1, 1999;
50(2):
268c - 269c.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. E. Sabin and N. Daniels
Managed Care: Public-Sector Managed Behavioral Health Care: II. Contracting for Medicaid Services-the Massachusetts Experience
Psychiatr Serv,
January 1, 1999;
50(1):
39 - 41.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. C. Ross
Regulating Managed Care: Interest Group Competition for Control and Behavioral Health Care
Journal of Health Politics Policy and Law,
January 1, 1999;
24(3):
599 - 625.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Peterson
Introduction: Politics, Misperception, or Apropos?
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
873 - 886.
[PDF]
|
 |
|

|
 |

|
 |
 
J. A. Morone
Populists in a Global Market
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
887 - 895.
[PDF]
|
 |
|

|
 |

|
 |
 
K. E. Thorpe
Managed Care as Victim or Villain?
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
949 - 956.
[PDF]
|
 |
|

|
 |

|
 |
 
M. R. Gold
ISO Quick Fix, Free Lunch, and Share of Pie
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
973 - 983.
[PDF]
|
 |
|

|
 |

|
 |
 
P. B. Ginsburg and C. S. Lesser
The View from Communities
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1005 - 1013.
[PDF]
|
 |
|

|
 |

|
 |
 
G. R. Wilensky
What's behind the Public's Backlash?
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1015 - 1019.
[PDF]
|
 |
|

|
 |

|
 |
 
C. McLaughlin
The Who, What, and How of Managed Care
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1045 - 1049.
[PDF]
|
 |
|

|
 |

|
 |
 
S. M. Davidson
Can Public Policy Fix What Ails Managed Care?
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1051 - 1060.
[PDF]
|
 |
|

|
 |

|
 |
 
D. Mechanic
A Balanced Framework for Change
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1107 - 1114.
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Rodwin
Backlash: As Prelude to Managing Managed Care
Journal of Health Politics Policy and Law,
January 1, 1999;
24(5):
1115 - 1126.
[PDF]
|
 |
|

|
 |

|
 |
 
A. A. Noble and T. A. Brennan
The Stages of Managed Care Regulation: Developing Better Rules
Journal of Health Politics Policy and Law,
January 1, 1999;
24(6):
1275 - 1304.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Holm, J. E Sabin, D. Chinitz, C. Shalev, N. Galai, and A. Israeli
The second phase of priority setting • Goodbye to the simple solutions: the second phase of priority setting in health care • Fairness as a problem of love and the heart: a clinician's perspective on priority setting • Israel's basic basket of health services: the importance of being explicitly implicit
BMJ,
October 10, 1998;
317(7164):
1000 - 1007.
[Full Text]
|
 |
|
|