Adverse consequences of adverse selection

Article Abstract:

Issues are discussed regarding adverse selection and a change in the population joining managed care plans as the main cause of the managed care backlash.Statustucal evidence bears out the theory of increased citizen dissatisfaction with managed care as higher risk populations changed to this kind of coverage.Public policy needs to develop ways of dealing with the adverse selection cycle.

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Strengthening state government through managed care oversight

Article Abstract:

Issues are discussed regarding the managed care backlash as evidence for the public of state government's capacity for effective intervention in the health care markets. Managed care may, in addition to effecting a transition from fee-for-service medicine to more cost-effective forms of organizations, have given state government new supporters and also new responsiblities in regulation.

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Changing perceptions, changing reality

Article Abstract:

Issues are discussed regarding the managed care backlash as fueled by consumer frustration with the lack of choice and an effective role for the government in managed care reform. There must be greater government scrutiny of competitive behavior, especially of for-profit entities. Government should also enact patient bills of rights and ERISA should be reformed.

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