Ethical Guidelines for Physician Compensation Based on Capitation

Abstract

There is a growing crisis of confidence in managed care. Because of its success in controlling costs to employers, managed care has triggered fears that necessary health services are being withheld and that decisions about health care are being driven by the financial bottom line. The growth of for-profit managed-care corporations has fanned the flames of this distrust.¹ Managed-care organizations have been accused of withholding necessary services through several mechanisms, including restriction of access to specialists, denial of coverage for new forms of technology, and administrative review of physicians' decisions. But perhaps even more important, there are public fears about . . .