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End-of-Life Issues

End-of-Life Care in Managed Care Organizations

Research Report

July 1999


The shift of health care delivery to managed care in the private sector and, increasingly so, in both Medicaid and Medicare, raises the question of whether capitated delivery systems approach end-of-life care differently from the fee-for-service system. The findings from this 23-page study by Peter D. Fox, a private health care consultant are based on interviews with senior managed care medical managers about end-of-life care in managed care plans. Although it is not possible to generalize from these findings, the insights shared with the author about how selected plans address end-of-life care may begin to shed some light on this subject and help form the basis for further discussion and study among policy analysts and decision makers.

Pub ID: 9908