Managing or Caring? Managed Care enrollments are growing steadily. From 1990 to 1997, the managed care market rose from 35% to 73% of the commercial health insurance market. Over two-thirds of Americans with commercial insurance are enrolled in managed care organizations (MCOs) and by the year 2000 MCO enrollment is likely to ... Article
Article  |   March 01, 1999
Managing or Caring?
Author Affiliations & Notes
  • Alex Johnson
    Henry Ford Hospital, Detroit
Article Information
Articles
Article   |   March 01, 1999
Managing or Caring?
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 6-8. doi:10.1044/nnsld9.1.6
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1999, Vol. 9, 6-8. doi:10.1044/nnsld9.1.6
Managed Care enrollments are growing steadily. From 1990 to 1997, the managed care market rose from 35% to 73% of the commercial health insurance market. Over two-thirds of Americans with commercial insurance are enrolled in managed care organizations (MCOs) and by the year 2000 MCO enrollment is likely to reach 120 million (Wisnewski, 1998). At the same time, the number of uninsured persons continues to rise. It is estimated that approximately 32% of the poor are without any coverage. These data offer specific implications for speech-language pathology practice. First, given the rise in MCO enrollment, the probability of reduced referrals and greater restrictions on the scope of services offered has been increased significantly. Second, reduced insurance coverage for those who are poor will reduce the number of patients referred for services regardless of their need.
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