The Washington State Managed Care Pilot Project (MCP) tested the effects of experience-rated capitation on medical and disability costs, quality of care, worker satisfaction with medical care, and employer satisfaction in MCP-covered workers, compared with matched fee-for-service controls.
In the MCP, medical costs were reduced by approximately 27%, functional outcomes remained the same, workers were less satisfied with their treatment and access to care initially, and employers were much more satisfied with the quality and speed of the information received from the providers.
The authors believe that it was the occupational medicine-based delivery model, working in conjunction with the method of reimbursement and the cultural context of managed care, that was the most significant innovation leading to the MCP successes.
This article describes the occupational medicine-based delivery model implemented for the MCP.
Mots-clés Pascal : Organisation santé, Service santé, Médecine travail, Soin intégré, Qualité, Satisfaction, Système santé, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Public health organization, Health service, Occupational medicine, Managed care, Quality, Satisfaction, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0013269
Code Inist : 002B30B03. Création : 17/04/1998.