Issue Briefs

Date of this Version

3-12-2003

Abstract

In the 1990’s, primary care gatekeeping became a hallmark of managed care and a major model of health care delivery. Proponents claimed that gatekeeping—requiring that primary care providers preauthorize specialty visits— could control costs and improve coordination of care. However, much of this potential has remained unrealized, and managed care organizations are beginning to loosen these restrictions. This Issue Brief adds to the growing literature on the ineffectiveness of gatekeeping in controlling costs in pediatric care. The following study focuses on privately insured children, and analyzes the impact of gatekeeping on their health care expenditures.

Document Type

Brief

Volume

8

Number

6

License

Creative Commons License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 License.

View On LDI Website

http://ldi.upenn.edu/brief/gatekeeping-and-children%E2%80%99s-health-care-costs

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Date Posted: 09 December 2016