A larger percentage of doctors are forgoing managed-care contracts, a trend that could trigger an increase in out-of-pocket costs for consumers and reduce overall patient access to doctors, according to a new survey by the Washington-based Center for Studying Health System Change. The study found that the proportion of physicians without any managed-care contracts, which remained steady through the mid-1990s, rose from 9.2% in 2000-01 to 11.5% in 2004-05. Paul Ginsburg, president of the center, a nonpartisan research organization, called it a "small but statistically significant increase" in the share of doctors who have opted out of managed-care contracts. The study, based on the organization's nationally representative survey of physicians, found that doctors without managed-care contracts tend to be older, work part time, lack board certification and practice in solo or two-physician groups.
Larger share of docs shun managed care
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