Managed healthcare does not provide better clinical outcomes

It is often argued that managed health care can provide better clinical outcomes while holding down health care costs. Over the years, managed care has taken on many different names including health maintenance organizations, accountable care organizations, and medical homes for instance.

The structure of managed care is based on a primary care provider who serves as a “gatekeeper” and coordinates the care of an individual patient with multiple specialists. The idea is that the system would be more efficient and would eliminate duplication and waste for an enrollee.

Recently, The Commonwealth...