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Letters |18 January 2005

Diabetes Care in the Veterans Affairs System and in Managed Care

Michael A. Patmas, MD, MMM

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  • From Providence Portland Medical Center, Portland, OR 97213.
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TO THE EDITOR:
Kerr and colleagues' article (1) comparing diabetes care in the Veterans Affairs (VA) system and in managed care reflects a deep misunderstanding of what managed care means. Furthermore, their conclusion is self-serving and misleading. The VA system is, in fact, the largest managed care organization in the United States. Analogous to a staff-model health maintenance organization, the VA benefits from having enterprise-wide electronic medical records, employed physicians with restrictive formularies, and direct control over the practice patterns of those physicians through mandated use of practice guidelines. Commercial managed care plans rely on contracted physicians who are generally...
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Patmas MA. Diabetes Care in the Veterans Affairs System and in Managed Care. Ann Intern Med. 2005;142:154. doi: 10.7326/0003-4819-142-2-200501180-00020

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Published: Ann Intern Med. 2005;142(2):154.

DOI: 10.7326/0003-4819-142-2-200501180-00020

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2005 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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