In Loco Parentis? The Purchaser Role in Managed Care
研究美国企业从被动购买员工健康保险转变为积极干预的角色变化，分析其在法律、伦理和财务上面临的问题，并基于加州管理式医疗决策中医疗必要性的研究，提出购买者推荐的解决方案。
The role of American corporations as purchasers of health insurance for their employees has changed dramatically over the past several decades from a passive stance to an aggressive purchasing and policy-making role. The transformation has caused purchasers to question the appropriateness of their health benefit interventions for legal, ethical, and financial reasons. Recent research about the role of medical necessity in California managed care decision making reveals a number of problems purchasers face and describes solutions recommended by some purchasers to those problems.