When you look at managed health care and the hospitals that provide the care, you will find some degree of variation in the treatment and care of their patients. This variation can occur between hospitals or even between physicians within a healthcare network. For managed care companies, the change can be beneficial. This can give them the opportunity to save money when it comes to paying for their insured's care, however this wide variation can also be detrimental to the insurance company. This would fall into the category of utilization management, if hospitals and managed care organizations can control treatment utilization, they can control premium costs for both themselves and their clients (Rodwin 1996). If healthcare organizations can implement prevention as a way to ensure good health for their consumers, insurance companies can also shed light on unnecessary healthcare. These are just a few examples of how the healthcare industry can help its patients, but that doesn't mean that every issue involving doctors about the utilization or quality of care is erased because a management mechanism is in place. With the high degree of variations in healthcare, patients may be under- or over-treated or even treated with the wrong treatment for their disease. These unjustified treatment techniques can be classified into three different situations. The first category of unjustified treatment is the use of evidence, or lack thereof, based on other medical treatment. The way to explain this category is that a care plan for a patient has been proven effective without any evidence as to why. The example given by Kongstvedt (2007) is the use of beta blockers after a heart attack. Beta blockers were found to be effective in nearly an hour of article......rnational Journal for Quality in Health Care, 14(1), 5-13.Jacobson, P. (1999, July/August). Legal challenges to managed care cost containment programs: An initial assessment. Courts and managed care, 69-85. Kongstvedt, P. R. (2007). Essentials of managed healthcare. Sudbury, Mass: Jones and Bartlett.McGlynn, E, Asch, S, Adams, J, Keesey, J, & Hicks, J. (2003). The quality of health care provided to adults in the United States. The New England Journal of Medicine, 248(26), 2635-2645. Rodwin, M. (1996). Consumer protection and managed care: Issues, reform proposals, and tradeoffs. Houston Law Review, 32(1319), 1319-1381Starfield, B, Cassady, C, Nanda, J, Forrest, C, & Berk, R. (1998). Consumer experiences and provider perceptions of primary care quality: Implications for managed care. The Journal of Family Practice, 46(3), 216-226.