Managing Managed Care

Managing Managed Care PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1997-04-21

Total Pages: 394

ISBN-13: 0309175054

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Managed Health Care

Managed Health Care PDF

Author: DIANE Publishing Company

Publisher: DIANE Publishing

Published: 1994-06

Total Pages: 50

ISBN-13: 9780788107061

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An examination of employers' recent experience with managed care in terms of cost control & employee perspectives. Charts, tables & graphs.

The Challenge of Regulating Managed Care

The Challenge of Regulating Managed Care PDF

Author: John Eugene Billi

Publisher: University of Michigan Press

Published: 2001-11-08

Total Pages: 220

ISBN-13: 0472097784

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DIVA rare insight into the views of major stakeholders in the debate about oversight of the managed-care industry /div

Three Realms of Managed Care

Three Realms of Managed Care PDF

Author: Jack Glaser

Publisher: Rowman & Littlefield

Published: 1997

Total Pages: 286

ISBN-13: 9781556129599

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Glaser and Hamel offer readers an opportunity to step back from the ethical issues connected with modern health care and reflect on what we are doing, how we are doing it, and what impact our actions (and omissions) are having on the common good. While offering a new ethical paradigm that takes into account the three realms of ethical complexity (societal issues, institutional issues, and individual issues), this book offers articles for reflection and self-examination on various aspects of managed care, taking into account specific issues such as rationing, financial incentives, and full disclosure.

Managed Care as a Public Cost-containment Mechanism

Managed Care as a Public Cost-containment Mechanism PDF

Author: Dana Paul Goldman

Publisher:

Published: 1995

Total Pages: 19

ISBN-13:

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This article identifies the impact of managed-care reforms on the utilization of medical services within the military health-services system. The data come from a recent demonstration project that substituted a health maintenance organization (HMO) and preferred provider organization (PPO) for traditional fee-for-service (FFS) arrangements. Results from a semiparametric model indicate that the generosity of benefits in the HMO increased demand for ambulatory services. Unlike the private-sector experience with managed care, aggressive utilization review did not significantly curtail inpatient stays. These results vitiate the presumed effectiveness of reform strategies that rely on large, geographically diffused managed-care networks to contain public-sector health costs.