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Has the Shift to Managed Care Reduced Medicaid Expenditures?Evidence from State and Local-Level Mandates
Medicaid managed care HMO fee-for-service
2015/7/17
From 1991 to 2009, the fraction of Medicaid recipients enrolled in HMOs and other forms of Medicaid managed care (MMC) increased from 11 percent to 71 percent. This increase was largely driven by stat...
Primary Language, Income and the Intensification of Anti-glycemic Medications in Managed Care: the (TRIAD) Study
Type 2 diabetes Socioeconomic Factors managed care programs anti-glycemic medications
2014/12/11
BACKGROUND Patients who speak Spanish and/or have low socioeconomic status are at greater risk of suboptimal glycemic control. Inadequate intensification of anti-glycemic medications may partially exp...
Barriers to Mammography Screening in a Managed Care Population
Barriers Mammography Screening Managed Care Population
2009/10/26
The purpose of this study was to identify personal, economic, and health care system barriers to mammography in a managed care population. Participants were Black and White female residents of Middle ...
The Dynamics of Strategic Change in Hospitals: Managed Care Strategies, Organization Design, and Performance
Strategic Change Hospitals Care Strategies Organization Design Performance
2009/9/30
The organizational changes and performance consequences of California hospitals pursuing managed care strategies between 1986-87 and 1991-92 are examined. The results suggest that hospitals made subst...
Context: The ongoing, rapid national transition from a health care financing and delivery system dominated by traditional indemnity insurance to one dominated by managed care has enormous implications...
Clinic Provision of Contraceptive Services to Managed Care Enrollees
Contraceptive Services Clinic Provision family planning agencies
2009/9/14
Context: Since the initiation of managed health care, little information has been available on whether family planning agencies are seeking ways to serve (and obtain reimbursement for serving) the gro...
DEFINED CONTRIBUTION：FROM MANAGED CARE TO PATIENT-MANAGED CARE
PATIENT-MANAGED health care health care dollars
2008/11/10
After more than a decade of extraordinary turbulence in the financing
and delivery of health care, it is sobering but probably accurate
to anticipate even greater challenges in the near future. Inde...
In the Belly of the Beast: A Case Study of Social Work in a Managed Care Organization
Managed care Medicaid case management HMO
2008/10/21
The employment of social workers within managed care organizations is
a new phenomenon. As such, this case study utilized an exploratory-descriptive
design that assessed social workers as case manag...
Does Managed Care Hurt Health? Evidence from Medicaid Mothers
Managed Care Hurt Health Evidence Medicaid Mothers
2014/3/18
Most Americans are now in some form of managed care plan which restricts access to services in order to reduce costs. It is difficult to determine whether these restrictions affect health because indi...
March 1, 2007，Managed health care for pets could be coming soon.Managed care for people, according to an American Medical Association policy, is "those processes or techniques used by any entity that ...
JANUARY 31, 2007，WASHINGTON ?RightCHOICE Managed Care, Inc., has agreed to pay the United States $975,000 to settle allegations that it violated the False Claims Act in connection with providing healt...
Development and Implementation of a Managed Care Rotation in Medical Necessity Review: Exposing Students to New Opportunities
Managed Care Rotation Medical Necessity Review Exposing Students New Opportunities
2016/3/15
The purpose of this project was to design a rotation for fourth-year PharmD students in managed care through medical necessity review. There are few rotations currently offered in this area, and with ...
Hospitals, Managed Care, and the Charity Caseload in California
NBER and Dept. of Economics KPMG Peat MarwicK
2014/3/18
Many observers have blamed HMOs for increasing financial pressures on private hospitals and causing them to cut back on the provision of charity care. We examine this issue using data on all hospital ...
Development of Ambulatory Clerkships in a Managed Care Setting
Ambulatory Clerkships Managed Care Setting
2016/3/10
The primary goal of this project was to develop and evaluate undergraduate ambulatory care clerkships in a group-practice health maintenance organization. A twenty-hour training program was developed ...
Without question a revolution is occurring today in America抯 health care delivery system. The first impact was felt approximately a decade ago when the Business/Labor coalitions were formed and demand...
