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Managed Care

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Journal Article
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 685–731.
Published: 01 August 2007
...Etienne E. Pracht The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2004) 29 (4-5): 701–734.
Published: 01 October 2004
... with author, Jackson Hole, WY, 28 January. ———. 2002 . Does Managed Care Need to Be Replaced? The Physician Executive ,January–February, 26 -31. Ellwood, Paul M., Jr., Nancy N. Anderson, James E. Billings, Rick J. Carlson, Earl J. Hoagberg, and Walter McClure. 1970 . The Health Maintenance...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 245–255.
Published: 01 February 2015
... managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1999) 24 (3): 599–625.
Published: 01 June 1999
...E. Clarke Ross In this essay I identify how historic patterns of competition among health care interest groups have simultaneously retained their past contours and also changed significantly as a result of the jolt created by the rise of managed care. I explain why it is that I and other executives...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1291–1324.
Published: 01 December 2001
...Christopher J. Conover; Peter J. Rankin; Frank A. Sloan A comparative study was conducted in two neighboring states, Tennessee and North Carolina, to determine whether Medicaid managed care (implemented in Tennessee as TennCare) affected prenatal care, care patterns at labor-delivery, and birth...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 441–464.
Published: 01 June 2002
... objective of this study is to test the effects of insurance type, competition among hospitals, and market pressure from managed care plans on the supply and cost of NIC. The analysis uses logistic and linear models with techniques to avoid bias from (a) market area definitions based on actual patient flows...
Journal Article
Journal of Health Politics, Policy and Law (1 December 1997) 22 (6): 1359–1383.
Published: 01 December 1997
...Richard A. Culbertson This study compares the perspectives of eighteen managed care executives and twenty-four faculty practice executives on critical policy issues related to the managed care marketplace. Market sites studied in 1994 included four major metropolitan areas: Minneapolis–St. Paul...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1997) 22 (5): 1191–1214.
Published: 01 October 1997
...Sara Rosenbaum; Peter W. Shin; Alice Mauskopf; Ann Zuvekas Family planning services represent one of the most common managed care services, particularly in the case of Medicaid. In 1986, Congress enacted legislation exempting family planning services from mandatory managed care requirements. The...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1998) 23 (4): 617–634.
Published: 01 August 1998
...Allen Buchanan Three ethical criticisms of managed care are often voiced: (1) by “skimming the cream” of the patient population, managed care organizations fail to discharge their obligations to improve access, or at least, to not worsen it; (2) managed care organizations engage in rationing...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 595–631.
Published: 01 April 1997
...Jonathan B. Oberlander A primary goal of many Medicare reform proposals is to move program beneficiaries into managed care plans operated by private insurance companies. Advocates contend that managed care based reforms? This article summarizes the claims that are made for and against incorporating...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1995) 20 (4): 1061–1064.
Published: 01 August 1995
...Robert E. Hurley Donald Freeborn and Clyde Pope. Promise and Performance in Managed Care: The Prepaid Group Practice Model . Baltimore, MD: The Johns Hopkins University Press, 1994. 170 pages. $40.00. Copyright © 1995 by Duke University Press 1995...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2009) 34 (1): 5–35.
Published: 01 February 2009
..., J. M. 2003 . A Voice for Nonprofits . Washington, DC: Brookings Institution Press. Bindman, A. B., K. Grumbach, S. Bernheim, K. Vranizan, and M. Cousineau. 2000 . Medicaid Managed Care's Impact on Safety-Net Clinics in California. Health Affairs 19 ( 1 ): 194 -202. Boris, E. T., and C...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 345–352.
Published: 01 June 2002
... Chronically Ill Persons under Medicare. Health Affairs 17 (2): 144 -151. Lamphere, Jo Ann, Patrician Neuman, Kathryn Langwell, and Daniel Sherman. 1997 . The Surge in Medicare Managed Care. Health Affairs 16 (3): 127 -133. Mechanic, David, Donna D. McAlpine, and Marsha Rosenthal. 2001 . Are...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2009) 34 (2): 219–259.
Published: 01 April 2009
...Karl Kronebusch; Mark Schlesinger; Tracey Thomas While the states engaged in an extended period of adopting and revising laws regulating managed care during the 1990s, there has been to date only limited empirical assessment of the impacts of these laws. For this analysis, we constructed a data set...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1996) 21 (3): 433–460.
Published: 01 June 1996
...Michael S. Sparer Nearly every state now encourages (or requires) its Medicaid beneficiaries to enroll in managed care. There is, however, extraordinary variation in every aspect of state managed care policy. In this article, I examine the managed care initiatives of two states, New York and...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1997) 22 (3): 815–838.
Published: 01 June 1997
...Colleen M. Grogan An Aid to Families with Dependent Children (AFDC)–Medicaid managed care policy consensus has emerged in the American states. Although there are two main organizational forms—primary care case management and risk-based capitation models—states are converging on the risk-based...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1998) 23 (4): 611–615.
Published: 01 August 1998
... of Health Politics, Policy and Law 23 ( 1 ): 35 -52. Jacob , Julie A. 1998 . Task Force Seeks New Agency to Oversee California Managed Care. American Medical News , 12 January, p. 4. Jacobs , Alan. 1998 . Seeing Difference: Market Health Reform in Europe. Journal of Health...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1998) 23 (4): 635–659.
Published: 01 August 1998
...Ezekiel J. Emanuel; Lee Goldman The public is very suspicious and fearful that managed care threatens their health because of its interest in reducing costs. Because physicians’ decisions control 75 percent of all health care spending, managed care organizations are focusing their cost-cutting...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1987) 12 (2): 253–270.
Published: 01 April 1987
... providers, its program goals, and its implementation strategies. This implementation study discusses the factors that influenced the op-erationalization of the Massachusetts managed care program for AFDC families. The issues of provider recruitment and recipient enrollment are examined in relation to the...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2001) 26 (3): 652–655.
Published: 01 June 2001
...Arnold D. Kaluzny W. Richard Scott, Marin Ruef, Peter J. Mendel, and Carol A. Caronna. Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care . Chicago: University of Chicago Press, 2000. 442 pp. $58.00 cloth. © 2001 by Duke University Press 2001...