..., examine reactions from all these interested parties, and assess the prospects for integration into a single market. The contentious debate that continues among the parties over national prerogatives, industrial interests, professional mandates, and consumer concerns clouds the prospects for a system of...

...David Barton Smith No published measures of racial integration in health facilities in the United States exist. This article reviews the problems with possible sources of data. It then derives estimates of the degree of integration in nursing homes and hospitals from the 1985 National Nursing Home...

... delivery systems are organized. In particular, the structure of public funding may have a substantial effect on the nature and extent of integration among the various service providers that comprise a community's delivery network. Such an understanding is critical if mental health policymakers are to use...

...Gwyn Bevan; Katharina Janus There have been influential advocates for financing and organizing health care in the United States and England based on the model of integrated health care delivery systems (IHCDSs). Despite good evidence that a few IHCDSs provide high-quality health care economically...

...Eileen Burgin Burton H. Singer and Carol D. Ryff, eds. Committee on Future Directions for Behavioral and Social Sciences Research at NIH. New Horizons in Health: An Integrative Approach . Washington, DC: National Academy Press, 2001. 224 pp. $39.00 cloth. © 2002 by Duke University Press...

...Lynn A. Blewett; Donna Spencer; Peter Huckfeldt Abstract In recent years, accountable care organizations (ACOs) have become more prevalent in the United States. This study describes the origins, implementation, and early results of Minnesota's Medicaid ACO payment model, the Integrated Health...

...Lawrence P. Casalino This article examines Federal Trade Commission (FTC) policy—in particular, the agency's controversial 1996 statements on clinical integration—toward joint negotiations for nonrisk contracts with health plans by physicians organized into independent practice associations (IPAs...

...Richard M. Scheffler Abstract Will accountable care organizations (ACOs) deliver high-quality care at lower costs? Or will their potential market power lead to higher prices and lower quality? ACOs appear in various forms and structures with financial and clinical integration at their core; however...

... integrated delivery systems pointed to as prototypical accountable care organizations (ACOs) — reportedly are able to obtain among the highest rates of payments from commercial payers, often exceeding 250 percent of the Medicare payment amount. 2 The Medicare payment level has become the commonly used...

... implications for integrating the SAT specialty system with the mainstream health care system. Copyright © 2015 by Duke University Press 2015 accountable care organizations substance abuse treatment organizations care coordination An important component of efforts to improve quality and reduce...

... net institutions may be able to achieve these goals by pursuing greater delivery system integration. We interviewed safety net hospital and community health center (CHCs) leaders in five US cities to determine what strategies these organizations are employing to promote care integration in the safety...

... protected by the ADA have the right to receive publicly funded services in community-integrated treatment settings and that medically unnecessary institutionalization violates the ADA. But the Court had to wrestle with the extent to which the ADA requires state Medicaid programs to make deep and structural...

...Vibeke Erichsen From the early nineteenth century until about 1980, a close relationship developed in Norway between the state and the medical profession. Medicine became integrated into the state at all levels of government, and the profession assumed important roles in initiating and formulating...

... practice, the integration of such dimensions into HTA remains limited. Recent social scientific research on the inherently political nature of technology strongly supports such a comprehensive approach. The growing claims by and on behalf of consumer groups also suggest that HTA should be informed by a...

..., as opposed to corporatist, management of national insurance systems. Thus the use of quasi-market tools brings state-strengthening reform. The proximate and necessary cause of this dual transformation is found in the work of small, closely integrated groups of policy professionals, whom we label...

...Marco Liverani; Richard Coker In the past few decades there has been increased integration of communicable disease policies in Europe. The historical roots of this process date back to the mid-nineteenth century, when national authorities realized that the cross-boundary spread of diseases cannot...

... transplantation services, an array of models of regionalization of health services, ranging from full-scale vertical integration to market-enhancing information provision, is described. In the United States, regionalization has mainly followed the designation model within the certificate-of-need system; vertical...