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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 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 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 1990) 15 (3): 675–677.
Published: 01 June 1990
...Paul B. Ginsburg Alain C. Enthoven, Theory and Practice of Managed Competition in Health Care Finance (Amsterdam: North-Holland, 1988), 162 pp., $64.00. Distributed in U.S. by Elsevier Science Publishing Co. Inc. Copyright © 1990 by Duke University Press 1990 Reference Jones...
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 1996) 21 (3): 461–488.
Published: 01 June 1996
... populations. We discuss the constraints and opportunities that CHCs face in a health care system that is rapidly moving away from fee-for-service medical care toward a model of managed competition. We describe the role that the National Association of Community Health Centers has played in advocating for CHCs...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1996) 21 (4): 697–750.
Published: 01 August 1996
...Mark Schlesinger; Bradford Gray; Elizabeth Bradley As American medicine has been transformed by the growth of managed care, so too have questions about the appropriate role of nonprofit ownership in the health care system. The standards for community benefit that are increasingly applied to...
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 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 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): 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 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
...Jeffrey M. Prottas; Eugenia Handler The implementation of state-sponsored voluntary case management programs for public assistance recipients creates provider and recipient recruiting problems that are unique to the state's economic environment, its political climate, its historic relationship with...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 305–321.
Published: 01 April 1988
... that tools are available to enable sponsors (active collective agents on the demand side who contract with health plans to structure and manage competition) to use competition to achieve a reasonable degree of efficiency and equity for their sponsored populations. All this implies a more complex...
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...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 5–21.
Published: 01 February 1997
... managed care into their Medicaid programs as an approach to reduce costs. Arizona has the only statewide, mandatory managed care Medicaid program, the Arizona Health Care Cost Containment System (AHCCCS). This study examines Arizona physicians’ perceptions of both AHCCCS and commercial managed care plans...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2005) 30 (3): 427–452.
Published: 01 June 2005
...Mark A. Hall On the heels of widespread patient protection legislation in the states,the managed care industry abandoned or greatly scaled back the core elements of gatekeeping, utilization management, and financial incentives, which are the very targets of this legislation. This article explores...