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managed behavioral health care
J Health Polit Policy Law (1999) 24 (3): 599–625.
Published: 01 June 1999
... of for-profit managed behavioral health care organizations, traditionally advocates of market-based approaches to accountability, have begun to support some versions of regulation by the national government in order to restore consumer confidence in the credibility of managed health plans. Key...
J Health Polit Policy Law (2016) 41 (4): 541–558.
Published: 01 August 2016
... Managed Mental Health Care Reallocate Resources to Those with Greater Need for Services? ” Journal of Behavioral Health Services and Research 28 , no. 4 : 439 – 55 . Arrow Kenneth J. 1963 . “ Uncertainty and the Welfare Economics of Medical Care .” American Economic Review 53 , no. 5...
J Health Polit Policy Law (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...
J Health Polit Policy Law (2011) 36 (3): 527–531.
Published: 01 June 2011
... services, such as managed care procedures for which a parity concept becomes complicated and has yet to be clearly 1. For details of Medicaid reforms under the ACA, see Thompson’s essay in this issue. Mechanic ■ Behavioral Health 529 resolved; such resolution...
J Health Polit Policy Law (1996) 21 (4): 697–750.
Published: 01 August 1996
.... Background: Community Beneﬁts and Tax Exemption in Managed Health Care Our analysis combines two approaches to identify beneﬁcial organiza- tional practices that distinguish nonproﬁt and for-proﬁt behavior. The ﬁrst draws on a body of case law and political debates about tax exemp- tion, conversions of...
J Health Polit Policy Law (2002) 27 (3): 441–464.
Published: 01 June 2002
... . Managed Care and Medical Technology: Implications for Cost Growth. Health Affairs 16 : 196 -206. Cutler, D. M., and L. Sheiner. 1998 . Managed Care and the Growth of Medical Expenditures. In Frontiers in Health Policy Research , ed. A. Garber. Cambridge: MIT Press, 77 -115. Dor, A., and D. E...
J Health Polit Policy Law (2007) 32 (4): 685–731.
Published: 01 August 2007
... Embrace Managed Care. Journal of Health Politics, Policy and Law 24 : 911 -919. Center for Medicare and Medicaid Services. 2005. National Summary of State Medicaid Managed Care Programs. June 30. www.cms.hhs.gov/MedicaidDataSourcesGenInfo/Downloads/nationalsummreport05.pdf . Cone, K. R., and D...
J Health Polit Policy Law (2007) 32 (3): 457–495.
Published: 01 June 2007
...., unions or nurses). The size of 8. See also Ross (1999), who applies Robert Alford’s classic model of structural interests to the regulation of behavioral health care, classifying mental health providers in organized professional guilds as dominant structural interests, managed care...
J Health Polit Policy Law (1995) 20 (2): 391–398.
Published: 01 April 1995
... York, 1–4 September. Nativism, Hollow Corporations, and Managed Competition: Why the Clinton Health Care Reform Failed James A. Morone Brown University The collapse...
J Health Polit Policy Law (1993) 18 (1): 75–103.
Published: 01 February 1993
... Tower of Babel of managed care and health insurance terminology. We review past and current trends in the market for nontraditional health benefit plans and propose a taxonomy, or system of classification, that will aid in understanding how managed care plans differ from conventional health insurance...
J Health Polit Policy Law (1996) 21 (3): 433–460.
Published: 01 June 1996
... control over PCCM behavior, because the Knox-Keene legislation (which governed HMOs) did not cover PCCMs. 442 Journal of Health Politics, Policy and Law New York, 1966–1991: Managed Care as Afterthought During the 1970s and early 1980s, only 20,000 of New York’s 2 million Medicaid recipients...
J Health Polit Policy Law (2002) 27 (1): 5–30.
Published: 01 February 2002
... care, there was a transformation in health care purchasing. While managed competition is an economic model applied in this new environment, industrial purchasing represents a different way of orga- nizing behavior that has its roots in managerial practice. Managed competition was designed to...
J Health Polit Policy Law (2001) 26 (6): 1291–1324.
Published: 01 December 2001
.... 1997 . Managed Care and Health Care Expenditures: Evidence from Medicare 1990–1994 . National Bureau of Economic Research (NBER)Working Paper No. 6187. Cambridge, MA: NBER. Baker, Laurence C., Joel C. Cantor, Stephen H. Long, and M. Susan Marquis. 2000 . HMO Market Penetration and Costs of Employer...
J Health Polit Policy Law (2004) 29 (4-5): 701–734.
Published: 01 October 2004
.... health care system. Throughout the 1960s, even as liberal reformers mount one federal initiative after another to expand access to health care, their efforts are compromised by the “politics of accommodation.” The medical profession manages to retain its cultural authority and in fact improves its...
J Health Polit Policy Law (1999) 24 (1): 1–26.
Published: 01 February 1999
... providing Medicaid managed care services, including state Medicaid officials, health benefit counselor staff (enrollment brokers), managed care plan (HMO) staff, and consumer advocates. The training addressed the core issue in health literacy: the mismatch between the low literacy skills of the target...
J Health Polit Policy Law (2005) 30 (3): 475–504.
Published: 01 June 2005
.... Journal of Ambulatory Care Management 21 (4): 1 -28. Kahn, C. N. III, and H. Kuttner. 1999 . Budget Bills and Medicare Policy: The Politics of the BBA. Health Affairs 18 : 37 -47. Kassirer, J. P., and M. Angell. 1998 . Risk Adjustment or Risk Avoidance? Editorial Comment. New England Journal...
J Health Polit Policy Law (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...
J Health Polit Policy Law (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...
J Health Polit Policy Law (1999) 24 (6): 1275–1304.
Published: 01 December 1999
...Alice A. Noble; Troyen A. Brennan The managed care industry is at a crossroads. Belief in the ability of market forces alone to create an environment fostering quality health care at lower cost is eroding. Regulators across the country are confronted with a growing consumer backlash against managed...
J Health Polit Policy Law (1997) 22 (3): 815–838.
Published: 01 June 1997
...: public health, quality assurance, behavioral health, and access. With a few exceptions, each of these committees met monthly, for a total of ﬁfty-six meetings. Cost Control Everyone interviewed said that the main goal of Connecticut’s risk-based Medicaid managed care program is to control costs...