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Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (2004) 29 (4-5): 701–734.
Published: 01 October 2004
...Thomas R. Oliver Policy Entrepreneurship in the
Social Transformation of American
Medicine: The Rise of Managed Care
and Managed Competition
Thomas R. Oliver...
Journal Article
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...
FIGURES
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (2002) 27 (3): 441–464.
Published: 01 June 2002
.... The 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
J Health Polit Policy Law (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
J Health Polit Policy Law (2012) 37 (5): 815–849.
Published: 01 October 2012
...Ae-Sook Kim; Edward Jennings This article utilizes a theoretical framework of policy innovation, diffusion, and reinvention to investigate the evolving nature of Medicaid managed care programs over time. By estimating two separate models, one for primary care case management (PCCM) and a second...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (1987) 12 (2): 253–270.
Published: 01 April 1987
... with 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...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (2007) 32 (3): 379–413.
Published: 01 June 2007
...Bruce Spitz Duke University Press 2007 American Academy of Actuaries, CMS Medicaid Rate Certification Work Group. 2005 . Actuarial Certification Rates for Medicaid Managed Care Programs . Health Practice Note 2004-1. Washington, DC: American Academy of Actuaries. Bailit, M., L...
Journal Article
J Health Polit Policy Law (2007) 32 (3): 457–495.
Published: 01 June 2007
...Virginia Gray; David Lowery; Erik K. Godwin In the 1990s, strong incentives for managed care organizations to control costs, once regarded as a fortuitous confluence of interests, came to be seen as antithetical to consumers' interests in quality of care. In response to this change in political...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1213–1218.
Published: 01 October 1999
...: Cost Increase and Family Decreases. GAO/HEHS-97-35. Washington, DC: U.S. Government Printing Office, February. Hellinger , Fred . 1998 . Regulating the Financial Incentives Facing Physicians in Managed Care Plans. American Journal of Managed Care 4 ( 5 ): 663 -674. Pear , Robert...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1219–1230.
Published: 01 October 1999
...Sara Rosenbaum Marsha Gold, ed. Contemporary Managed Care: Readings in Structure, Operations, and Public Policy. Chicago: Health Administration Press, 1998. 370 pp. $40.0 paper. Walter A. Zelman and Robert A. Berenson. The Managed Care Blues and How to Cure Them . Washington, DC...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 1219–1230.
Published: 01 October 1999
...Sara Rosenbaum Walter A. Zelman and Robert A. Berenson. The Managed Care Blues and How to Cure Them. Washington, DC: Georgetown University Press, 1998. 224 pp. $45.00 paper. Copyright © 1999 by Duke University Press 1999 References Eddy , D. 1998 . Performance Measurement...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 897–910.
Published: 01 October 1999
...Uwe E. Reinhardt Copyright © 1999 by Duke University Press 1999 References Berenson , Robert A. 1991 . A Physician’s View of Managed Care. Health Affairs 10 ( 4 ): 106 -119. Congressional Budget Office (CBC). 1992 . Economics Implications of Rising Health Care Costs...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 911–919.
Published: 01 October 1999
.... E. , J. L. Freeman, and W. J. Culp. 1987 . Are Hospital Services Rationed in New Haven or Over-Utilized in Boston? Lancet 1 ( 8543 ): 1185 -1188. Why Liberals Should Embrace
Managed Care...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 949–956.
Published: 01 October 1999
.... Levitt, T. Hoff, and L. Hugick. 1998 . Understanding the Managed Care Backlash. Health Affairs 17 ( 4 ): 80 -94. Brodie , M. , L. Brady, and D. Altman. 1998 . Media Coverage of Managed Care: Is There a Negative Bias? Health Affairs 17 ( 1 ): 9 -25. Commonwealth Fund. 1995 . A Survey...
Journal Article
J Health Polit Policy Law (1999) 24 (5): 957–966.
Published: 01 October 1999
... Organizations: Dimensions of Performance. New York: Wiley-Interscience, 1981. Reprint, with a new preface, New Brunswick, NJ: Transaction Books. Miller , R. H. , and H. S. Luft. 1994 . Managed Care Plan Performance since 1980: A Literature Analysis. Journal of the American Medical Association 271...
Journal Article
Pegram v. Herdrich : On Peritonitis, Preemption, and the Elusive Goal of Managed Care Accountability
J Health Polit Policy Law (2001) 26 (4): 767–788.
Published: 01 August 2001
...Peter J. Hammer Managed care presents the paradox of organizations having real power over people's lives without there being clear or consistent means of ensuring accountability. In Pegram v. Herdrich , the United States Supreme Court struggled with whether “fiduciary duties” under the federal...
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