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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
... 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 Strategy...
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 (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 (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 (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 (2008) 33 (6): 1107–1131.
Published: 01 December 2008
...Jonathan P. Weiner; Joanna Case Famadas; Hugh R. Waters; Djordje Gikic This article provides an overview of the current role of private health insurance and private care management organizations around the globe. We describe past experiences and challenges associated with the export of U.S.-style...
Journal Article
J Health Polit Policy Law (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 Politics...
Journal Article
J Health Polit Policy Law (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
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...
Journal Article
J Health Polit Policy Law (2004) 29 (6): 1241–1248.
Published: 01 December 2004
...Ellen Waldman Peter D. Jacobson. Strangers in the Night: Law and Medicine in the Managed Care Era. New York: Oxford University Press, 2002. 296 pp.$36.00 cloth. © 2004 by Duke University Press 2004 Bloche, M. Gregg, and David M. Studdert. 2004 . A Quiet Revolution: Law as an Agent...
Journal Article
J Health Polit Policy Law (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
J Health Polit Policy Law (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...
Journal Article
J Health Polit Policy Law (1999) 24 (1): 1–26.
Published: 01 February 1999
...Jane Root; Sue Stableford Effective consumer communication is key to successfully moving Medicaid recipients into managed care systems and realizing the promised cost savings from the upheaval. Yet, little attention has been paid to educating these consumers with easy-to-read materials. The Maine...
Journal Article
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...
Journal Article
J Health Polit Policy Law (2002) 27 (3): 345–352.
Published: 01 June 2002
... of 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...
Journal Article
J Health Polit Policy Law (2002) 27 (3): 465–494.
Published: 01 June 2002
... highlight both the promise and the pitfalls of relying on courts to correct deficiencies in public managed care programs. This article argues that while litigation over inadequacies in Medicare and Medicaid managed care can serve an important signaling function in alerting agencies and legislatures about...
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 (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...
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