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managed care

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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 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 February 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...
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Published: 01 August 2014
Figure 2 CHA Patient Utilization in One Managed Care Organization Compared with Rest of Network (FY2011–13)   Source : Medicaid Managed Care Organization and Cambridge Health Alliance data, courtesy of Cambridge Health Alliance, Cambridge, MA (2013) Figure 2. CHA Patient Utilization in One More
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Published: 01 June 2016
Figure 1 The Growth of Medicare Managed Care, 1985–2013. Enrollment in Medicare Managed Care as a Percent of Total Medicare Enrollment Sources : Jacobson et al. 2015 ; McGuire, Newhouse, and Sinaiko 2011 ; Lundy, Levitt, and Wang 2002 Figure 1. The Growth of Medicare Managed Care, 1985 More
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Published: 01 April 2018
Figure A3 Medicaid Managed Care Penetration and Medicaid Reporting Rates Figure A3. Medicaid Managed Care Penetration and Medicaid Reporting Rates More
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 441–464.
Published: 01 June 2002
... 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
Journal of Health Politics, Policy and Law (1 December 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
Journal of Health Politics, Policy and Law (1 June 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
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 October 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. The...
Journal Article
Journal of Health Politics, Policy and Law (1 April 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
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 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 December 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 of Health...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2009) 34 (1): 5–35.
Published: 01 February 2009
.... 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. E...
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 June 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
Journal of Health Politics, Policy and Law (1 June 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. Bailit, and T...
Journal Article
Journal of Health Politics, Policy and Law (1 June 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...