𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Managed health care: An overview

✍ Scribed by Richard B. Smith


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
83 KB
Volume
79
Category
Article
ISSN
0008-543X

No coin nor oath required. For personal study only.

✦ Synopsis


I understand that a large portion of the audience is American Cancer Society personnel, volunteers, and officials, some of whom would not be familiar with managed care.

Managed care has changed a great deal, even in California, over the last three years, and it continues to change. I think it is appropriate that the American Cancer Society and managed care organizations work together since all share a common goal to promote health.

Managed care organizations, especially health maintenance organizations (HMOs) are projecting a huge increase in market share over the next five years. In order to address their market share, I divided the population at large into four major groups:

  1. Medicaid (or Medi-Cal in California) 2. Medicare 3. Commercial (population which is most anyone who is working, dependent and below the age of 65) 4. Uninsured (a group that is mentioned in the press but seldom in medicine).

πŸ“œ SIMILAR VOLUMES


The government and managed health care
✍ John W. Bussman πŸ“‚ Article πŸ“… 1997 πŸ› John Wiley and Sons 🌐 English βš– 69 KB πŸ‘ 2 views

I n 1985 the Oregon Legislature passed a bill to divert all Medicaid funds for transplants into prenatal care

Towards an evidence based health care ma
✍ Runo Axelsson πŸ“‚ Article πŸ“… 1998 πŸ› John Wiley and Sons 🌐 English βš– 97 KB πŸ‘ 1 views

Inspired by the development of Evidence Based Medicine, this article introduces a new approach for health care management called Evidence Based Management. This approach promises to improve the practice of health care management, at the same time as it may stimulate research on the organization and

Role of professional organizations and m
✍ John C. Lewin πŸ“‚ Article πŸ“… 1997 πŸ› John Wiley and Sons 🌐 English βš– 73 KB πŸ‘ 1 views

President and CEO, California Medical Associapublic health leader; family practice physician; CEO of a hospital tion.

Parity for mental health and substance a
✍ Richard G. Frank; Thomas G. Mcguire πŸ“‚ Article πŸ“… 1998 πŸ› John Wiley and Sons 🌐 English βš– 99 KB πŸ‘ 1 views

Background: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service payment wh

Community rating and choice between trad
✍ Mathias Kifmann πŸ“‚ Article πŸ“… 1999 πŸ› John Wiley and Sons 🌐 English βš– 150 KB πŸ‘ 1 views

This paper analyses the consequences of allowing a choice between traditional insurance and managed care under community rating. A model of a competitive health insurance market is developed; with the risk equalization scheme being imperfect. There are two types of individuals who are characterized