BUPA moves towards managed care

Towards Concurrent Resource Managed Deduction towards Concurrent Resource Managed Deduction

In this paper, we describe an architecture for resource guided concurrent mecha-nised deduction which is motivated by some ndings in cognitive science. Its beneets are illustrated by comparing it with traditional proof search techniques. In particular, we introduce the notion of focused search and show that a reasoning system can be built as the cooperative collection of concurrently acting spe...

Towards managed primary care: the role and experience of primary care organisations

Today’s choices influence the future. Smith and Goodwin have written an evidence-based book, entitled ‘Towards Managed Primary Care’, on the transformation in the organisation and the management of primary care. In line with the work by Edward Wagner and the World Health Organisation, this book embraces a new way of managing the most prevalent health problems: integrated care for patients with ...

Managed care : Practice

The results of coordinating and changing patterns of health care using managed care activities and organizations are reviewed in this article. Although utilization review and high-cost case management programs reduce the use of expensive services, incentives for providers of care, placing them at risk, are important for managing the intensity of health care. Managed care appears capable of redu...

Managed care: practice parameters.

The adoption of RBRVS has and will continue to dramatically alter the way in which physicians are paid. The debate over national health care continues to be a top item on the nation's agenda. Experiments on the predetermined rationing of health care are now being conducted. While these topics have stolen the headlines, another important movement has quietly gained great momentum. Louis Sullivan...

Considerations in managed care.