منابع مشابه
Medicaid Managed Care: How Do Community Health Centers Fit?
Managed care has brought about important changes in how the health care system is financed and services delivered. The authors describe the approaches adopted by community health centers to participate in Medicaid managed care and argue that these providers, commonly referred to as providers of last resort, have a role to play in this system. Many challenges lie ahead for these centers, such as...
متن کاملHow does managed care do it?
Integrating the health services and insurance industries, as health maintenance organizations (HMOs) do, could lower expenditure by reducing either the quantity of services or unit price or both. We compare the treatment of heart disease in HMOs and traditional insurance plans using two datasets from Massachusetts. The nature of these health problems should minimize selection. HMOs have 30% t...
متن کاملHow Do Managed Care Plans Reduce Healthcare Costs?∗
The US public health insurance market is shifting toward reimbursement models that transfer risk away from the government and toward health insurers and healthcare providers. Instead of paying fee-for-service (FFS) to healthcare providers, Medicaid and Medicare now outsource healthcare delivery to managed care plans and the plans accept risk related to their enrollees’ healthcare costs. Previou...
متن کاملGrowing an industry: how managed is TennCare's managed care?
In 1994 Tennessee moved virtually its entire Medicaid population and new eligibles into fully capitated managed care (TennCare). We analyze Tennessee's strategy, given limited existing managed care; and health plans' development of managed care infrastructure. We find signs of progress and developing infrastructure, but these are threatened by concerns over TennCare's financial viability and th...
متن کاملHow do doctors behave when some (but not all) of their patients are in managed care?
Most physicians today treat a variety of patients within their practices where a variety of insurance arrangements co-exist. In this paper, we propose several theoretical explanations for physician treatment patterns when the patient population is heterogeneous at the practice level. Data from the 1993-1996 National Ambulatory Medical Care Survey (NAMCS) are used to test how practice level mana...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 1995
ISSN: 0735-1097
DOI: 10.1016/0735-1097(95)00343-6