Managed Care Fundamentals: Implications for Health Care Organizations and Health Care Professionals

Managed care fundamentals: implications for health care organizations and health care professionals.

Managed care is changing our health care delivery system as radically as the computer chip has changed telecommunications. Health care professionals and organizations that do not understand managed care's implications will not be prepared for the future. For example, one implication of managed care is payment capitation, which is the transfer of financial risk from the insurer to the provider. ...

Designing a managed care model for emerging respiratory infectious diseases in the Iranian health care system

Background and Aim: The purpose of this study is to design a model of managed care for emerging respiratory infectious diseases in the Iranian health care system in 1399. Methods: To achieve this goal, first the effective factors and indicators affecting the managed care model for emerging respiratory infectious diseases are identified based on content analysis technique and then these factors...

Medicare, managed care, and behavioral health care.

Antitrust Principles and Integrated Health Care: Implications for Consumers and Health Care Organizations

Accountable care organizations and health care disparities.

UNDER SECTION 3022 OF THE AFFORDABLE CARE Act, the Centers for Medicare & Medicaid Services is tasked with developing and testing accountable care organizations (ACOs). The goal of ACOs is to group hospitals and physician practices together to facilitate and incentivize quality improvement and cost containment—critical steps for US health care. However, careful consideration and monitoring duri...