Managed Care = Managed Cost = Managed Chaos?

Growing 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...

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.

Managed Care Effectiveness

Managed care issues were volatile during the last 5 years and the related publications mirror that controversy. An important trait of the articles published on managed care was how quickly they outdated. Much of the literature published in 1999 focused on the source of the managed care backlash or was in response to proposed patients’ bill of rights legislation; for example, the October 1999 is...