[PDF] Managed Care And Its Implications For Managed Competition eBook

Author : John D. Wilkerson
Publisher : Jossey-Bass
Page : 438 pages
File Size : 13,94 MB
Release : 1997
Category : Medical
ISBN :

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This edited collection--written by the movers and shakers in the industry--provides a "big picture" look at the rapidly changing health care environment. The book explores the important issues affecting the move to a managed care such as measuring and monitoring quality, mergers, the physician-patient relations, , and reconfiguring the work force.

Author : A.C. Enthoven
Publisher : Elsevier
Page : 175 pages
File Size : 34,50 MB
Release : 2014-04-23
Category : Medical
ISBN : 148329272X

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These lectures review the research and experience on the subject of health care economy. The author also sets down a moderately rigorous statement of the economic concepts underlying the kind of competition that he regards as the most promising way to achieve a reasonable degree of equity and efficiency in health care. The first lecture is on the public policy goals of health care financing and delivery and discusses efficiency in health care. The second presents an economic analysis of the systems for organizing and financing medical care systems in the United States. The third lecture is about ``managed competition'', and the fourth reviews American experience with efforts to convert from the traditional system to a competitive system.The book is addressed primarily to economists, health policy makers and health services researchers. It explains how market forces may be managed in pursuit of equity and efficiency in health care. It addresses systematically many of the causes of market failure and proposes a strategy (``managed competition'') for overcoming them. It should be of interest to policy makers in any country interested in incentives for more efficient health care delivery. It should also be very useful supplemental reading for courses in health care economics.

Author :
Publisher : DIANE Publishing
Page : 120 pages
File Size : 46,23 MB
Release : 1993-07
Category : Managed care plans (Medical care)
ISBN : 9780788100260

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Pamphlet from the vertical file.

Author : John Eugene Billi
Publisher : University of Michigan Press
Page : 307 pages
File Size : 25,53 MB
Release : 2010-02-01
Category : Medical
ISBN : 0472023721

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Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the healthcare debate beyond the classroom, think tank, and statehouse to the boardroom and examining room. Some argue strongly that the solution is to be found in the democratic process and government intervention, while others maintain that only market forces in a competitive environment can respond quickly to the needs of consumers and purchasers alike. The contributors' diverse opinions about the oversight of managed care reflect an enduring divide, one that will affect how society ultimately resolves questions about the inevitable tradeoffs among health-care quality, cost, and access in an environment of limited resources. The Challenge of Regulating Managed Care will appeal to policymakers, those in the medical field, and all readers interested in the American experience with managed care. John E. Billi is Associate Professor of Internal Medicine and Medical Education; Associate Dean for Clinical Affairs, University of Michigan Medical School; and Associate Vice President for Medical Affairs, University of Michigan. Gail B. Agrawal is Associate Professor of Law, University of North Carolina, Chapel Hill.

Author : Michael Scott Durant
Publisher :
Page : 263 pages
File Size : 28,62 MB
Release : 2000
Category :
ISBN : 9780599974630

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Patients will need to accept more responsibility for their health care. the need for managed care organizations and physicians to remain competitive will foster lower prices and improved quality through managed competition.

Author : Institute of Medicine
Publisher : National Academies Press
Page : 394 pages
File Size : 37,2 MB
Release : 1997-04-21
Category : Medical
ISBN : 0309175054

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Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

Author : Lenny Seigel
Publisher : DIANE Publishing
Page : 64 pages
File Size : 10,11 MB
Release : 1993-05
Category :
ISBN : 9781568064215

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Examines the potential of the managed competition approach to reduce the level & rate of growth of national health expenditures, & the specific features of managed competition that could generate significant savings.