Report Outlines Vulnerabilities of Disabled People Under Managed Care

Analysis of health reform proposals' implications for chronic care

From 1992 to 1998, staff with the United Cerebral Palsy Associations produced a draft report outlining the particular vulnerabilities of people with disabilities in a system of market-based managed care and devised a methodology for using outcomes as a measure of quality in managed care.

Key Results

  • The project team produced an unfinished draft report entitled Building Publicly Accountable Managed Care from a Disability Perspective by Combining Civil Rights, Public Health, and Health Care as a Public Utility Based on Case Studies of Three Chronic Conditions: Diabetes, Spinal Cord Injury, and Cerebral Palsy.

    Instead of covering the research originally proposed, the report outlined the particular vulnerabilities of people with disabilities in a system of market-based managed care and devised a methodology for using outcomes as a measure of quality in managed care.

    The report also developed a conceptual framework by which the disability community could improve its own health care and make the entire health care system more publicly accountable by emphasizing civil rights protections, environmental and other nonclinical interventions, and the regulation of health care as a public utility.

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