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Enterprise Level

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  • Program: Enterprise Level
  • Topic: Managed care organizations
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Hedrick Smith PBS Series Does a Complete Workup on Health Care

June 1, 2003 | Program Result

From 1998 to 2001, Spartanburg, S.C.-based Hedrick Smith Productions, headed by Pulitzer Prize-winning journalist Hedrick Smith, produced two PBS programs examining managed care and other major health care issues. They also conducted an outreach campaign in connection with the programs.

In Competitive Markets, Price, Not Quality, Guides Health Plans' Choices

August 1, 2003 | Program Result

This 1994–1997 project, conducted by Jack A. Hadley, Ph.D., and researchers at Georgetown University School of Medicine, Washington, evaluated managed care plans' use of selective contracting to purchase tertiary care services.

Laws that Limit Providers and Limit Patient Choice May Have Limited Effects

January 1, 2001 | Program Result

From 1996 to 1998, researchers at the University of Alabama studied the effect of any willing provider (AWP) and freedom of choice (FOC) laws on Health Maintenance Organizations (HMOs) and employers.

Managed Care Policies Limit the Diffusion of Medical Technology

January 1, 2001 | Program Result

From 1995 to 1998, researchers at Stanford University looked at how managed care penetration in given geographic areas affected the diffusion and use of magnetic resonance imaging (MRI), a technology that allows physicians to obtain very clear pictures of patients' internal organs and internal structures without invasive procedures.

Preferred Provider Organizations - Are They Better at Keeping Health Costs Down?

January 1, 2001 | Program Result

From 1992 to 1995, researchers at the University of Michigan Institute for Social Research, Ann Arbor, Mich., assessed the overall effects of preferred provider organizations (PPOs) on hospital, outpatient, physician, and total health care costs and utilization. They compared costs of care in the PPOs with those of managed indemnity plans.

HMOs Make Good Bedfellows with Mid-Cost, Higher Quality Hospitals, But Not with Teaching or For-Profit Hospitals

January 1, 2001 | Program Result

From 1996 to 1998, researchers at University of Alabama at Birmingham studied the behavior of managed care organizations (MCOs) in their contracting with hospitals. The study, based on eight years of data from Illinois, sought to shed light on why MCOs contract with particular hospitals and how stable these relationships are over time.

Most HMOs Use Drug Formularies to Influence Prescribing Behavior of Docs

January 1, 2001 | Program Result

From 1995 to 1998, People-to-People Health Foundation, Millwood, Va., examined the management tools and strategies that managed care organizations use to influence technologies used by primary care physicians — including how to prescribe drugs and make referrals to specialists.

As Part of RWJF's Communities in Charge Program, California HMO Establishes New Health Insurance Programs for Low-Income Residents

April 6, 2007 | Program Result

The Alameda Alliance for Health, a not-for-profit health maintenance organization serving the people of Alameda County, established two new health insurance programs.

Seniors Face Difficulty Navigating Choices in Medicare Managed Care

August 1, 2005 | Program Result

In 1997, Congress approved the Medicare+Choice program, which sought to contain costs and expand seniors' health plan choices by increasing access to managed care plans.

Coordination of Care in HMOs Can Cut Morbidity for Working-Age Adults with Two or More Chronic Conditions

January 1, 2002 | Program Result

The Kaiser Foundation Hospitals Research Institute in Portland, Ore., studied the feasibility of improving coordination of care for working-age adults with two or more chronic medical conditions.

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