Managing the Unmanaged
August 1, 2008 | Journal Article
This study presents a case analysis of how three urban medical centers with differing ownership models within one metropolitan area, ration access to uncompensated care to uninsured patients.
Managed Care Organizations
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Collection of Race and Ethnicity Data by Health Plans Has Grown Substantially, but Opportunities Remain to Expand Efforts
October 1, 2011 | Journal Article
Health plans have been charged with collecting data on their members' race and ethnicity to improve the quality of care and reduce disparities.
Primary Language, Income and the Intensification of Anti-Glycemic Medications in Managed Care
May 1, 2011 | Journal Article
This article examines how language and income interact with treatment of Type II diabetes in a large managed-care trial. Previous research has shown that minorities and low-socioeconomic status individuals have more poorly controlled blood sugar levels than White Americans.
A Field Experiment on the Impact of Physician-Level Performance Data on Consumers' Choice of Physician
November 1, 2012 | Journal Article
The use of a publicly available online report of physician-level data on the choice of primary care provider (PCP) among new members to the HealthPlus of Michigan health plan was assessed in this study.
SBM and SRNT Urge Increased Funding of Quitlines and Research to Maximize Public Health Benefits of 1-800-QUIT-NOW on Cigarette Packs
September 1, 2012 | Journal Article
The Society of Behavioral Medicine and the Society for Research on Nicotine and Tobacco are positioned to lead research so the public health benefits of 1-800-QUIT-NOW on cigarette packs can be monitored, evaluated, and maximized.
Does Decreased Access to Emergency Departments Affect Patient Outcomes?
February 23, 2012 | Journal Article
By measuring increased driving time to the nearest emergency department (ED), this study examines ED access and adverse patient outcomes or changes in patient health profiles. Using acute myocardial infarction (AMI) patients, the study looks at whet ...
Moving to Mandatory Medicaid Managed Care in Ohio
July 1, 2005 | Journal Article
This article assesses the effect of mandatory Health Maintenance Organization (HMO) enrollment on prenatal care use, smoking and birth weight for Medicaid-covered pregnant women.
Reexamining Organizational Configurations
February 1, 2004 | Journal Article
During the 1990s, the health care community developed a taxonomy to define the structures and strategies of newly emerging health care organizations. Since the 1990s, however, health care has undergone significant changes, and the differences in hea ...
Policy Entrepreneurship in the Social Transformation of American Medicine
October 1, 2004 | Journal Article
While reviewing Starr's 1992 book The Social Transformation of American Medicine, Oliver explored how managed care and market competition have come to occupy their current level of prominence in the American health care system. Oliver asserted that ...
Evaluating Florida's Medicaid Provider Services Network Demonstration
February 1, 2008 | Journal Article
A reform initiative that will include provider service networks (PSN) among the managed care organizations that may organize and deliver care to Medicaid enrollees.