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Managed Care Organizations

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  • Topic: Managed care organizations
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Wisconsin Partners Up to Offer Managed Care for the Elderly, Disabled

August 1, 2003 | Program Result Report

Wisconsin's Department of Health and Family Services developed and implemented a community-based managed care program for frail elderly people and people with physical disabilities who met nursing home admission criteria.

Seattle Managed Care Group Finds Implementing a Chronic Care Clinic Difficult

January 1, 2002 | Program Result Report

The Group Health Cooperative of Puget Sound developed and evaluated a new approach to providing managed primary care to patients with chronic conditions within chronic care clinics that facilitate collaboration among patients, families and clinicians.

Nevada HMO Creates a Model for Managing Chronic Illnesses by Coordinating Care

January 1, 2002 | Program Result Report

Sierra Health Services designed and evaluated for replicability a model of care to improve the identification of high-risk members and better integrate case management into the primary care setting.

Report Outlines Vulnerabilities of Disabled People Under Managed Care

July 1, 2001 | Program Result Report

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.

Managed Care Guidebooks for Caseworkers and Foster Parents

March 1, 2000 | Program Result Report

The Child Welfare League of America, Inc., researched, produced, and disseminated two practical guidebooks for those who care for and work on behalf of children in the foster care system.

New York HMO Recruits 445 Volunteers for Service Credit Banking Program

September 1, 2000 | Program Result Report

Oxford Health Plans, Inc., created its service credit banking program, called Partners In Caring, to assist Medicare members with nonmedical needs by recruiting and training community volunteers.

Minnesota HMO Matches Healthy Plan Members with Medicare Recipients Needing Help

September 1, 2000 | Program Result Report

Medica Health Plan created the Volunteer Investment Program to match healthy plan member volunteers with Medicare members who required companionship, help with chores, grocery shopping and other special services.

California HMO Logs 9,000 Volunteer Hours in Service Credit Banking Project

September 1, 2000 | Program Result Report

CareAmerica Health Plans, a for-profit health insurer in Southern California, launched its CareXchange SCB (Service Credit Banking) program in Glendale, Calif.

HMOs in California Decrease Use of Inpatient Care by Medicare Enrollees

August 22, 2008 | Program Result Report

The number of Medicare beneficiaries enrolling in managed care has increased since the passage of the Medicare Modernization Act (MMA) and the establishment of Medicare Advantage Plans in 2003.

Service Credit Banking in Managed Care

October 25, 2007 | Program Result Report

Service credit banking programs seek to help elderly people remain healthy, independent, and in their homes by enlisting volunteer caregivers to provide supportive services.

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