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Managed Care Organizations

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  • Topic: Managed care organizations
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As Part of RWJF's Communities in Charge Program, Maine Establishes Health Plan Supporting Providers Who Offer Volunteer Care to Uninsured

April 6, 2007 | Program Result

In 2001, MaineHealth, a nonprofit health system serving southern and central Maine, established CarePartners, a health plan using a network of providers offering volunteer care to the uninsured.

As Part of RWJF's Communities in Charge Program, Jacksonville, Fla., Creates Subsidized Health Insurance Program to Serve Low-Income Employees

April 5, 2007 | Program Result

In January 2004, JaxCare began offering subsidized health insurance to low-income employees of participating businesses in Duval County, Fla.

County Agencies Encounter Resistance to Forming an Integrated Family Health Maintenance Organization

March 1, 1998 | Program Result

The Contra Costa County Department of Health Services sought to complete a plan to develop an enriched HMO program for families residing in their county, with a particular focus on low income families served by the publicly-funded health services system.

1995 Assessment Finds LA Medi-Cal Plans Don't Immunize Enough, State Agencies Don't Audit Immunization Performance

April 1, 1998 | Program Result

The George Washington University Center for Health Services Research and Policy examined immunization practices of managed care plans in a Los Angeles County community with high levels of under-immunized infants, toddlers and preschoolers.

Low Grade for Medical Community's Preparation for Genetic Testing

June 1, 1998 | Program Result

This project surveyed HMO medical directors to determine the extent of requests and coverage for predictive genetic testing for three common adult-onset disorders and Huntington's disease.

Employees with Substance Abuse Problems Have Higher Medical Costs than Those with Other Chronic Problems, Three-Year Study Finds

February 1, 1998 | Program Result

Researchers at Brandeis University analyzed the impact of managed care on the costs of substance abuse treatment in the private sector.

Planning for a Managed Care Plan that Welcomes Specialists

January 1, 1997 | Program Result

During 1992 and 1993, staff at the Johns Hopkins Health System created a plan to develop and market a managed care product offering capitated specialist care for the employed chronically ill.

How Satisfied are Physicians and Patients When Medical Groups Control Access to Care?

April 1, 1997 | Program Result

The University of California, Los Angeles, School of Medicine examined how the structure and intensity of utilization management in physician groups with capitated contracts affect primary care physician and patient satisfaction.

Physicians Less Likely to Prescribe Clinical Services for Uninsured People

June 1, 1997 | Program Result

The Health Care Policy Research and Development Unit of the Medical Practice Evaluation Center of Massachusetts General Hospital conducted an empirical study of the role of patient insurance status on clinical decision-making.

Improving Chronic Illness Care's Guide to Tools and Resources

January 1, 1996 | Toolkit

Improving Chronic Illness Care (ICIC) is a national program dedicated to improving the quality of life among the 133 million Americans who suffer from diabetes, depression and other chronic conditions. An evaluation of ICIC was conducted by RAND Corporation, led by Emmett B. Keeler, Ph.D.

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