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Managed Care Organizations

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  • Topic: Managed care organizations
  • Topic: Health plans
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Addressing Tobacco in Health Care

July 11, 2009 | Program Result

Addressing Tobacco in Managed Care supported evaluations of replicable efforts by managed care organizations to integrate effective tobacco-cessation interventions into everyday clinical practice and the basic health care these organizations provide.

Physician Opinions Sought to Create Report Cards that Rate Health Plans

September 1, 2006 | Program Result

Researchers at the University of Minnesota investigated the usefulness of developing physician report cards to complement consumer report cards and other measures of the quality of managed care plans.

For the Country Doctor, Substitute the Rural Health Network

November 1, 2004 | Program Result

Between 1996 and 2003, researchers at the Rural Health Research Center at the University of Minnesota studied changes in the rural health system and produced and disseminated several publications describing those changes.

Medical Directors Often Apply Different Definitions of "Medical Necessity"

August 1, 2003 | Program Result

In this 2000–2001 project, Linda Bergthold, PhD, and researchers at Stanford University, Stanford, Calif., surveyed health plan medical directors in 48 states about medical necessity decision making. The study provides input for policy-making at the state and national levels.

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.

How to Balance Managed Care with Old-Fashioned Compassion?

April 1, 2001 | Program Result

The Woodstock Theological Center, Washington, conducted two workshop series designed to provide ethical guidance to health care providers and managed care organizations.

Evaluating Managed Care Organizations

September 1, 1998 | Program Result

The National Committee for Quality Assurance convened a work group of experts in performance measurement and information technology who examined research literature, surveyed health plan information system capabilities, and interviewed 60 experts in the field.

Rewarding Results: Aligning Incentives with High-Quality Health Care

National Program

To invent, prove and diffuse innovations in systems of provider payments and nonfinancial incentives that will encourage and reward high-quality care.

Improving Chronic Illness Care

National Program

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.

Smoke Screen

July 1, 2005 | Program Result

The State of Oregon Department of Human Resources evaluated the results of efforts by the Tobacco-Free Coalition of Oregon to implement the Oregon Tobacco Cessation Guidelines in the 14 managed care health plans contracting with the Oregon Health Plan.

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