You are now viewing 21 - 29 of 29 results
August 1, 2003 | Program Result Report
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.
January 1, 2001 | Program Result Report
During the 1980s, expenditures on pharmaceuticals nationwide increased by 152 percent. HMOs implemented a number of cost-control mechanisms to slow the rate of growth of pharmaceutical expenditures, and were successful in doing so compared to fee-for-service health plans.
January 1, 2001 | Program Result Report
Starting in September 1991, researchers at the Pittsburgh Research Institute, Pittsburgh, compared the health care costs and use for employees at small firms and individual health plan subscribers with employees at large firms.
April 1, 2001 | Program Result Report
The University of California studied access to primary care in selected communities to assess whether hospitalization rates for certain chronic conditions typically managed by outpatient care are valid and useful measures of community access to care.
July 1, 2001 | Program Result Report
The United Hospital Fund of New York worked to develop, validate and implement a research technique called small-area analysis, used to identify communities with high rates of unnecessary hospitalization and limited access to primary care.
March 1, 2000 | Program Result Report
The Center for Research in Ambulatory Health Care Administration developed, tested and demonstrated a national physician profiling system for ambulatory health care.
September 1, 2000 | Program Result Report
From 1996 to 1998, Harvard Pilgrim Health Care examined how insurers, employers and other purchasers of health care decide which medical technologies to provide to consumers under resource constraints.
March 1, 1998 | Program Result Report
The Hastings Center, a nonprofit bioethics research institute located in Garrison, N.Y., used applied research to examine the ethical questions involved with resource allocation by managed care organizations.
November 1, 1996 | Program Result Report
Harvard Pilgrim Health Care documented the implicit criteria used to determine "medical necessity" related to mental health, and the influences of financial incentives and organizational arrangements on medical necessity decisions.