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Health Care Payment Approaches

Journal Article

Gender Disparities in Quality of Care for Cardiovascular Disease and Diabetes

Women with heart disease and diabetes are less likely to receive several types of routine outpatient medical care than men who have similar health problems.

Jan 1, 2007
Journal Article

Processes and Outcomes of Substance Abuse Treatment Between Two Programs for Clients Insured Under Managed Care

The purpose of this research was to describe and compare substance abuse treatment in two programs under managed care: one RT and one OP.

Jan 1, 2007
Journal Article

Elderly Patients' Preferences and Experiences with Providers in Managing Their Drug Costs

Federal employee plans were more likely to augment managed care through contracts with managed behavioral health carve-out firms after parity.

Jan 1, 2007
Journal Article

Congestive Heart Failure Disease Management in Medicare-managed Care

Describes the use, structure, and content of initiatives from the Centers for Medicare and Medicaid Services to encourage Medicare managed care plans to introduce congestive heart failure (CHF) disease management programs.

Jan 1, 2007
Journal Article

Balancing Participation and Expertise: A Comparison of Locally and Centrally Managed Health Care Quality Improvement Within Primary Care Practices

The authors evaluated two health care QI methods that emphasized either participation (local approach) or expertise (central approach).

Jan 1, 2007
Journal Article

Gender Disparities in Managed Care It's Time for Action

Commentary on the set of four studies on gender differences in the quality of CVD and diabetes care in this issue of Women's Health Issues.

Jan 1, 2007
Journal Article

Partially Capitated Managed Care Versus FFS for Special Needs Children

Little research has examined whether MCPs that incorporate case management are effective in coordinating services for CSHCN.

Jan 1, 2007
News Release

RAND Study Says Health Information Technology Can Improve Quality and Efficiency; More Evidence Needed About How to Put ...

April 11, 2006 News Release: RAND Study Says Health Information Technology Can Improve Quality and Efficiency; More Evidence Needed About How to Put the Technology Into Wider Use.

Apr 11, 2006
Journal Article

Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence from Three States

Assesses the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin.

Jan 1, 2006
Journal Article

Hospital Competition, Managed Care, and Mortality After Hospitalization for Medical Conditions: Evidence from Three States

Study assessed the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in CA, NY, and WI.

Jan 1, 2006
Journal Article

Effects of Medicaid Managed Care Policies on Mental Health Service Use Among a National Probability Sample of Children in the Child Welfare System

Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system.

Jan 1, 2006
Journal Article

Does Medicare Benefit the Poor?

Our analysis produces the result that Medicare is an extraordinarily progressive public program, in dollar terms or welfare terms.

Jan 1, 2006
Journal Article

A Descriptive Analysis of Average Productivity Among Health Maintenance Organizations, 1985 to 2001

This paper examines the evolution of average productivity among HMOs for 4,419 Health Maintenance Organizations (HMOs) from 1985 to 2001.

Jan 1, 2006
Journal Article

Pay for Performance: Its Influence on the Use of IT in Physician Organizations

The introduction of information technology (IT) in physician organizations and practices is a source of great interest to physician leaders and policy makers.

Jan 1, 2006
Journal Article

Comparison of Data Quality for Reports and Ratings of Ambulatory Care by African American and White Medicare Managed Care Enrollees

Compare missing data and reliability of health care evaluations between African Americans and Whites in Medicare managed care health plans.

Jan 1, 2006
Journal Article

Is Conventional Wisdom Wrong? Coverage for Substance Abuse Treatment Under Medicaid Managed Care

Conventional wisdom suggests that coverage for substance abuse treatment under Medicaid is generally poor.

Jan 1, 2006
Research Brief

The Managed Care Backlash: Did Consumers Vote with Their Feet?

By the late 1990s, initial consumer support for HMOs (health maintenance organizations) eroded; consumers expressed fear that needed care might be withheld, and many favored tighter government regulation.

Nov 25, 2005
Journal Article

Use of Geocoding in Managed Care Settings to Identify Quality Disparities

Tracking quality-of-care measures is essential for improving care, particularly for vulnerable populations.

Jan 1, 2005
Journal Article

Need for Eye Care Among Older Adults with Diabetes Mellitus in Fee-for-Service and Managed Medicare

Compare rates of need for eye care among Medicare beneficiaries with network-model Medicare+Choice (MC) and fee-for-service (FFS) health insurance.

Jan 1, 2005
Journal Article

Paying for Performance: Implementing a Statewide Project in California

The US health care system falls far short of providing care consistent with national standards of care and available knowledge.

Jan 1, 2005

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