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Managed Health Care

Dissertation
Drug and Alcohol Treatment Services Among Privately Insured Individuals in Managed Behavioral Health Care
Examines the effects of various kinds of private insurance for substance abuse.
Jan 1, 2003
Journal Article
Charity for the Dying: Who Receives Unreimbursed Hospice Care?
Many deaths occur among persons without insurance coverage for hospice care.
Jan 1, 2003
Journal Article
Remission, Residual Symptoms, and Nonresponse in the Usual Treatment of Major Depression in Managed Clinical Practice
Clinicians may fail to recommend continuation and maintenance treatment consistent with best practice guidelines.
Jan 1, 2003
Journal Article
Impact of an Annual Dollar Limit or Cap on Prescription Drug Benefits for Medicare Patients
At lower caps, a substantial proportion of Medicare patients exceeded their annual drug benefit.
Jan 1, 2003
Journal Article
Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 Adult Core Survey
To estimate the reliability and validity of survey measures used to evaluate health plans and providers from the consumer's perspective.
Jan 1, 2003
Journal Article
Access to Drug Therapy and Substitution Between Alternative Antidepressants Following an Expansion of the California Medical Formulary
This increase in SSRI use after the formulary expansion cannot be fully attributed to desired substitution effects.
Jan 1, 2003
Journal Article
Identification of Risk for High Hospital Use: Cost Comparisons of Four Strategies and Performance Across Subgroups
A sequential screening strategy that administers laboratory tests selectively is slightly less expensive than one that uses only self-report items.
Jan 1, 2003
Journal Article
Drug and Alcohol Treatment Among Privately Insured Patients: Rate of Specialty Substance Abuse Treatment and Association with Cost-Sharing
Consideration should be given the potential impact of such changes on the treatment of individuals requiring specialty SA treatment.
Jan 1, 2003
Journal Article
The Role of Managed Care and Financing in Medical Practices: How Does Psychiatry Differ from Other Medical Fields?
The organization and financing of medical practice has experienced substantial changes during the past decade.
Jan 1, 2003
Report
Appropriateness of Quality Indicators for Older Patients with Advanced Dementia and Poor Prognosis
Evaluates the applicability of process-of-care quality indicators to vulnerable elders in two senior managed care plans.
Dec 31, 2002
Journal Article
Patients in Conflict with Managed Care: A Profile of Appeals in Two HMOs: Contrary to Popular Belief, Most Appeals Are Not About Insurers' Denials of Coverage for Potentially Life-Saving Care
Little empirical information exists about the details of such disputes and how they are actually handled.
Jan 1, 2002
Journal Article
Occurrence of Secondary Ischemic Events Among Persons with Atherosclerotic Vascular Disease
The authors estimated the occurrence of secondary stroke, acute myocardial infarction (AMI), and vascular deaths among 2 large, managed care samples.
Jan 1, 2002
Journal Article
Adverse Selection and Generosity of Alcohol Treatment Benefits
Two potential avenues of adverse selection, namely biased enrollment into plans and biased exit from plans offered by employers between 1991 and 1997.
Jan 1, 2002
Journal Article
Can High Quality Overcome Consumer Resistance to Restricted Provider Access? Evidence from a Health Plan Choice Experiment
Consumers have apprehensions about their ability to meaningfully interpret performance-based quality measures.
Jan 1, 2002
Journal Article
Characteristics of Eye Care Practices with Managed Care Contracts
Variation in practice structure, financial arrangements, utilization and quality management systems for eye care practices with managed care contracts
Jan 1, 2002
Journal Article
Using Survey Measures to Assess Risk Selection Among Medicare Managed Care Plans
Quantifies risk selection among competing Medicare managed care plans, using beneficiary survey data from the CAHPS.
Jan 1, 2002
Journal Article
The Determinants of HMO's Contracting with Hospitals for Bypass Surgery
Selective contracting with health care providers is one of the mechanisms HMOs use to lower health care costs for their enrollees.
Jan 1, 2002
Journal Article
Personal Choices of Health Plans by Managed Care Experts
Expert opinion has not been used as a basis for comparing different forms of health insurance.
Jan 1, 2002
Journal Article
Does Medicare Benefit the Poor? New Answers to an Old Question
These new results appear to owe themselves to our measurement of socioeconomic status at the individual level.
Jan 1, 2002
Report
Effects of Cost-Containment Strategies Within Managed Care on Continuity of The Relationship Between Patients with Depression and Their Primary Care Providers
Effects of Cost-Containment Strategies Within Managed Care on Continuity of The Relationship Between Patients with Depression and Their Primary Care Providers
Jan 1, 2002

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RAND Topic:
Managed Health Care

Research conducted by

RAND Health Care

Researcher Spotlight

M. Susan Ridgely

Adjunct Senior Health Policy Researcher

M. Susan Ridgely is an adjunct senior health policy researcher at the RAND Corporation and a Pardee RAND Graduate School affiliate faculty member. She has more than 30 years of experience in health services research and policy analysis.
Bradley D. Stein

Director, Opioid Policy, Tools, and Information Center (OPTIC)

Bradley Stein (he/him) is director of the NIH-funded RAND-USC Schaeffer Opioid Policy Center and a senior physician policy researcher at the RAND Corporation. A health services and policy researcher and practicing child and adolescent psychiatrist, Dr. Stein's research focuses on better…

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