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Managed Health Care

Journal Article
Managed Behavioral Health Care: An Instrument to Characterize Critical Elements of Public Sectors Programs
If managed behavioral health care research is to advance beyond simple case study comparisons, a well-conceptualized set of instruments is necessary.
Jan 1, 2002
Journal Article
Similarities and Differences in Choosing Health Plans
Increasingly, consumers have multiple health insurance options. New information is being developed to help consumers with these choices.
Jan 1, 2002
Journal Article
Critical Elements of Public-Sector Managed Behavioral Health Programs for Severe Mental Illness in Five States
Understanding the structures that have been put in place to handle mental health needs is critical to drawing conclusions from their experiences.
Jan 1, 2002
Journal Article
Effect of Managed Care and Financing on Practice Constraints and Career Satisfaction in Primary Care
Physicians in solo and 2-physician practices were least satisfied with careers and reported more constraints on their clinical freedom and income.
Jan 1, 2002
Report
Pharmaceutical Technology Assessment for Managed Care: Current Practice and Suggestions for Improvement
Pharmaceutical Technology Assessment for Managed Care: Current Practice and Suggestions for Improvement
Jan 1, 2001
Research Brief
Health Maintenance Organizations and the Changing Physician Workforce
Found that the growth of managed care in the United States, particularly the growth of health maintenance organizations (HMOs), has had a profound effect on the practice location choices of both generalists and specialists.
Jan 1, 2001
Journal Article
Medical Care Expenditures Under Gatekeeper and Point-of-Service Arrangements
Direct patient access to specialists in POS plans does not necessarily result in higher medical care expenditures.
Jan 1, 2001
Report
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
Jan 1, 2001
Journal Article
The Role of Performance Measures for Improving Quality in Managed Care Organizations
Performance measures are used for quality improvement in addition to informing external constituents.
Jan 1, 2001
Journal Article
Managed Care and the Growth of Competition
Several significant incremental health care reforms were enacted by Congress during the 1990s.
Jan 1, 2001
Report
Managed Care in the Public Sector: Lessons Learned from the Los Angeles PARTNERS Program
Uses qualitative data on PARTNERS, Los Angeles County's capitated managed care mental health treatment program, to explore the context for public-sector managed care reforms and to understand the obstacles to implementing such programs.
Jan 1, 2001
Report
Managed Care is Not the Problem, Quality Is
Its major point is that quality of care is the problem, not managed care, and that prior to the adoption of managed care, there were substantial and major problems in quality of care.
Jan 1, 2001
Journal Article
Consumers and Health Care Quality Information: Need, Availability, Utility
This report describes the needs for health information among California consumers as a group and focus on a few special populations-people over age 55, Spanish- and English-speaking people who describe themselves as Hispanics, people with less than a high school education, and people who rate their health as fair or poor.
Jan 1, 2001
Journal Article
Assessing Use of Primary Health Care Services by Very Low-Income Adults in a Managed Care Program
Assess the effect of providing free health care services to low-income adults.
Jan 1, 2001
Journal Article
The Evolving Behavioral Health System: The Public Sector : Past, Present, and Future
The role of the public sector in organizing, financing, and delivering alcohol, drug, and mental health services is changing dramatically.
Jan 1, 2001
Journal Article
Toward Full Mental Health Parity and Beyond: Managed Behavioral Health Care Has Made Full Parity Affordable--And Therefore Thinkable
The 1996 Mental Health Parity Act (MHPA), which became effective in January 1998, is scheduled to expire in September 2001.
Jan 1, 2001
Journal Article
The Effect of HMO Penetration on Physician Retirement
Older physicians have found it preferable to retire rather than adapt their practices to an environment with a high degree of managed care penetration
Jan 1, 2000
Journal Article
Expenditures for Physician Services Under Alternative Models of Managed Care
This study compares expenditures for physician services in a closed panel gatekeeper health maintenance organization (HMO) and an open panel point of service HMO that share the same physician network. The study uses administrative files of the two study HA40s for 1994-1995 to assess differences in spending for primary care physicians' (PCPs') services, specialists' services, and total physician services.
Jan 1, 2000
Journal Article
HMO Growth and the Geographical Redistribution of Generalist and Specialist Physicians, 1987-1997
The findings of this study support the notion that HMOs reduce the demand for physician services, particularly for specialists' services.
Jan 1, 2000
Journal Article
Providing Managed Care Options for a Large Population: Evaluating the CHAMPUS Reform Initiative
Managed care plans for large government-sponsored insurance programs can reduce utilization and maintain patient access and satisfaction.
Jan 1, 2000

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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.
Erin Audrey Taylor

Senior Policy Researcher

Erin Taylor (she/her) is a senior policy researcher at the RAND Corporation. Her research addresses a broad range of health care insurance, prescription drug, and care quality issues, including the impact of insurance benefit design on use of opioids and specialty drugs. Taylor is currently…

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