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Managed Health Care

Research Brief
Tracking Changes in Behavioral Health Services: How Has Managed Care Changed Care?
RAND studies of managed care plans that had already implemented full parity showed that under comprehensively managed care -- today's dominant arrangement -- unlimited mental health benefits cost not much more than capped benefits.
Jan 1, 2000
Report
How Expensive are Unlimited Substance Abuse Benefits Under Managed Care?
This article studies how many patients are affected by SA coverage limits and the likely implications of limits on insurance payments, using 1996-97 claims from 25 managed care plans with unlimited SA benefits.
Jan 1, 2000
Journal Article
Improving Depression Treatment in Managed Primary Care Practices
RAND Corporation conducted a study called Partners in Care that was designed to improve the treatment of depression in primary care cost effectively.
Jan 1, 2000
Journal Article
Managed Care and Fee Discounts in Psychiatry: New Evidence
There is little evidence that psychiatrists with patients in managed care have higher fee levels than psychiatrists with no patients in managed care.
Jan 1, 2000
Journal Article
The Problems with Punitive Damages in Lawsuits Against Managed-Care Organizations
A crisis in the litigation of cases involving managed care, should it come, will be ugly and costly.
Jan 1, 2000
Report
Managed Care and the Evaluation and Adoption of Emerging Medical Technologies
Focuses on evaluation and adoption of innovative procedures and medical devices by managed care organizations (MCOs).
Jan 1, 2000
Report
Managed Care and the Evaluation and Adoption of Emerging Medical Technologies: Executive Summary
New medical technologies -- pharmaceuticals, medical devices, and procedures -- often allow great improvements in the outcomes of medical care, but they are also widely believed to be a major cause of increasing costs.
Jan 1, 2000
Journal Article
Are Managed Care Plans Organizing for Quality?
Examines the degree to which managed care organizations (MCOs) are reorganizing to take responsibility for the quality of care and service they provide.
Jan 1, 2000
Journal Article
HMO Market Penetration and Costs of Employer-Sponsored Health Plans: Higher Market Penetration by Managed Care Leads to Lower Employer Health Plan Costs
The authors evaluate the role of increased health maintenance organization (HMO) market share in containing costs of employer-sponsored coverage.
Jan 1, 2000
Report
Functioning and Utility for Current Health of Patients with Drepression or Chronic Medical Conditions in Managed, Primary Care Practices
Functioning and Utility for Current Health of Patients with Drepression or Chronic Medical Conditions in Managed, Primary Care Practices
Jan 1, 2000
Journal Article
Managed Care and Unmet Need for Mental Health and Substance Abuse Care in 1998
This report demonstrates the importance of defining access to care more broadly.
Jan 1, 2000
Journal Article
Associations Between Primary Care Physician Satisfaction and Self-Reported Aspects of Utilization Management
Indirect control mechanisms such as guidelines and education were positively associated with satisfaction.
Jan 1, 2000
Report
How Does Risk Sharing Between Employers and Managed Behavioral Health Organization Affect Mental Health Care?
To study the ways in which allocating the risk for behavioral health care expenses between employers and a managed behavioral health organization affects costs and the use of services.
Jan 1, 2000
Journal Article
Access to Medical Care Reported by Asians and Pacific Islanders in a West Coast Physician Group Association
Studies need to clarify why Asians were more vulnerable to access problems examined than other ethnic groups that might experience similar barriers.
Jan 1, 2000
Journal Article
Tracking Managed Care: The Importance of a Cash Incentive for Medical Director Response to a Survey
Assesses the impact of a monetary incentive in a survey mailed to medical directors of large medical groups and independent practice associations.
Jan 1, 2000
Journal Article
Improving the Public Sector: Can Reengineering Identify How to Boost Efficiency and Effectiveness at a VA Medical Center?
Reengineering is a management technique, few evaluations of its application in health care, especially in public sector organizations, were reported.
Jan 1, 2000
Report
Managed Care Risk Contracts and Substance Abuse Treatment
Several pending health care bills propose employer mandates to improve coverage for substance abuse treatment. In today's managed care environment, however, mandating "nominal" benefits no longer may achieve intended goals.
Jan 1, 2000
Journal Article
Equity in Managed Care for Mental Disorders
A broader policy perspective is required to encompass concerns about fairness under managed care.
Jan 1, 1999
Journal Article
Financial Incentives and Drug Spending in Managed Care: Incentives for Both Physicians and Patients Can Interact to Help Curb Spending in This Increasingly Costly Sector
Impact of patient financial incentives on the use and cost of prescription drugs in the context of differing physician payment mechanisms.
Jan 1, 1999
Journal Article
Health Maintenance Organizations and Hospital Quality for Coronary Artery Bypass Surgery
This study uses hospital discharge data for 1992-1994 to assess differences between HMO and insured non-HMO patients in California and Florida with regard to the quality of the hospitals used for coronary artery bypass graft (CABG) surgery.
Jan 1, 1999

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RAND Topic:
Managed Health Care

Research conducted by

RAND Health Care

Researcher Spotlight

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…
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.

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