Managed Care Programs - Economics
Research News and Information

Monday, November 23, 2009

The impact of TennCare on hospital efficiency.

30 Aug 2009 This study measures the effect of TennCare, a Medicaid managed care reform initiated in 1994, on the efficiency of hospitals in Tennessee. We apply a multiple-output stochastic frontier approach to a panel dataset that represents all short-term ... Read more...

A model of the economic impact of a bipolar disorder screening program in primary care.

9 Aug 2009 OBJECTIVE: Unrecognized bipolar disorder in patients presenting with a major depressive episode may lead to delayed diagnosis, inappropriate treatment, and excessive costs. This study models the cost effectiveness of screening for bipolar disorder ... Read more...

Improving cost-effectiveness of and outcomes from drug therapy in patients with atrial fibrillation in managed care: role of the pharmacist.

30 Jul 2009 BACKGROUND: The medical care costs for procedures, medications, and testing associated with atrial fibrillation (AF) in the United States are high and projected to increase markedly in the future as the number of Americans affected grows. The burden ... Read more...

Latest indexed articles for 'Managed Care Programs - Economics'

These are the very latest articles for this heading:

• The cost of health care--highlights from a discussion about economics and reform. 21 Sep 2009
• The impact of TennCare on hospital efficiency. 30 Aug 2009
• Primary care remuneration--a simple fix. 17 Aug 2009
• A model of the economic impact of a bipolar disorder screening program in primary care. 9 Aug 2009
• National data, national impact. 30 Jul 2009
• Improving cost-effectiveness of and outcomes from drug therapy in patients with atrial fibrillation in managed care: role of the pharmacist. 30 Jul 2009
• AMCP Guide to Pharmaceutical Payment Methods, 2009 Update (Version 2.0). 30 Jul 2009
• Pay for performance: quality- and value-based reimbursement. 30 Jul 2009
• A pediatrician's opinion. 30 Jul 2009
• Paying Medicare Advantage plans by competitive bidding: how much competition is there? 30 Jul 2009
• Impact of financial incentives for prenatal care on birth outcomes and spending. 11 Jul 2009
• We've looked at care from both sides now: the effects of alternative evaluation strategies on study conclusions. 29 Jun 2009
• Managed care contracts--what do they cost? 29 Jun 2009
• Medicaid program; health care-related taxes. Final rule. 28 Jun 2009
• California court bans emergency physician balance billing: Emergency physicians decry major blow to beleaguered emergency care safety net. 30 May 2009
• Recession hits insurers' coffers. Managed-care industry net income drops 36.5% in '08. 16 May 2009
• ADHD in managed care: an assessment of the burden of illness and proposed initiatives to improve outcomes. 29 Apr 2009
• Trends in mental health cost growth: an expanded role for management? 29 Apr 2009
• Critical review of prasugrel for formulary decision makers. 29 Apr 2009
• Direct all-cause health care costs associated with chronic kidney disease in patients with diabetes and hypertension: a managed care perspective. 29 Apr 2009

See a longer list of these articles.

Technical information about 'Managed Care Programs'

Definition: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.

Descriptor UI: D008329

Alternative terms: Managed Care Programs; Managed Care Program; Program, Managed Care; Programs, Managed Care; Managed Health Care Insurance Plans; Managed Care; Care, Managed; Insurance Case Management; Case Management, Insurance; Management, Insurance Case;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; manpower; organization & administration; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.576.343.800; N04.590.374.410;

History Note: 90(88); was see under DELIVERY OF HEALTH CARE 1988-89

Technical Notes: specify geog