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Managed Care Programs
Research News and Information
Definition of 'Managed Care Programs'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. |
Saturday, November 21, 2009
Medicare managed care enrollment by disability-eligible and age-eligible veterans.
30 Oct 2009
OBJECTIVE: To assess factors associated with enrollment in a Medicare advantage (MA) plan versus Medicare fee-for-service plan in 2000-2004 by Medicare-eligible veterans. We also assessed whether these factors differed between disability-eligible ... Read more...
29 Sep 2009
BACKGROUND: Patient-reported outcomes are increasingly used to assess the efficacy of new treatments. Understanding relationships between these and clinical measures can facilitate their interpretation. We examined associations between ... Read more...
29 Sep 2009
OBJECTIVE: To examine the rate and correlates of completion of the quadrivalent human papillomavirus vaccine (HPV4) 3-dose regimen because nonadherence to the regimen may adversely affect vaccine efficacy. PARTICIPANTS AND METHODS: Female members of ... Read more...
Latest indexed articles for 'Managed Care Programs'
These are the very latest articles for this heading:
- Medicare managed care enrollment by disability-eligible and age-eligible veterans.
30 Oct 2009 - Outcomes, health policy, and managed care: relationships between patient-reported outcome measures and clinical measures in outpatients with heart failure.
29 Sep 2009 - Correlates for completion of 3-dose regimen of HPV vaccine in female members of a managed care organization.
29 Sep 2009 - The cost of health care--highlights from a discussion about economics and reform.
21 Sep 2009 - Low documentation of chronic kidney disease among high-risk patients in a managed care population: a retrospective cohort study.
14 Sep 2009 - Rapier capitalizes. WellMed doc receives exec award.
12 Sep 2009 - Access block can be managed.
5 Sep 2009 - Best health plans: 37,481 readers show you how to make the right choice.
30 Aug 2009 - Community participation in New Mexico's behavioral health care reform.
30 Aug 2009 - Adverse drug events in the elderly: an ongoing problem.
30 Aug 2009 - A snapshot of U.S. physicians: key findings from the 2008 Health Tracking Physician Survey.
30 Aug 2009 - The impact of TennCare on hospital efficiency.
30 Aug 2009 - Primary care remuneration--a simple fix.
17 Aug 2009 - Association between prescription burden and medication adherence in patients initiating antihypertensive and lipid-lowering therapy.
13 Aug 2009 - A model of the economic impact of a bipolar disorder screening program in primary care.
9 Aug 2009 - Insomnia-related comorbidities and economic costs among a commercially insured population in the United States.
30 Jul 2009 - The Obama presidency: implications for stroke care.
30 Jul 2009 - Atrial fibrillation and managed care: current approaches and future directions for long-term therapy. Introduction.
30 Jul 2009 - Prasugrel, new platelet inhibitor, subject of formulary debates.
30 Jul 2009 - Health care reform push pits states against feds.
30 Jul 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