Study objective: To evaluate the reimbursement difference for Medicaid managed care organization (MMCO) enrollees compared with Medicaid enrollees for emergency department patients with disease conditions that appear to meet the "prudent layperson" definition of an emergency medical condition. Methods: This...
Nearly all states are engaged in reforming their Medicaid organizations to meet the costs of increased financial responsibility. This article considers the issue of health care reform through one state organization's response to a particular mandate. The case shows how a state Medicaid agency ...
POLICYBRIEF CareCoordinationand MedicaidManagedCare: EmergingIssuesforStatesand ManagedCareOrganizations June2000 MargoRosenbach CherylYoung POLICYBRIEF 1 P.O.Box2393 Princeton,NJ08543-2393 (609)799-3535 .mathematica-mpr CareCoordination andMedicaid ManagedCare: EmergingIssuesfor StatesandManaged CareOrganizati...
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Aiming at containing total costs, recent health care reforms have transformed the organization of medical care. The majority of initiatives induce greater ... R Boscheck - 《Long Range Planning》 被引量: 29发表: 1996年 Economics of Managed Competition and Consequences to Nurses: Part II. and ...
In addition to the development of specific types of managed care organizations (MCOs) -- including the health maintenance organization (HMO), preferred provider organization (PPO), Medicare HMO and Medicaid HMO -- some traditional health insurance plans now also include selected managed care provision...
Answer and Explanation:1 The managed care plans are health care plans governed by the organization for the members focusing on the lower cost and high quality of the health... Learn more about this topic: Managed Care | Definition, Types & Examples ...
Promising practices often focus on quality assurance and improvement.Managed care is the predominant form of healthcare delivery in the United States, including millions of women with public or private health coverage. 展开 关键词: Keywords health maintenance organization managed care medicaid ...
throughmanagedcareorganizationsareinthe overallMedicaidacutecareprogram.In contrast,nearlyallseniorsandpeoplewith disabilitieswhoreceiveMedicaid-funded long-termcarecontinuetoreceiveitthrough traditionalfee-for-serviceprograms. Inthemid-1990s,whenMedicaidmanaged carewasgrowingrapidlyforchildrenand parents,manystates...
That’s the dilemma states are facing as they put more Medicaid patients into managed-care plans to cut costs. Bloomberg Government health-care policy analyst Christopher Flavelle looked at managed-care plans in the five most populous states, including New York and California. His Bloomberg ...