Download e-book for kindle: Managed Care Services: Policy, Programs, and Research by Nancy W. Veeder

By Nancy W. Veeder

ISBN-10: 019513429X

ISBN-13: 9780195134292

ISBN-10: 1423760522

ISBN-13: 9781423760528

This ebook presents a vast research of the coverage, programmatic, and study concerns surrounding controlled care providers supply platforms that offer nearly all of health and wellbeing and behavioral wellbeing and fitness care providers within the usa. by means of together with an interdisciplinary crew of authors and addressing a number of fields of perform together with health and wellbeing care, gerontology, baby welfare, substance abuse, and psychological overall healthiness, the editors supply a large assessment of "macro" controlled care matters.

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Extra info for Managed Care Services: Policy, Programs, and Research

Example text

Managed care organizations that chose to participate in Medicaid were able to exclude enrollees in these highcost categories. These exclusionary practices are also evident within the Medicare population. A national comparison of traditional and managed care Medicare expenditures determined that Medicare managed care enrollment is associated with significant increases in hospital, skilled nursing facility, home health care, and hospice expenditures among fee-for-service Medicare enrollees (Baker, 1999).

S. health care market allocates its health care resources. THE IMPACT OF MACROECONOMIC POLICIES ON MEDICARE AND MEDICAID Since the 1970s, states have experimented with managed care as a way of slowing the escalating costs of Medicaid. By 1997, almost half of all Medicaid beneficiaries were receiving care through a managed care program (Gold, 1999). Logic would say that taking care of poor or chronically ill elderly patients is not likely to be profitable. A series of reports from the federal agencies and researchers has found that competitive financing presents a myriad of problems for vulnerable populations.

R. (1998). National health spending trends in 1996. Health Affairs, 17, 35-51. Levit, K. , Lazenby, H. , & Braden, B. , et al. (1998). Personal health care expenditures: CYs 1990-2005. Health Care financing Review, Statistical Supplement, 20^3. Levit, K. , Lazenby, H. , et al. (1997). National health expenditures, 1996. Health Care Financing Review, 19,161-249. Lewis, A. (1998). 1998 delivers health care industry new rules and regulations. Remington Report, 6, 22-23. Limbacher, P. B. (1998). A taste of profit.

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Managed Care Services: Policy, Programs, and Research by Nancy W. Veeder

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