Relevant bibliographies by topics / Managed care health insurance

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Managed care health insurance'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Managed care health insurance"

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Light, Donald W. "Good Managed Care Needs Universal Health Insurance." Annals of Internal Medicine 130, no. 8 (April 20, 1999): 686. http://dx.doi.org/10.7326/0003-4819-130-8-199904200-00016.

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Albert Ma, Ching-To, and Michael H. Riordan. "Health Insurance, Moral Hazard, and Managed Care." Journal of Economics Management Strategy 11, no. 1 (March 2002): 81–107. http://dx.doi.org/10.1111/j.1430-9134.2002.00081.x.

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Watzman, Nancy, and Patrick Woodall. "Managed Health Care Companies' Lobbying Frenzy." International Journal of Health Services 25, no. 3 (July 1995): 403–10. http://dx.doi.org/10.2190/g11p-26yf-dq6j-ekhv.

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The top dozen national managed health care companies and two industry trade groups spent at least $2,023,041 on lobbying expenses and campaign contributions to key lawmakers during last year's health care debate, according to an analysis of Federal Election Commission data and federal lobbying disclosure forms. Five of the top six spenders are large insurance companies that are rapidly transferring their business from traditional indemnity insurance to HMOs. Over half—52 percent—of campaign donations from the top managed care companies' and trade associations' PACs and employees went to members sitting on the five Congressional committees with jurisdiction over health care reform.
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Kucsan, Bernice. "Managed Care: A “New” Wave in Health Care Insurance?" Journal For Healthcare Quality 11, no. 3 (June 1989): 18–19. http://dx.doi.org/10.1111/j.1945-1474.1989.tb00414.x.

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Relman, Arnold S. "Medical Insurance and Health -- What about Managed Care?" New England Journal of Medicine 331, no. 7 (August 18, 1994): 471–72. http://dx.doi.org/10.1056/nejm199408183310711.

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Litaker, David, and Randall D. Cebul. "Managed Care Penetration, Insurance Status, and Access to Health Care." Medical Care 41, no. 9 (September 2003): 1086–95. http://dx.doi.org/10.1097/01.mlr.0000083741.80192.e0.

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Ozminkowski, R. J., M. Noether, P. Nathanson, K. M. Smith, B. E. Raney, D. Mickey, and P. M. Hawley. "Profiling Primary Care Physicians for a New Managed Care Network." Health Services Management Research 10, no. 3 (August 1997): 173–86. http://dx.doi.org/10.1177/095148489701000304.

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We developed methods for comparing physicians who would be selected to participate in a major employer's self-insurance program. These methods used insurance claims data to identify and profile physicians according to deviations from prevailing practice and outcome patterns, after considering differences in case-mix and severity of illness among the patients treated by those providers. The discussion notes the usefulness and limitations of claims data for this and other purposes. We also comment on policy implications and the relationships between our methods and health care reform strategies designed to influence overall health care costs.
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Cheng, Shou-Hsia, Chih-Ming Chang, Chi-Chen Chen, Chih-Yuan Shih, and Shu-Ling Tsai. "Half-Managed Care." International Journal of Health Services 47, no. 3 (November 19, 2015): 519–31. http://dx.doi.org/10.1177/0020731415615310.

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In 2011, a novel capitation program was launched in Taiwan under its universal health insurance plan. This study aimed to assess the short-term impact of the program. Two hospitals in the greater Taipei area, one participating in the “loyal patient” model (13,319 enrollees) and one in the “regional resident” model (13,768 enrollees), were analyzed. Two comparison groups were selected by propensity score matching. Generalized estimating equation models with differences-in-differences analysis were used to examine the net effects of the capitation program on health care utilization, expenses, and outcomes. Enrollees in the loyal patient model had fewer physician visits in the host hospital, but more physician visits outside that hospital during the program year than they had the year before. Compared with non-enrollees, the loyal patient model enrollees incurred fewer physician visits (β = −0.042, p < .001), fewer emergency department visits, (β = −0.140, p < .001), and similar total expenses and outcome. For the regional resident model, no differences were found in the number of physician visits, expenses, or outcomes between enrollees and non-enrollees. The novel capitation models in Taiwan had minimal impact on health care utilization after 1 year of implementation and the health care outcome was not compromised.
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Chapin, Christy Ford. "The American Medical Association, Health Insurance Association of America, and Creation of the Corporate Health Care System." Studies in American Political Development 24, no. 2 (August 23, 2010): 143–67. http://dx.doi.org/10.1017/s0898588x10000052.

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This narrative demonstrates how public and private power interacted during the post–World War II era to create America's unique health care system, a system based on a high-cost, corporate model financed and managed by insurance companies. The article compares the divergent political, organizational, and economic strategies of the American Medical Association (AMA), which represented physicians, and the Health Insurance Association of America (HIAA), which represented for-profit insurance firms. Even after the defeat of President Harry Truman's plan for a universal, government-managed system, policymakers in both parties attempted to reform the health care market, because most observers recognized that the embryonic insurance-company-funded model had inherent cost problems. In order to defeat numerous reform proposals, AMA and HIAA leaders allied to rapidly develop the market around insurance-company financing. Insurers and physicians constructed overlapping institutions to manage their increasingly close financial relationship, thus creating a pseudocorporate arrangement. In an attempt to control costs, insurance companies expanded their function beyond simply underwriting the risks associated with medical services consumption to also assuming a supervisory role, albeit distant, over health care delivery. When policymakers designed Medicare, they adopted the organizational framework that private health interests had already created, thereby legitimizing the previously contested high-cost model.
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Mulligan, Kate. "Managed Care Has Not Solved Health Insurance Cost Problems." Psychiatric News 36, no. 18 (September 21, 2001): 14–28. http://dx.doi.org/10.1176/pn.36.18.0014a.

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Dissertations / Theses on the topic "Managed care health insurance"

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Magner, MaryBeth. "The Effects of Managed Care on the Quality of Dental Hygiene Care." TopSCHOLAR®, 1998. http://digitalcommons.wku.edu/theses/344.

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Managed care has become a prominent mechanism for insuring dental care. Empirical research suggests that managed dental plans provide lower quality care to patients. However, few studies have specifically addressed the effects of managed care on the quality of dental hygiene care. Thus, in this study the researcher examines whether dental hygienists deliver a lower level of treatment to managed care patients than to those who are not subject to managed care. Questionnaire data were gathered from 193 members of the American Dental Hygienists' Association residing in the Chicago area. The primary independent variable, managed care, was measured with an item that asked the respondents to indicate the percentage of patients they treat that are insured by a managed dental plan. The questionnaire also contained items that measured the frequency in which the respondents perform 23 tasks that are indicators of quality of dental hygiene care. Principal components factor analysis of these 23 items yielded the study's two dependent variables: periodontal procedures and appointment time. Regression analysis of the data revealed a significant negative relationship between managed care and appointment time. This relationship may be attributable to an economic incentive on the part of dentist-employers who control the amount of time scheduled for dental hygienists' patients. Dentist-employers may reduce the time available for managed care patients in order to allow longer appointments for more profitable fee-for-service patients. The study results did not support the notion that managed care affects the extent to which dental hygienists perform periodontal procedures. These mixed results suggest that future research should examine the relationships between managed care and other aspects of quality of dental hygiene care not addressed in the current study.
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Čížová, Ludmila. "Problematika řízené péče (managed care)." Master's thesis, Vysoká škola ekonomická v Praze, 2008. http://www.nusl.cz/ntk/nusl-10176.

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The main theme of the thesis is managed care system description and definition. The first part is focused on managed care history, development in this system, and types of organizations providing this medical and hospital services. There is also chapter concerned with problems of resource management and managed care quality. The next chapter describes medical and health services and managed care in the USA, the only country offering these services in free mareket economy. For comparison in the next chapter there are presented someEuropean states, which try to introduce managed care as a tool for reduction of redundant and duplicate health services costs, include Czech Republic. At the conclusion, the comparison of some economic indicator of medical and health services among some European contries and the USA has been done.
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Brudevold, Christine. "Assessment of capitated contract medicine arrangements in Hong Kong : an example of financial incentives and managed care in an unregulated environment /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B20906791.

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Stein, Bradley D. "Drug and alcohol treatment services among privately insured individuals in managed behavioral health care." Santa Monica, CA : RAND, 2003. http://www.rand.org/publications/RGSD/RGSD170/RGSD170.pdf.

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Yang, Jie. "Incentives of Managed Care Insurance and Treatment Choices in Low-Risk Primary Cesarean Delivery." Thesis, Wayne State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10929029.

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In response to climbing health care costs in the United States, many insurers and policy makers would like to eliminate waste in healthcare by steering spending toward the most cost-effective treatments. Obstacles to achieving this goal include identifying specific medical settings where overuse occurs, and then developing strategies to prevent overuse without harming patient welfare. My study examined childbirth, the number one reason for hospitalization in the US, where the overuse of medical resources primarily takes the form of nonmedically indicated cesarean deliveries.

The financial tools (physician payment differential and patient’s cost sharing) and other tools (utilization management, physician profiling, and practice guidelines) of managed care insurance create varied incentives that could affect behaviors of physicians and patients. Using data from the MarketScan commercial database, I proved that in a fee-for-service setting, physician’s financial incentives (physician payment differential) and patient’s financial disincentive (patient’s cost-sharing) affect treatment choices on childbirth delivery method, and other incentives from managed care insurance have little effect. My study also found that more restrictive nonfinancial tools in non-capitated HMOs which are expected to reduce the use of cesarean sections turn out to have little effect, while lower cost-sharing in non-capitated HMOs leads to more use of cesareans. It could provide two health policy implications: (1) health plans with generous benefits may need more restrictions and effective regulations aimed at cost control, and (2) raising patients cost-sharing may prove effective for managing medical expenses. Finally, a “What if” analysis sheds light on the likely effectiveness of various changes in managed care insurance design intended to reduce low-risk primary cesarean deliveries.

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Schiffel, Ottalee. "The usefulness of assurance services related to nonfinancial performance measures in the selection of healthcare insurance providers /." free to MU campus, to others for purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3115589.

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Waterstraat, Frank Riegle Rodney P. "Adapting the quality function deployment model to health plan design." Normal, Ill. Illinois State University, 2001. http://wwwlib.umi.com/cr/ilstu/fullcit?p3064505.

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Thesis (Ph. D.)--Illinois State University, 2001.
Title from title page screen, viewed March 10, 2006. Dissertation Committee: Rodney P. Riegle (chair), J. Christopher Eisele, George Padavil, John H. Bantham, Thomas J. Bierma. Includes bibliographical references (leaves 124-128) and abstract. Also available in print.
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Richards, Erika Kristin McKeithan. "An analysis of the effect of managed care implementation of prescription drug utilization by Texas Medicaid clients." Access restricted to users with UT Austin EID Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3035965.

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Carter-Michaelson, Faith. "An exploratory study of San Bernardino County employees' knowledge about the limitations and provisions of their managed health care plans." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1793.

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Brudevold, Christine. "Assessment of capitated contract medicine arrangements in Hong Kong: an example of financial incentives andmanaged care in an unregulated environment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31238130.

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Books on the topic "Managed care health insurance"

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Senn, Deborah. Navigating managed care: A consumer's guide to managed care. [Olympia, Wash.]: Washington State Insurance Commissioner, 1998.

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Rosenthal, Jesse. Managed vision benefits. Brookfield, Wis: International Foundation of Employee Benefit Plans, 1995.

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Mort, Soroka, and International Foundation of Employee Benefit Plans., eds. Managed vision benefits. 2nd ed. Brookfield, Wis: International Foundation of Employee Benefit Plans, 1998.

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L, Gallagher Mary, and Weller Charles D. 1944-, eds. Managed care contracts manual. Gaithersburg, Md: Aspen Publishers, 1996.

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Baldor, Robert A. Managed care made simple. Cambridge, Mass., USA: Blackwell Science, 1996.

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Managed care made simple. 2nd ed. Malden, MA: Blackwell Science, 1998.

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Mahendran, T. Health insurance sector in India. Delhi: Abhijeet Publications, 2008.

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Cortekar, Jörg. Managed Care als Reformoption für das deutsche Gesundheitswesen. Marburg: Metropolis-Verlag, 2006.

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Milligan, Maureen A. Essential community provider issues in Medicaid managed care. [Austin, Tex.]: Lyndon B. Johnson School of Public Affairs, University of Texas at Austin, 1996.

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Cutler, David M. Prices and productivity in managed care insurance. Cambridge, MA: National Bureau of Economic Research, 1998.

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Book chapters on the topic "Managed care health insurance"

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Phelps, Charles E. "Health Insurance Supply and Managed Care." In Health Economics, 295–324. 6th edition. | New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315460499-11.

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Greenberg, Warren. "Insurance, Managed Care, and System Integration." In The Health Care Marketplace, 43–62. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-1668-1_4.

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Paharia, M. Indira. "Insurance, Managed Care, and Integrated Primary Care." In Comprehensive Handbook of Clinical Health Psychology, 31–51. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2012. http://dx.doi.org/10.1002/9781118269657.ch2.

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Zuvekas, Samuel H. "Financing of Behavioral Health Services: Insurance, Managed Care, and Reimbursement." In Foundations of Behavioral Health, 71–99. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18435-3_4.

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Florman, Larry D. "Insurance, Managed Care." In The Portable Medical Mentor, 157–65. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-09852-4_27.

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Walkup, James T., and Fiona S. Graff. "Managed Care." In Encyclopedia of Immigrant Health, 1040–44. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_481.

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Zaidi, Shabih H. "Managed Health Care." In Ethics in Medicine, 211–21. Cham: Springer International Publishing, 2013. http://dx.doi.org/10.1007/978-3-319-01044-1_8.

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Parks, Dave. "Insurance Shift." In Health Care Reform Simplified, 77–90. Berkeley, CA: Apress, 2011. http://dx.doi.org/10.1007/978-1-4302-3699-3_5.

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Parks, Dave. "Insurance Shift." In Health Care Reform Simplified, 75–88. Berkeley, CA: Apress, 2012. http://dx.doi.org/10.1007/978-1-4302-4897-2_5.

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Folland, Sherman, Allen C. Goodman, and Miron Stano. "Social Insurance." In The Economics of Health and Health Care, 509–40. 8th edition. | New York, NY : Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315101781-20.

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Conference papers on the topic "Managed care health insurance"

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Kaptanoğlu, Aysegül. "Opinions on the Political Economy of the New Turkish Healthcare System." In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00630.

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Turkish health care system is going on health care transitions nowadays. Fundamental role of government in providing, financing and managing public services, including health care are changed. Health care marketers insist that competition and aggressive management will raise health care productivity. Health economist suggests that health is a public service and has a value. The Health Care System in Turkey is financed by public funds, compulsory insurance premiums and delivered (90%) by The Ministry of Health (MoH) that also manages the system. For the sustainability of universal access to health care special insurance programs according the rule of political economy should be built. Poor and severe ill people who cannot work and elderly may not get access to public medical insurance. So, for contributing to the nationwide public health care system rich people could give some extra insurance premium and obtain additional private insurance as well. Referral chain might be established in the country in between primary, secondary and tertiary care.
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R., Ms Renukadevi. "Role of Social Health Insurance in Health Care Management." In International Conference On Contemporary Researches in Engineering, Science, Management & Arts, 2020. Bonfring, 2020. http://dx.doi.org/10.9756/bp2020.1002/29.

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Saldamli, Gokay, Vamshi Reddy, Krishna S. Bojja, Manjunatha K. Gururaja, Yashaswi Doddaveerappa, and Loai Tawalbeh. "Health Care Insurance Fraud Detection Using Blockchain." In 2020 Seventh International Conference on Software Defined Systems (SDS). IEEE, 2020. http://dx.doi.org/10.1109/sds49854.2020.9143900.

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Sebayang, Susy K., Ralalicia Limato, Desak Ketut Ernawati, Olivia Waworuntu, Grace Monica Halim, and Edwin Widodo. "Indonesian National Health Insurance: Gaps in Communication with Health-Care Providers." In Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007022600100013.

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Cassak, David. "Technology's challenge: technology adoption in a managed care environment for health care product companies." In Health Care Technology Policy II: The Role of Technology in the Cost of Health Care: Providing the Solutions, edited by Warren S. Grundfest. SPIE, 1995. http://dx.doi.org/10.1117/12.225346.

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Bakar, Arpah Abu. "Profiles of health insurance policyholders and health care users: evidence from Malaysia." In ISSC 2016 International Conference on Soft Science. Cognitive-crcs, 2016. http://dx.doi.org/10.15405/epsbs.2016.08.46.

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Bakar, Arpah Abu. "The Effect Of Health Insurance On Health Care Utilization: Evidence From Malaysia." In ISSC 2016 International Conference on Soft Science. Cognitive-crcs, 2016. http://dx.doi.org/10.15405/epsbs.2016.08.51.

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Yim, JongEun, and MyungHee Kim. "A Critical Juncture and an Emerging New Paradigm of Health Insurance Policy in Korea: A Theoretical Review." In Health Care and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.88.08.

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Sharma, Raman, Ravinder Yadav, Meenakshi Sharma, Varinder Saini, and Vipin Koushal. "Health Care Financing for Below Poverty Line Population: An Analysis of Health Care Insurance Policy in India." In Annual Global Healthcare Conference. Global Science and Technology Forum (GSTF), 2012. http://dx.doi.org/10.5176/2251-3833_ghc12.07.

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Saha, Pamela, and Subrata Saha. "Impact of managed care on the development of new medical technology: ethical concerns." In Health Care Technology Policy II: The Role of Technology in the Cost of Health Care: Providing the Solutions, edited by Warren S. Grundfest. SPIE, 1995. http://dx.doi.org/10.1117/12.225342.

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Reports on the topic "Managed care health insurance"

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Cutler, David, Mark McClellan, and Joseph Newhouse. Prices and Productivity in Managed Care Insurance. Cambridge, MA: National Bureau of Economic Research, August 1998. http://dx.doi.org/10.3386/w6677.

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Baker, Laurence, and Martin Brown. The Effect of Managed Care on Health Care Providers. Cambridge, MA: National Bureau of Economic Research, April 1997. http://dx.doi.org/10.3386/w5987.

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Baker, Laurence, and Sharmila Shankarkumar. Managed Care and Health Care Expenditures: Evidence From Medicare. Cambridge, MA: National Bureau of Economic Research, September 1997. http://dx.doi.org/10.3386/w6187.

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Frank, Richard, Jacob Glazer, and Thomas McGuire. Measuring Adverse Selection in Managed Health Care. Cambridge, MA: National Bureau of Economic Research, December 1998. http://dx.doi.org/10.3386/w6825.

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Frank, Richard, and Thomas McGuire. Parity for Mental Health and Substance Abuse Care Under Managed Care. Cambridge, MA: National Bureau of Economic Research, December 1998. http://dx.doi.org/10.3386/w6838.

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Baker, Laurence, and Ciaran Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. Cambridge, MA: National Bureau of Economic Research, September 2000. http://dx.doi.org/10.3386/w7883.

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Lakdawalla, Darius, and Neeraj Sood. Insurance and Innovation in Health Care Markets. Cambridge, MA: National Bureau of Economic Research, September 2005. http://dx.doi.org/10.3386/w11602.

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Kaestner, Robert, Lisa Dubay, and Genevieve Kenney. Medicaid Managed Care and Infant Health: A National Evaluation. Cambridge, MA: National Bureau of Economic Research, May 2002. http://dx.doi.org/10.3386/w8936.

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Currie, Janet, and Jonathan Gruber. Health Insurance Eligibility, Utilization of Medical care, and Child Health. Cambridge, MA: National Bureau of Economic Research, March 1995. http://dx.doi.org/10.3386/w5052.

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Philipson, Tomas, and Gary Becker. Mortality Contingent Claims, Health Care, and Social Insurance. Cambridge, MA: National Bureau of Economic Research, September 1996. http://dx.doi.org/10.3386/w5760.

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