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Author: Nancy W. Veeder
Publisher: Oxford University Press, USA
ISBN: 019513429X
Category : Community mental health services
Languages : en
Pages : 304
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Book Description
This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Child care services
Languages : en
Pages : 108
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Book Description
Author: Scott A. Wilkes
Publisher:
ISBN:
Category :
Languages : en
Pages : 209
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Book Description
In FY 2000, the Cuyahoga County Department of Children and Family Services (CCDCFS) had more than 5,500 children in out-of-home care. In response, CCDCFS implemented a privatized managed care case rate pilot project (CRPP) to test whether managed care principles could improve child welfare outcomes. This study is a child welfare analysis and program evaluation of the CRPP using administrative data. Ordinary least squares and logistic regression models were used to examine the effects of the covariates while two-way ANOVA was used to measure differences between each of the program models. The study examined the effects of demographic (race, gender, age), family (placement reason, number of siblings, geo-district), service (placement proximity, number of placement moves) and organizational (private "managed care" model, public "business as usual" model) characteristics on foster care length-of-stay and exit rates among 114 children enrolled in the CRPP between January 2001 and December 2003. Financial, administrative and management structures distinguished each program model. Agency A, the public control group, was managed as a business-as-usual group using fee-for-service contracts. Agency B, a private managed care group, utilized a strict utilization management model, while Agency C, a private managed care group, employed a community-based model. Each private group was managed by a capitated case rate contract. The study proposed supplier inducement demand theory as a theoretical framework to account for variances with respect to the financial structures. The results of the study revealed that children experiencing additional placement moves or placed in distant proximity from their homes were more likely to have longer lengths-of-stay and lower exit rates in care. The program evaluation revealed that Agency B consistently had lower lengths-of-stay and higher exit rates than the other two groups. The findings of this study suggest the application of managed care in the delivery of child welfare services was not a predictor of child welfare outcomes, but may have promise in lowering costs associated with out-of-home care and improving child welfare outcomes. Child demographic and family characteristics were not predictors of child welfare outcomes as indicated by previous literature; however, service characteristics did impact outcomes.
Author: Nancy W. Veeder
Publisher: Oxford University Press, USA
ISBN: 019513429X
Category : Community mental health services
Languages : en
Pages : 304
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Book Description
This volume explores policy, programmatic, and research issues in the health and behavioural health care system known as managed care. Discussions include such areas as the evolution of health care from essential social good to a commodity, cost of and access to care, parity of behavioural health services reimbursement and more.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175054
Category : Medical
Languages : en
Pages : 394
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Book Description
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Author: Colorado. Child Welfare Services Division
Publisher:
ISBN:
Category : Child welfare
Languages : en
Pages :
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Book Description
Author: Colorado. Department of Human Services
Publisher:
ISBN:
Category : Child welfare
Languages : en
Pages : 107
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Book Description
Author: Amy Winterfeld
Publisher: American Humane Association Children's Division
ISBN:
Category : Medical
Languages : en
Pages : 128
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Book Description
Author: Charlotte McCullough
Publisher: CWLA Press (Child Welfare League of America)
ISBN:
Category : Medical
Languages : en
Pages : 172
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Book Description
The Child Welfare League of America's Managed Care Institute works to advance best practices in children's services operating in a managed care environment. Each year, the Institute's tracking project attempts to determine the extent to which public child welfare agencies are applying managed care tools to the services they offer.Managed Care & Privatization Child Welfare Tracking Project reports on a 50-state survey conducted by the Institute to identify managed care and privatization initiatives. It examines the goals of the initiatives, the populations they serve, the services and supports they offer, their quality assurance policies, and their funding and risk-sharing arrangements. This extensive report on cutting-edge issues makes a valuable contribution to the child welfare field.
Author: Fred Wulczyn
Publisher:
ISBN:
Category : Child welfare
Languages : en
Pages : 16
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Book Description
Author: New York City Task Force on Managed Care in Child Welfare
Publisher:
ISBN:
Category : Child welfare
Languages : en
Pages : 56
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Book Description
