Adapting Managed Care to Rural Delivery Systems

Adapting Managed Care to Rural Delivery Systems PDF Author: Mary K. Bliss
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 28

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Book Description
PURPOSE: To critically examine the results of a decentralized approach to Medicaid reform through managed care, in which program planning was conducted at the county level. METHODS: Investigators conducted a prospective embedded case study of the six rural counties of the western New York region. Qualitative primary, archival, and secondary data were collected from county managed care planners, state health and welfare administrators, and HMO representatives throughout a two-year study period in the form of interviews, focus groups, and reports. Invesigators synthesized the data into structured summaries for each county. County nmanaged care planners reviewed and verified the summaries. RESULTS: Counties developed Medicaid managed care plans that reflected local needs, characteristics, and interests. CONCLUSION: The flexibility of the decentralized approach permitted adaptations aimed at overcoming rural barriers and protecting rural health care delivery systems. The planning process, however, was time consuming.

Adapting Managed Care to Rural Delivery Systems

Adapting Managed Care to Rural Delivery Systems PDF Author: Mary K. Bliss
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 28

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Book Description
PURPOSE: To critically examine the results of a decentralized approach to Medicaid reform through managed care, in which program planning was conducted at the county level. METHODS: Investigators conducted a prospective embedded case study of the six rural counties of the western New York region. Qualitative primary, archival, and secondary data were collected from county managed care planners, state health and welfare administrators, and HMO representatives throughout a two-year study period in the form of interviews, focus groups, and reports. Invesigators synthesized the data into structured summaries for each county. County nmanaged care planners reviewed and verified the summaries. RESULTS: Counties developed Medicaid managed care plans that reflected local needs, characteristics, and interests. CONCLUSION: The flexibility of the decentralized approach permitted adaptations aimed at overcoming rural barriers and protecting rural health care delivery systems. The planning process, however, was time consuming.

The Effects of Market-driven Reform on Rural Health Care Delivery Systems

The Effects of Market-driven Reform on Rural Health Care Delivery Systems PDF Author:
Publisher:
ISBN:
Category : Rural health services
Languages : en
Pages : 38

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Book Description


The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536

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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

A Videoconference and Policy Roundtable

A Videoconference and Policy Roundtable PDF Author: National Institute for Health Care Management
Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 72

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Book Description


Rural Health Care Issues

Rural Health Care Issues PDF Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 128

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Book Description


Orientation to Nursing in the Rural Community

Orientation to Nursing in the Rural Community PDF Author: Angeline Bushy
Publisher: SAGE
ISBN: 9780761911579
Category : Medical
Languages : en
Pages : 302

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Book Description
This book examines the evolving health care delivery systems and the role of nursing within the rural context. Divided into three parts including perspectives from experts in Australia and Canada, the book covers the foundations of rural nursing, special populations, and future perspectives. Students of nursing will find special features in each chapter such as a list of objectives, key terms, points to remember, suggested research activities, and discussion questions.

Handbook of Health Administration and Policy

Handbook of Health Administration and Policy PDF Author: Anne Kilpatrick
Publisher: CRC Press
ISBN: 9780824702212
Category : Political Science
Languages : en
Pages : 1154

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Book Description
This comprehensive text offers a broad view of health care policy, health services delivery and organization, and health care management. Drawing on the insights of over 100 scholars and leading practitioners, it highlights organizational changes reflected in health care mergers, networks, and affiliations and describes the role of funding agencies in the direct provision of services. Providing over 2350 references, tables, and drawings, the book charts the influences of managed care on provisions, funding, and the configuration of providers and services, and portrays the increasingly influential and challenging role of health administrators.

Annual Report to Congress

Annual Report to Congress PDF Author: United States. Physician Payment Review Commission
Publisher:
ISBN:
Category : Medical fees
Languages : en
Pages : 452

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Book Description


Health Services Research on Rural Health

Health Services Research on Rural Health PDF Author:
Publisher:
ISBN:
Category : Rural health
Languages : en
Pages : 18

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Book Description


Managing Managed Care

Managing Managed Care PDF Author: Michael C. Roberts
Publisher: Springer Science & Business Media
ISBN: 1461559294
Category : Psychology
Languages : en
Pages : 201

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Book Description
The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses.