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Managed Care Organizations

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  • Topic: Managed care organizations
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Most HMOs Use Drug Formularies to Influence Prescribing Behavior of Docs

January 1, 2001 | Program Result

From 1995 to 1998, People-to-People Health Foundation, Millwood, Va., examined the management tools and strategies that managed care organizations use to influence technologies used by primary care physicians — including how to prescribe drugs and make referrals to specialists.

How to Balance Managed Care with Old-Fashioned Compassion?

April 1, 2001 | Program Result

The Woodstock Theological Center, Washington, conducted two workshop series designed to provide ethical guidance to health care providers and managed care organizations.

Report Outlines Vulnerabilities of Disabled People Under Managed Care

July 1, 2001 | Program Result

The United Cerebral Palsy Associations produced a draft report outlining the particular vulnerabilities of people with disabilities in a system of market-based managed care and devised a methodology for using outcomes as a measure of quality in managed care.

Researchers Find Elderly Patients Need Help in Navigating Disputes Over Care

November 1, 2001 | Program Result

From 1998 to 2000, staff at the American Bar Association Commission on Legal Problems of the Elderly surveyed managed care plans on their current practices for resolving enrollee-plan disputes. The project emphasized disputes involving older people and recommended workable options for improving dispute resolution.

How Does Managed Care Affect Workers Who are Chronically Ill or Disabled?

November 1, 2001 | Program Result

The Yale University School of Medicine examined how working people with chronic illnesses and functional limitations fare under various forms of prepaid managed health care plans.

An Unusual Collaboration to Improve Children's Health

February 1, 2000 | Program Result

The National Association of School Nurses, Scarborough, Maine, examined the potential collaboration of managed care organizations and school health services.

Managed Care Guidebooks for Caseworkers and Foster Parents

March 1, 2000 | Program Result

The Child Welfare League of America, Inc., researched, produced, and disseminated two practical guidebooks for those who care for and work on behalf of children in the foster care system.

Nursing a Need to Teach Managed Care

August 1, 2000 | Program Result

In 1999, Ellen Brzytwa, R.N., M.S.N., M.P.H., reviewed the availability and content of managed care education for nurses.

New York HMO Recruits 445 Volunteers for Service Credit Banking Program

September 1, 2000 | Program Result

Oxford Health Plans, Inc., created its service credit banking program, called Partners In Caring, to assist Medicare members with nonmedical needs by recruiting and training community volunteers.

Minnesota HMO Matches Healthy Plan Members with Medicare Recipients Needing Help

September 1, 2000 | Program Result

Medica Health Plan created the Volunteer Investment Program to match healthy plan member volunteers with Medicare members who required companionship, help with chores, grocery shopping and other special services.

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