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Managed Care Organizations

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  • Topic: Managed care organizations
  • Topic: Financial barriers to care
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How Well Do HMOs Stack Up Against Fee-for-Service Plans?

March 1, 2003 | Program Result Report

Brandeis University contracted with two experts in the economics of health care to conduct a literature review and develop a paper for presentation at the Eighth Princeton Conference.

2000 Conference Examines Ways to Improve Cost-Effectiveness Analyses in Managed Care

March 1, 2003 | Program Result Report

In 2000, the Kaiser Foundation Research Institute of Portland, Ore. held a conference on cost-effectiveness analysis and managed care.

Is There a Specialist in the House? Most People Don't Ask the Question

July 1, 2002 | Program Result Report

Researchers from the Johns Hopkins University School of Hygiene and Public Health examined the mix of services provided to consumers enrolled in alternative types of managed-care plans.

Laws that Limit Providers and Limit Patient Choice May Have Limited Effects

January 1, 2001 | Program Result Report

From 1996 to 1998, researchers at the University of Alabama studied the effect of any willing provider (AWP) and freedom of choice (FOC) laws on Health Maintenance Organizations (HMOs) and employers.

Managed Care Policies Limit the Diffusion of Medical Technology

January 1, 2001 | Program Result Report

From 1995 to 1998, researchers at Stanford University looked at how managed care penetration in given geographic areas affected the diffusion and use of magnetic resonance imaging (MRI), a technology that allows physicians to obtain very clear pictures of patients' internal organs and internal structures without invasive procedures.

Preferred Provider Organizations - Are They Better at Keeping Health Costs Down?

January 1, 2001 | Program Result Report

From 1992 to 1995, researchers at the University of Michigan Institute for Social Research, Ann Arbor, Mich., assessed the overall effects of preferred provider organizations (PPOs) on hospital, outpatient, physician, and total health care costs and utilization. They compared costs of care in the PPOs with those of managed indemnity plans.

Most HMOs Use Drug Formularies to Influence Prescribing Behavior of Docs

January 1, 2001 | Program Result Report

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 Managed Care Can Set Limits on Medical Technology - and Look Good

September 1, 2000 | Program Result Report

From 1996 to 1998, Harvard Pilgrim Health Care examined how insurers, employers and other purchasers of health care decide which medical technologies to provide to consumers under resource constraints.

HMOs in California Decrease Use of Inpatient Care by Medicare Enrollees

August 22, 2008 | Program Result Report

The number of Medicare beneficiaries enrolling in managed care has increased since the passage of the Medicare Modernization Act (MMA) and the establishment of Medicare Advantage Plans in 2003.

As Part of RWJF's Communities in Charge Program, California HMO Establishes New Health Insurance Programs for Low-Income Residents

April 6, 2007 | Program Result Report

The Alameda Alliance for Health, a not-for-profit health maintenance organization serving the people of Alameda County, established two new health insurance programs.

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