June 1, 1999
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Program Result
From 1992 to 1997, researchers at the University of Washington School of Public Health and Community Medicine evaluated the effects of utilization management on health care quality and access.
April 1, 1997
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Program Result
The University of California, Los Angeles, School of Medicine examined how the structure and intensity of utilization management in physician groups with capitated contracts affect primary care physician and patient satisfaction.
January 1, 2009
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Report
Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.
August 1, 1998
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Program Result
From 1994 to 1996, researcher teams at the University of Virginia and the Primary Care Outcomes Research Institute (PCORI) at the New England Medical Center conducted two distinct but parallel studies.
September 1, 2011
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Report
This article explores the indirect, or spillover, health care effects of a high uninsurance rates. Working-age adults with private insurance living in areas with a high rate of uninsurance were less likely than their peers in areas with a low uninsurance rate to have a usual source of care, an office-based visit, and any medical care expenditures.
July 1, 1998
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Program Result
The Long-Term Care Data Institute reviewed analytical models then in use for projecting the utilization and costs of different long-term care scenarios, and then used the information gleaned from its analysis to rework its own model.
September 19, 2011
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Program Result
In 2009 and 2010, researchers at UCLA and RAND measured the impact of high local rates of uninsurance on access to care and the quality of care among adults with health insurance.
November 1, 1996
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Program Result
Harvard Pilgrim Health Care documented the implicit criteria used to determine "medical necessity" related to mental health, and the influences of financial incentives and organizational arrangements on medical necessity decisions.