The Challenge of Regulating Managed Care.

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Representatives of industry, government, caregivers, and consumers join scholars and policy analysts in comparing market forces to regulation as potential means for righting what is wrong with managed care. The contributors that John E. Billi and Gail B. Agrawal have gathered here quickly move the h...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Billi, John E. (Editor ), Agrawal, Gail B. (Gail Bopp), 1951- (Editor )
Formato: Electrónico eBook
Idioma:Inglés
Publicado: University of Michigan Press 2010.
Temas:
Managed care plans (Medical care)
Health maintenance organizations > United States.
Managed Care Programs
Soins intégrés de santé.
Assurance-maladie à prépaiement > États-Unis.
Health maintenance organizations
United States
Acceso en línea:Texto completo
Tabla de Contenidos:
  • ""Contents""; ""Part 1. Understanding the Big Picture""; ""1. Managing the Managers: An Introduction to the Challenge of Overseeing Managed Care / Gail B. Agrawal""; ""2. A National Overview / George Anders""; ""3. The Stages of Managed-Care Regulation: Developing Better Rules / Alice A. Noble and Troyen A. Brennan""; ""Part 2. Views from the Trenches: Patients and Providers""; ""4. A Physicianâ€?s View from the Trenches / Clifton R. Cleaveland""; ""5. A Consumer Advocateâ€?s View from the Trenches / Cathy L. Hurwit""
  • ""6. Oversight of Managed Care: An Academic Health Center Perspective / John E. Billi and Jeanne M. Kin""""Part 3. Purchasers and Market Oversight""; ""7. Markets for Medicine? / Keith J. Crocker and John R. Moran""; ""8. General Motors as Purchaser / Bruce E. Bradley, James C. Cubbin, James F. Ball, and Deborah Salerno""; ""9. Medicaid: The Prudent Purchaser / Bruce Bullen""; ""10. NCQA: Using Market Pressure to Promote Quality in Managed Care / Margaret E. O'Kane""; ""11. The American Association of Health Plans: Representing the Industry / American Association of Health Plans""
  • ""Part 4. The Role of Regulation and Litigation""""12. The Role of State Insurance Regulators / Frances Wallace""; ""13. The Role of Private Litigation in Monitoring Managed Care / Peter D. Jacobson""; ""Appendix A: Glossary of Terms and Acronyms""; ""Appendix B: Managed Care On-line Resources""; ""List of Contributors""; ""Index""

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