Managed care in the Northern California Kaiser Permanente health care system

Urology ◽  
1998 ◽  
Vol 51 (5) ◽  
pp. 36-40 ◽  
Author(s):  
Michael A. Russo
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care System ◽  
Northern California ◽  
Kaiser Permanente ◽  
Care System

Managed Care and Public Health: Conflict and Collaboration

2002 ◽  
Vol 30 (2) ◽  
pp. 191-200 ◽  
Author(s):  
Sara Rosenbaum ◽  
Brian Kamoie
Keyword(s):  
Public Health ◽  
Health Care ◽  
Managed Care ◽  
Health Care System ◽  
Medical Care System ◽  
American Health Care System ◽  
Public Health Goal ◽  
And Performance ◽  
Industrial Purchasing ◽  
Care System

This article reviews the relationship between managed care and public health. Managed care, with its seemingly infinite structural and organizational variation, dominates the modern American health-care system for the non-elderly U.S. population. Through its emphasis on standarhzed practice norms and performance measurement, coupled with industrial purchasing techniques, prepayment, risk downstreaming, and incentives-based compensation, managed care has the potential to exert considerable influence over the manner in which the health-care system is organized and functions. Given the degree to which the attainment of the basic public health goal of protecting the public against population health threats for which there are known and effective medical interventions depends on the successful interaction between public health policy and the medical care system, the importance of a viable working relationship between public health and managed care is difficult to overstate.The potential for conflict between public health and medical care is nothing new; indeed, delineating the boundaries of public health to shape and influence medical practice has occupied the energies of policymakers and the medical industry for well over a century.

scholarly journals MON-014 Evaluation of Healthcare of Gender-Dysphoric Veterans in the Veterans Affairs Northern California Health Care System (VANCHCS)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Rachel Agron ◽  
Scott Gale ◽  
Tara Neavins ◽  
Martha Stassinos ◽  
Rachel Tarro-Zylema ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Veterans Affairs ◽  
Northern California ◽  
Care System

The Class Action Suit As a Method of Patient Empowerment in the Managed Care Setting

1998 ◽  
Vol 24 (1) ◽  
pp. 7-58
Author(s):  
Kathy L. Cerminara
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Patient Empowerment ◽  
Care Quality ◽  
Class Action ◽  
Fee For Service ◽  
American Health Care System ◽  
Care System

The American health care system has undergone tremendous transformation over the past few decades. The fee-for-service (FFS) health care system in which physicians enjoyed a great deal of autonomy has become a managed care system in which cost and utilization considerations play a larger role in physician decision making. Although physicians and other health care professionals are still patient advocates, this role often results in a conflict between their own economic interests and their duties to their patients.Rather than depending on self-sacrificing health care professionals to advocate for them, patients need to assert their own power in the managed care arena. One way to gain such power is to use the class action device in litigation aimed at improving medical care quality, cost and access. Class actions, in fact, are likely to proliferate as managed care organizations (MCOs) grow and affect more patients’ lives. There are well-recognized dangers to using the class action device, but if used properly, it could prove a valuable remedy for patients.

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