Current Issue: Disease Management/Managed Care: New Form of Health Care Delivery Partnership.

1999 ◽  
Vol 31 (Supplement) ◽  
pp. S133
Author(s):  
Kathy Berra ◽  
Linda K. Hall ◽  
William Haskell ◽  
Martha Livingston ◽  
Nancy Houston Miller
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Disease Management ◽  
Health Care Delivery ◽  
Current Issue ◽  
Care Delivery ◽  
New Form

The Managed Health Care Market

1992 ◽  
Vol 5 (2) ◽  
pp. 67-71
Author(s):  
William A. Hemberger
Keyword(s):  
United States ◽  
Health Care ◽  
Managed Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Health Care Market ◽  
Managed Health Care ◽  
Program Benefit

Health care delivery and benefits in the United States are changing. This article provides a basic description of the present-day components, managed care constructs, and impact of medical/hospital program/ benefit designs on pharmacy programs.

Managed care Medicaid

2017 ◽  
Vol 11 (2) ◽  
pp. 198-210 ◽  
Author(s):  
William Trombetta
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Care Quality ◽  
Market Segment ◽  
Economic Aspects ◽  
Content Type ◽  
The Poor

Purpose Providing health care to the poor is evolving in the new US marketplace. The Affordable Care Act has set goals enhancing access to health care, lowering costs and improving patient outcomes. A key segment in this evolution is the most vulnerable health-care population of all: Medicaid. This paper aims to provide a general review of how providing health care to Medicaid patients is changing including how socio-economic aspects of this vulnerable population affects the quality of the health care provided. Design/methodology/approach The paper is entirely secondary research; no primary research has been conducted. Findings Managed care Medicaid provides a risk-based model to treating a vulnerable health-care market segment. The jury is still out on whether managed care Medicaid (MCM) is improving health-care quality and saving cost, but the provision of health care to the Medicaid segment is definitely shifting from a fee-for-service model to value based payment. Very recent developments of new health-care delivery approaches present a positive outlook for improving quality and containing costs going forward. Research limitations/implications At this stage, whether or not MCM saves money or provides better health-care quality to this vulnerable population is a work in progress. Health-care marketing can impact socio-economic aspects of health care for the poor. There is a need to follow up on the positive results being documented in demonstration health-care delivery models. Practical implications At this point, there has been no long-term study of whether managed care Medicaid offers better quality of health care and cost savings. The research to date suggest that the quality of health-care delivery to the poor is improving at a lower cost to payers. Social implications Medicaid patients are an underserved market segment. Managed care Medicaid offers a new model that has the potential to provide quality care at acceptable cost. Critical to this vulnerable market segment is the need to integrate socio-economic aspects of the population with the delivery of health care. Originality/value There has been very little discussion of Medicaid overall in the marketing literature, much less any discussion of managed care Medicaid.

Heart Failure Management: Optimal Health Care Delivery Programs

2000 ◽  
Vol 18 (1) ◽  
pp. 91-126 ◽  
Author(s):  
DEBRA K. MOSER
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Disease Management ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Expenditure ◽  
The United States ◽  
Future Research ◽  
Disease Management Programs ◽  
Heart Failure Disease Management

Heart failure is the single most costly health care expenditure in the United States, The major proportion of these costs is attributable to rehospitalizations, and by many estimates the majority of rehospitalizations might be preventable with better health care delivery. The past 5 years have seen an explosion in the number of heart failure disease management programs put in place across the country to try to decrease the economic burden of heart failure and improve patient outcomes. Yet few of these are based on programs tested by researchers, let alone tested in randomized, controlled trials. This chapter summarizes findings from studies of heart failure disease management programs from 1980 to the present, critiques those studies, and offers suggestions for future research in this area.

Medicaid Managed Care in an Integrated Health Care Delivery System: Lessons from Geisinger's Early Experience

2016 ◽  
Vol 19 (4) ◽  
pp. 257-263 ◽  
Author(s):  
Daniel D. Maeng ◽  
Susan R. Snyder ◽  
Charles Baumgart ◽  
Amy L. Minnich ◽  
Janet F. Tomcavage ◽  
...  
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Early Experience ◽  
Health Care Delivery System ◽  
Integrated Health Care ◽  
Medicaid Managed Care ◽  
Integrated Health
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