Managed care quarterly最新文献

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Legal perspectives from Sidley Austin Brown & Wood LLP memo from investors: we're watching the cost of complying with HIPAA. 盛德律师事务所(Sidley Austin Brown & Wood LLP)的法律观点投资者备忘录:我们正在关注遵守HIPAA的成本。
Managed care quarterly Pub Date : 2003-01-01
Karen Owen Dunlop
{"title":"Legal perspectives from Sidley Austin Brown & Wood LLP memo from investors: we're watching the cost of complying with HIPAA.","authors":"Karen Owen Dunlop","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 1","pages":"55-6"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22422490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary care satisfaction among adults with physical disabilities: the role of patient-provider communication. 成人身体残疾患者的初级保健满意度:医患沟通的作用。
Managed care quarterly Pub Date : 2003-01-01
Thilo Kroll, Phillip W Beatty, Shawn Bingham
{"title":"Primary care satisfaction among adults with physical disabilities: the role of patient-provider communication.","authors":"Thilo Kroll,&nbsp;Phillip W Beatty,&nbsp;Shawn Bingham","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To determine overall satisfaction with primary care among people with cerebral palsy, multiple sclerosis, and spinal cord injury, and to identify potential differences in primary care satisfaction between managed care (MC) and fee-for-service (FFS) enrollees with these physical disabilities.</p><p><strong>Participants: </strong>The sample consisted of 195 people with cerebral palsy (CP), multiple sclerosis (MS), and spinal cord injury (SCI), between the ages of 18 and 65 who had received primary care services in the six months prior to the survey.</p><p><strong>Measurements: </strong>Satisfaction with various aspects of primary care were assessed using a 10-item self-report measure. Respondents were compared with regard to service satisfaction based on disability and insurance type (MC vs. FFS). Satisfaction items were summed up to produce an unweighted index of overall satisfaction. In the analysis we used non-parametric statistics, such as Kruskal-Wallis One Way ANOVA and Mann-Whitney Rank tests. Post hoc alpha corrections were performed using the Holms Stepdown Procedure.</p><p><strong>Conclusions: </strong>The lack of disability-specific knowledge among primary care providers is consistent with findings of other studies. People with physical disabilities in managed care plans are less satisfied with how their providers communicate with them, relative to those in FFS plans. Poor patient-provider communication may place individuals with certain physical disabilities at risk for not receiving appropriate care.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 1","pages":"11-9"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22422480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stealth law: HIPAA's back-door regulation of "business associates". 隐形法:HIPAA对“商业伙伴”的后门规定。
Managed care quarterly Pub Date : 2003-01-01
James M Jacobson
{"title":"Stealth law: HIPAA's back-door regulation of \"business associates\".","authors":"James M Jacobson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The final HIPAA privacy modifications have substantially lightened the administrative, compliance, and liability loads borne by health plan and provider covered entities. Unlike under the original Clinton rules, for example, covered entities are no longer required to obtain patient consents, to monitor and mitigate the information practices of their business associates, or to treat patients as third-party beneficiaries of their business associate contracts. But the final modifications have done almost nothing to lessen the huge burdens and expense that will soon be imposed on those managed care entities that are merely business associates, a category that Congress never authorized HHS to regulate.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 1","pages":"37-9"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22422484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stakeholder perceptions of quality in managed care plans. 利益相关者对管理式医疗计划质量的看法。
Managed care quarterly Pub Date : 2003-01-01
Jon M Thompson
{"title":"Stakeholder perceptions of quality in managed care plans.","authors":"Jon M Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Quality within managed care plans continues to be a contentious issue. This article reports on a case study undertaken to identify the importance of health plan quality attributes to three key stakeholder groups affiliated with a single plan: employers, physicians, and consumers. Findings from a representative survey of these three stakeholder groups indicate that they value different attributes, and suggest that plans must be responsive to these varying perceptions of quality.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 2","pages":"12-21"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22570529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guide for clinical trials disappointing. 临床试验指南令人失望。
Managed care quarterly Pub Date : 2003-01-01
Mark Hochhauser
{"title":"Guide for clinical trials disappointing.","authors":"Mark Hochhauser","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 4","pages":"15-6"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40879047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MCOs: cost centers or profit partners for employers? mco:雇主的成本中心还是利润伙伴?
Managed care quarterly Pub Date : 2003-01-01
Scott MacStravic
{"title":"MCOs: cost centers or profit partners for employers?","authors":"Scott MacStravic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although health insurance has traditionally been a cost center for employers, and they are ever striving to reduce such costs, MCOs have the opportunity to become a means for employers to save costs rather then suffer more. By focusing on the total health-related costs affecting businesses' bottom lines, MCOs can become \"account managers, \" where the \"account\" reflects all the costs that they can positively affect through their own initiatives, and thereby become true solutions rather than costs. This method will enable them to differentiate themselves from competitors and generate \"solution pricing\"-based new revenue focusing on outcomes versus coverage. This article covers the rationale for and basics of such a strategy.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40951713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Have "evergreen" provider contracts lost their bloom? “常青树”供应商合同已经失去了活力吗?
Managed care quarterly Pub Date : 2003-01-01
Terese Mosher-Beluris, J Peter Rich
{"title":"Have \"evergreen\" provider contracts lost their bloom?","authors":"Terese Mosher-Beluris,&nbsp;J Peter Rich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An \"evergreen contract\" is one that automatically renews itself from year to year, unless one of the contracting parties acts at specified intervals (which may be annually or as long as several years) to give notice in the manner required to terminate the otherwise perpetual agreement. Such contracts are in contrast to fixed-term agreements, where both parties must affirmatively agree to extend the term beyond the initial specified term. Such \"evergreen contracts\" are legally valid, but for compelling reasons health plans and providers may want to consider terminating their evergreen provider contracts now in favor of a contract with a fixed term.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"11 4","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40951716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Boon for consumers? Hospital quality regulator and big business health purchasing coop join forces. 对消费者有利吗?医院质量监管机构和大企业卫生采购合作社联手。
Managed care quarterly Pub Date : 2002-01-01
Paul J Kenkel
{"title":"Boon for consumers? Hospital quality regulator and big business health purchasing coop join forces.","authors":"Paul J Kenkel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"10 1","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25165000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health information on the web. 网上的健康信息。
Managed care quarterly Pub Date : 2002-01-01
Mark Hochhauser
{"title":"Health information on the web.","authors":"Mark Hochhauser","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"10 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Think before reacting to the lures of consumerism. 在对消费主义的诱惑做出反应之前要三思。
Managed care quarterly Pub Date : 2002-01-01
Allan Fine
{"title":"Think before reacting to the lures of consumerism.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"10 1","pages":"51-5"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25165001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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