Uneasy alliances: Managed care plans formed by safety-net providers

Health Affairs

Volumn 19, Issue 4, 2000, Pages 23-35

  Sparer, Michael S ^a   Brown, Lawrence D ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BOARD OF TRUSTEES; CONFLICT OF INTEREST; COST BENEFIT ANALYSIS; ECONOMICS; HEALTH CARE PLANNING; HEALTH INSURANCE; HUMAN; LEADERSHIP; MEDICAID; ORGANIZATION; ORGANIZATION AND MANAGEMENT; POVERTY; UNITED STATES; UTILIZATION REVIEW;

CONFLICT OF INTEREST; COST-BENEFIT ANALYSIS; GOVERNING BOARD; HUMANS; LEADERSHIP; MANAGED CARE PROGRAMS; MEDICAID; ORGANIZATIONAL AFFILIATION; POVERTY; STATE HEALTH PLANS; UNITED STATES;

EID: 0008597164     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.19.4.23     Document Type: Article

References (8)

1. M.S. Sparer, LD. Brown, and A.R. Kovner, "Implementing Medicaid Managed Care: The New York City Story," Journal of Health Care Finance (Fall 1999): 1-17.
2. The terms of these arrangements vary greatly. The provider might deliver primary care or specialty services or both. More often than not, the provider receives a capitated payment for primary care services and fee-for-service payment for specialty and inpatient care.
3. B.H. Gray and C. Rowe, "Safety-Net Health Plans: A Status Report," Health Affairs (Jan/Feb 2000): 185-193.
4. Ninety-two percent of all safety-net health plans have their own board of directors. Moreover, every health plan with multiple sponsors has its own governing board. B.H. Gray et al., Safety-Net Health Plans: How Are They Faring? (New York: New York Academy of Medicine, May 1999), Table A-20.
5. T.P. Holland, R.A. Rivo, and A.R. Kovner, Improving Board Effectiveness: Practical Lessons for Nonprofit Health Care Organizations (Chicago: American Hospital Publishing, 1997), 5.
6. Gray et al., Safety-Net Health Plans, Table A-21.
7. Ibid., Table A-18.
8. CenterCare, which we did not visit in this study, should not be confused with Community Premier Plus, which we did visit.