Use of Utilization Management Methods in State Medicaid Programs

Health Care Financing Review

Volumn 17, Issue 4, 1996, Pages 77-86

  Buck, Jeffrey A ^a   Silverman, Herbert A ^b  

^a SAMHSA/CMHS   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY SURGERY; ARTICLE; CASE MANAGEMENT; CERTIFICATION; EPIDEMIOLOGY; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH INSURANCE; MEDICAID; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PHYSICIAN; STANDARD; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AMBULATORY SURGICAL PROCEDURES; CASE MANAGEMENT; CERTIFICATION; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; MANAGED CARE PROGRAMS; MEDICAID; PHYSICIANS; QUALITY OF HEALTH CARE; STATE HEALTH PLANS; UNITED STATES; UTILIZATION REVIEW;

EID: 0030154244     PISSN: 01958631     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (11)

1. Buck, J. A., and Klemm, J.: Recent Trends in Medicaid Expenditures. Health Care Financing Review 1992 Annual Supplement. Pp. 271-283, October 1993.
2. Frazer, H., Chu, K. and Felt, S.: Ambulatory Surgery, Preadmission Testing, and Same-Day Surgery: State Medicaid Programs' Experience and Findings From the Literature. Prepared for the Health Care Financing Administration under Contract Number 500-89-0052(2). Washington, DC. Mathematica Policy Research, Inc., February 24, 1994.
3. Health Care Financing Administration, Office of Managed Care: Medicaid Managed Care Enrollment Report: Summary Statistics as of June 30, 1995. Washington, DC. U.S. Department of Health and Human Services. 1995a.
4. Health Care Financing Administration: Health Care Financing Review 1995 Medicare and Medicaid Statistical Supplement. September 1995b.
5. Holahan, J.: Medicaid Physician Fees, 1990: The Results of a New Survey. Urban Institute Working Paper 6110-01. Washington, DC. The Urban Institute, 1991.
6. Lindsey, P.A.: Medicaid Utilization Control Programs: Results of a 1987 Study. Health Care Financing Review 10(4):79-92, Summer 1989.
7. Miller, M., and Dial, T. H.: Employer-sponsored Health Insurance in Private Sector Firms in 1992. Health Insurance Association of America. Washington, DC. August 1993.
8. National Association of State Budget Officers: 1994 State Expenditure Report. Washington, DC. April 1995.
9. Riley, T.: State Health Reform and the Role of 1115 Waivers. Health Care Financing Review 16(3):139-149, Spring 1995.
10. Rotwein, S., Boulmetis, M., Boben, P. J., et al.: Medicaid and State Health Care Reform: Process, Programs, and Policy Options. Health Care Financing Review 16(3):105-120, Spring 1995.
11. The Wyatt Company: Group Benefits Survey, 1988. Washington, DC. 1988.