Regulating managed care: Interest group competition for control and behavioral health care

Journal of Health Politics, Policy and Law

Volumn 24, Issue 3, 1999, Pages 599-625

  Ross, E Clarke ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

BEHAVIORAL MEDICINE; HEALTH BEHAVIOR; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; MANAGED CARE; REVIEW;

EID: 0033038558     PISSN: 03616878     EISSN: None     Source Type: Journal    
DOI: 10.1215/03616878-24-3-599     Document Type: Review

References (58)

1. Alford, Robert. 1975. Health Care Politics: Ideological and Interest Group Barriers to Reform. Chicago: University of Chicago Press.
2. American Managed Behavioral Healthcare Association (AMBHA). 1996. Case Manager Qualifications in AMBHA Member Companies. Washington, DC: AMBHA.
3. AMBHA, National Association of County Behavioral Healthcare Directors, National Association of State Mental Health Directors, and National Community Mental Healthcare Council. 1997. Improving Public/Private Partnerships in Managed Behavioral Healthcare. In Behavioral Healthcare Tomorrow. Tiburon, CA: Institute for Behavioral Healthcare.
4. American Psychiatric Association (APA). 1997. General Principles for the Operation of Managed Mental Health and Substance Abuse Organizations. Washington, DC: APA, September.
5. A Push For Secrecy. 1998. Modern Healthcare, 27 July, 50.
6. Bauer, Jeffrey C. 1994. Not What the Doctor Ordered: Reinventing Medical Care in America. Chicago: Probus.
7. Blackwell, Barry. 1998. Observations on the Integration of Primary and Behavioral Health Care. CNR Managed Care Conference, Milwaukee, WI, 30 April.
8. Blendon, Robert J., Mollyann Brodie, John Benson, Drew Altman, Larry Levitt, Tina Hoff, and Larry Hugick. 1998. Understanding the Managed Care Backlash. Health Affairs 17(4):80-94.
9. Bresnahan, John. 1998. Healthy Donations Flow from HMOs and PARCA. Roll Call, 13 July, 10.
10. Bureau of National Affairs (BNA). 1998a. New Managed Care Legislation Ads Seek to Influence Capitol Hill Debate. Health Care Policy Report, 2 March, 365-366.
11. _. 1998b. Norwood Managed Care Bill Criticized by Clinton Administration Aide, Gingrich. Health Care Policy Report, 2 March, 364.
12. _. 1998c. Advisory Panel Approves Final Report, Hedges on Remedies for Injured Patients. Health Care Policy Report, 16 March, 45-46.
13. _. 1998d. Dissident Member of Quality Commission Joins Campaign to Stop Patient Bill of Rights. Health Care Policy Report, 13 April, 616.
14. _. 1998e. Kaiser Finds Patient Protection Measures Would Raise Premiums Less than 1 Percent. Health Care Policy Report, 27 April, 722.
15. _. 1998f. Medical Society Threatens Lawsuit over Database to Measure Physician Performance. Health Care Policy Report, 25 May, 867.
16. _. 1998g. Medical Necessity Proposal Poses Threat to Managed Care, Health Executives Warn. Health Care Policy Report, 14 September, 1424.
17. Carney, Eliza Newlin. 1998. Bitter Medicine. National Journal, 4 July, 1554-1558.
18. Congressional Quarterly (CQ). 1998. Medical Necessity Becomes Focus of Health Care Debate. CQ Daily Monitor, 10 August, 1, 5.
19. Cummings, Nicholas A., Michael S. Pallak, and Janet L. Cummings. 1996. Surviving the Demise of Solo Practice: Mental Health Practitioners Prospering in the Era of Managed Care. Madison, CT: Psychosocial Press.
20. Daniels, Norman, and James Sabin. 1998. The Ethics of Accountability in Managed Care Reform. Health Affairs 17(5):50-64.
21. Darby, Mary. 1998. Health Care Quality: From Data to Accountability. Background paper given at a National Health Policy Forum on Authenticating Health Care Quality: Information and Accountability, George Washington University, Washington, DC, February.
22. Dixon, Keith. 1998. Enough Already! Myths and Realities of Managed Behavioral Healthcare. In Behavioral Healthcare Tomorrow. Tiburon, CA: Institute for Behavioral Healthcare.
23. Eist, Harold. 1997. The Scourge of Managed Care. Paradigm Magazine, spring, 10-11.
24. Elazer, Daniel. 1998. Covenant and Constitutionalism: The Great Frontier and the Matrix of Federal Democracy. New Brunswick, NJ: Transaction.
25. Eleventh Annual Rosalynn Carter Symposium on Mental Health Policy. 1995. Managing Care in the Public Interest. Mental Health Program, the Carter Center, Atlanta, GA, 15-16 November.
26. Emanuel, Ezekiel J., and Linda L. Emanuel. 1997. Preserving Community in Health Care. Journal of Health Politics, Policy and Law 22:147-184.
27. Enthoven, Alain C., and Sara J. Singer. 1998. The Managed Care Backlash and the Task Force in California. Health Affairs 17(4):95-110.
28. Etheredge, Lynn. 1997. Promarket Regulation: An SEC-FASB Model. Health Affairs 16(6):22-25.
29. Fawell, Harris. 1998. Beware of the Patient Access Bill; It's Just Clinton Lite. Roll Call, 23 February, 6-8.
30. Feldstein, Paul J. 1980. The Political Environment of Regulation. In Regulating Health Care: The Struggle for Control, ed. Arthur Levin. New York: Academy of Political Science.
31. Finkel, Madelon Lubin. 1996. Health Care Cost Management: A Basic Guide. Brookfield, WI: International Foundation of Employee Benefit Plans.
32. Gardner, Jonathan. 1998. Protecting Its Interests: AMA May Be Backing off Patients' Rights Legislation. Modern Healthcare 9 March, 2.
33. Goldstein, Avram. 1998. Study Calls Policing of Physicians Inadequate. Washington Post, 14 March, B1, B7.
34. Havel, James T. 1992. Association and Public Interest Groups as Advocates. In Administration and Policy in Mental Health. New York: Human Sciences.
35. Ignagni, Karen. 1998. Risk without Reward: Health Plan Liabilities Would Increase Lawsuits and Costs, Wouldn't Help Patients. Modern Healthcare, 3 August, 25.
36. Jaklevic, Mary Chris. 1998. Fewer Docs Punished: Punitive Actions by Medical Boards down 2.4 Percent Last Year. Modern Healthcare, 13 April, 14.
37. Klein, James. 1998. Not Much of a Bill of Rights. Washington Times, 17 September, A12.
38. Kondracke, Morton. 1998. Congress Is Likely to Avoid Both Bad and Good on HMOs. Roll Call, 20 April, 5.
39. Levin, Arthur. 1980. The Search for New Forms of Control. In Regulating Health Care: The Struggle for Control, ed. Arthur Levin. New York: Academy of Political Science.
40. McCusick, David, Tami Mark, Edward King, Rick Harwood, Jeffrey Buck, Joan Dilonardo, and James Genuardi. 1998. Spending on Mental Health and Substance Abuse Treatment, 1996. Health Affairs 17(5):147-157.
41. Mental Health Policy Resource Center (MHPRC), National Association of State Mental Health Program Directors (NASMHPD), National Association of Counties, National Association of County Behavioral Health Directors, National Community Mental Healthcare Council, and Technical Assistance Collaborative. 1995. In the Public Interest: The Role of Public Mental Health Authorities in the Emerging Health Care System. Alexandria, VA: NASMHPD.
42. Millenson, Michael L. 1998. The New American Health System. Health Plan Magazine, May-June, 72-77.
43. Minnesota Plan to Measure Consumer Satisfaction at Clinic Level Fails to Get Providers' Support. 1998. State Health Report. May, 7-8.
44. Moore, J. Duncan Jr. 1998. Do As They Say . . . AHA, AMA: Disclosure Needed for HMOs, Not Providers. Modern Healthcare, 9 March, 22-24.
45. Moore, W. John. 1998. Playing Footsie with Health Care. National Journal, 27 June, 1518.
46. O'Neil, Edward, and Leonard Finnocchio. 1997. The Future of the Health Professions under Managed Care. In Competitive Managed Care: The Emerging Health Care System, ed. John D. Wilkerson, Kelly S. Devers, and Ruth S. Given. San Francisco: Jossey-Bass.
47. Patient Access to Responsible Care Alliance (PARCA). 1998. Premium Impact Analysis: H.R. 1415. Washington, DC: PARCA.
48. Rickards, Larry D. 1992. Professional and Organized Provider Associations. In Administration and Policy in Mental Health. New York: Human Sciences.
49. Ross, E. Clarke. 1992a. Guest Editor's Introduction - The Role of Advocacy Groups in Mental Health. In Administration and Policy in Mental Health. New York: Human Sciences.
50. _. 1992b. Success and Failure of Advocacy Groups: A Legislative Perspective. In Administration and Policy in Mental Health. New York: Human Sciences.
51. _. 1997. Managed Behavioral Healthcare Objectives: Accountability within Integrated and Coordinated Care. Paradigm Magazine, fall, 10-11.
52. Samuels, David I. 1996. Capitation: New Opportunities in Healthcare Delivery. New York: McGraw-Hill.
53. Starr, Paul. 1982. The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry. New York: Basic Books.
54. U.S. General Accounting Office (GAO). 1993. Psychiatric Fraud and Abuse: Increased Scrutiny of Hospital Stays Is Needed for Federal Health Programs. Washington, DC: GAO/HRD-93-92.
55. Weissenstein, Eric. 1998a. No PARCA Required: AHA Seeks Support for Voluntary, Private-Sector Initiative. Modern Healthcare, 13 April, 2, 8.
56. _. 1998b. Donations Heating Up: Managed Care Debate Has Health Care Organizations Opening up Their Wallets. Modern Healthcare, 13 July, 33.
57. Wilkerson, John D., Kelly J. Devers, and Ruth S. Given, editors. 1997. Competitive Managed Care: The Emerging Health Care System. San Francisco: Jossey-Bass.
58. Zelman, Walter A. 1996. The Changing Health Care Marketplace: Private Ventures, Public Interests. San Francisco: Jossey-Bass.