Policing medicaid and medicare managed care: The role of courts and administrative agencies

Journal of Health Politics, Policy and Law

Volumn 27, Issue 3, 2002, Pages 465-494

  Mello, Michelle M ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE NEED; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HEALTH SERVICE; LAW SUIT; MANAGED CARE; MEDICAID; MEDICARE; MONITORING; PUBLIC HEALTH;

EID: 0036076047     PISSN: 03616878     EISSN: None     Source Type: Journal    
DOI: 10.1215/03616878-27-3-465     Document Type: Article

References (72)

1. Connecticut drops healthright from medicaid program
2. Grievance systems inconsistent in state medicaid contracts
3. Public opinion, knowledge, and medicare reform
4. Legislative purpose and the judicial process: The Lincoln Mills case
5. Unseen peril: Inadequate enrollee grievance protections in public managed care programs
6. Crisis facing HCFA and millions of Americans
7. The quality of care: How can it be assessed?
8. Medicaid managed care and high quality: Can we have both?
9. The discretionary constitution: Institutional remedies and judicial legitimacy
10. Managing medicaid managed care: Are states becoming prudent purchasers?
11. The private role in public governance
12. Why the haves come out ahead: Speculations on the limits of social change
13. Reinventing structural reform litigation: Deputizing private citizens in the enforcement of civil rights
14. Legal accountability in an era of privatized welfare
15. Medicaid rights will be deferred; states lobbied Bush on Clinton rules
16. Medicaid HMOs fail audit of service
17. Accountability battles in state administration
18. Firm to pay $4 million in kids' mental health care
19. Who controls the bureaucracy? Presidential power, congressional dominance, legal constraints, and bureaucratic autonomy in a model of multiinstitutional policy making
20. Do judges determine budget decisions?
21. Is American bureaucracy an immobilized Gulliver or a regenerative phoenix? Reconsidering the alleged demise of federal bureaucratic power
22. Litigation and public health policy making: The case of tobacco control
23. Governing medicare
24. The two faces of judicial activism
25. The role of judicial review regarding medicare and medicaid program policy: Past experience and future expectations
26. Quality management by state medicaid agencies converting to managed care: Plans and current practice
27. Reviews of Medi-Cal managed care plans show disappointing results
28. Power and administration
29. Bush defends texas health care
30. Congressional oversight overlooked: Police patrols versus fire alarms
31. An HMO showdown
32. Texas is shorting medicaid kids, court rules. Bush administration is ordered to find solution by October
33. Federal courts as state reformers
34. Regulatory performance and presidential administration
35. The politics of bureaucratic structure
36. The politics of structural choice: Toward a theory of public bureaucracy
37. Presidents and the politics of structure
38. Access to care in medicare HMOs 1996
39. Consumer protection and managed care: Issues reform proposals, and trade-offs
40. Negotiating the new health system: Purchasing publicly accountable managed care
41. Where you stand depends on who sits: Platform promises and judicial gatekeeping in the federal district courts
42. Judicially ordered social reform: Neofederalism and neonationalism and the debate over political structure
43. Judge's Landmark rules impact Texas
44. The psychology of deterrence in Tort law
45. Who wins on appeal? Upperdogs and underdogs in the United States Courts of Appeals
46. Selecting cases for supreme court review: An underdog model
47. The public ordering of private relationship. Part 1: Initiating civil cases in urban trial courts