The changing face of managed care

Health Affairs

Volumn 21, Issue 1, 2002, Pages 11-23

  Draper, Debra A ^a   Hurley, Robert E ^b   Lesser, Cara S ^c   Strunk, Bradley C ^d  

^a MATHEMATICA POLICY RESEARCH   (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Ctr for Studying Hlth Syst Change   (United States)

^d HSC ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONSUMER; COST CONTROL; ECONOMICS; HEALTH CARE COST; HEALTH INSURANCE; INCOME; INTERPERSONAL COMMUNICATION; LONGITUDINAL STUDY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; UNITED STATES; UTILIZATION REVIEW;

CONSUMER SATISFACTION; COST CONTROL; EFFICIENCY, ORGANIZATIONAL; HEALTH CARE SECTOR; HEALTH EXPENDITURES; INCOME; LONGITUDINAL STUDIES; MANAGED CARE PROGRAMS; NEGOTIATING; ORGANIZATIONAL INNOVATION; PLANNING TECHNIQUES; UNITED STATES;

EID: 0036363866     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.21.1.11     Document Type: Article

References (18)

1. For additional details, see the special issue on the managed care backlash, Journal of Health Politics, Policy and Law (October 1999).
2. HMO enrollment declined by nearly 1 percent between 1999 and 2000. During this same period the number of HMOs in operation declined by nearly 9 percent, from 613 in 1999 to 560 in 2000. InterStudy Competitive Edge 11.1, Part II: HMO Industry Report (St. Paul: InterStudy, 2001).
3. . For additional details on the CTS design, see P. Kemper et al., "The Design of the Community Tracking Study: A Longitudinal Study of Health System Change and Its Effects on People," Inquiry (Summer 1996): 195-206; and L. Kohn et al., eds., Health System Change in Twelve Communities (Washington: Center for Studying Health System Change, September 1997).
4. . For additional details on the CTS design, see P. Kemper et al., "The Design of the Community Tracking Study: A Longitudinal Study of Health System Change and Its Effects on People," Inquiry (Summer 1996): 195-206; and L. Kohn et al., eds., Health System Change in Twelve Communities (Washington: Center for Studying Health System Change, September 1997).
5. Details on analytic methods are available from the authors. Secondary qualitative data sources, for response validation, included the press, primary documents from respondent organizations, and reports from local or state government, trade associations, or academics. Secondary quantitative data sources included InterStudy Competitive Edge 7.1, Part III: Regional Market Analysis (St. Paul: InterStudy, 1997); Competitive Edge 9.1, Part III: Regional Market Analysis (1999); Competitive Edge 11.1, Part III: Regional Market Analysis (2001); Competitive Edge 112, Part III: Regional Market Analysis (2001); and U.S. Census Bureau, 〈www.census.gov/dmd/www/databank.html〉 (July 2001).
6. Details on analytic methods are available from the authors. Secondary qualitative data sources, for response validation, included the press, primary documents from respondent organizations, and reports from local or state government, trade associations, or academics. Secondary quantitative data sources included InterStudy Competitive Edge 7.1, Part III: Regional Market Analysis (St. Paul: InterStudy, 1997); Competitive Edge 9.1, Part III: Regional Market Analysis (1999); Competitive Edge 11.1, Part III: Regional Market Analysis (2001); Competitive Edge 112, Part III: Regional Market Analysis (2001); and U.S. Census Bureau, 〈www.census.gov/dmd/www/databank.html〉 (July 2001).
7. Details on analytic methods are available from the authors. Secondary qualitative data sources, for response validation, included the press, primary documents from respondent organizations, and reports from local or state government, trade associations, or academics. Secondary quantitative data sources included InterStudy Competitive Edge 7.1, Part III: Regional Market Analysis (St. Paul: InterStudy, 1997); Competitive Edge 9.1, Part III: Regional Market Analysis (1999); Competitive Edge 11.1, Part III: Regional Market Analysis (2001); Competitive Edge 112, Part III: Regional Market Analysis (2001); and U.S. Census Bureau, 〈www.census.gov/dmd/www/databank.html〉 (July 2001).
8. Details on analytic methods are available from the authors. Secondary qualitative data sources, for response validation, included the press, primary documents from respondent organizations, and reports from local or state government, trade associations, or academics. Secondary quantitative data sources included InterStudy Competitive Edge 7.1, Part III: Regional Market Analysis (St. Paul: InterStudy, 1997); Competitive Edge 9.1, Part III: Regional Market Analysis (1999); Competitive Edge 11.1, Part III: Regional Market Analysis (2001); Competitive Edge 112, Part III: Regional Market Analysis (2001); and U.S. Census Bureau, 〈www.census.gov/dmd/www/databank.html〉 (July 2001).
9. Grossman, "Health Plan Competition in Local Markets"; Kohn, "Organizing and Managing Care in a Changing Health System"; and Lesser and Ginsburg, "Update on the Nation's Health Care System."
10. Grossman, "Health Plan Competition in Local Markets"; Kohn, "Organizing and Managing Care in a Changing Health System"; and Lesser and Ginsburg, "Update on the Nation's Health Care System."
11. Grossman, "Health Plan Competition in Local Markets"; Kohn, "Organizing and Managing Care in a Changing Health System"; and Lesser and Ginsburg, "Update on the Nation's Health Care System."
12. These plans have renewed attempts to expand geographically by contracting with a national PPO to serve employers with out-of-state workers.
13. Estimates of managed care enrollment are from unpublished data from the Community Tracking Study Followback Survey, 1996-1997 (for information on the survey, visit 〈www.hschange.org〉). Data on number of HMO enrollees are from InterStudy Competitive Edge 11.1, Part II: HMO Industry Report.
14. Trude et al., "Employer-Sponsored Health Insurance"; and L. Levitt et al., Employer Health Benefits: 2001 Annual Survey (Menlo Park, Calif., and Chicago: Henry J. Kaiser Family Foundation and Health Research and Educational Trust, 2001).
15. Trude et al., "Employer-Sponsored Health Insurance"; and L. Levitt et al., Employer Health Benefits: 2001 Annual Survey (Menlo Park, Calif., and Chicago: Henry J. Kaiser Family Foundation and Health Research and Educational Trust, 2001).
16. InterStudy Competitive Edge 11.1, Part II: HMO Industry Report. Of the seventeen million Medicaid and Medicare managed care consumers, eleven million are in Medicaid and six million are in Medicare.
17. Ibid. The number of plans participating in Medicaid decreased from 254 in 1998 to 215 in 2000, although not all plans participating in Medicaid are listed in the InterStudy report. The number of plans serving Medicare beneficiaries decreased from 273 in 1998 to 219 in 2000.
18. J. Robinson, "The End of Managed Care," Journal of the American Medical Association (23/30 May 2001): 2622-2628.