Managing Utilization Management: A Purchaser's View

Health Affairs

Volumn 16, Issue 3, 1997, Pages 87-90

  Milstein, Arnold ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COST CONTROL; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; UNITED STATES; UTILIZATION REVIEW;

COST CONTROL; HEALTH CARE COSTS; HUMANS; MANAGED CARE PROGRAMS; QUALITY ASSURANCE, HEALTH CARE; UNITED STATES; UTILIZATION REVIEW;

EID: 0347799671     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.16.3.87     Document Type: Review

References (13)

1. B.H. Gray and M.J. Field, Controlling Costs and Changing Patient Care? (Washington: National Academy Press), 2-3.
2. E.A. Kerr et al., "Managed Care and Capitation in California: How Do Physicians at Financial Risk Control Their Own Utilization?" Annals of Internal Medicine (October 1995): 500-504.
3. W.G. Manning et al., "A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services," The New England Journal of Medicine (7 June 1984): 1505-1510.
4. K.L. Kahn et al., "Comparing Outcomes of Care before and after Implementation of the DRG-Based Prospective Payment System," Journal of the American Medical Association (17 October 1990): 1984-1988.
5. Gray and Field, Controlling Costs.
6. J.C. Robinson and L.P. Casalino, "The Growth of Medical Groups Paid through Capitation in California," The New England Journal of Medicine (21 December 1995): 1684-1687; and Manning et al., "A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services."
7. J.C. Robinson and L.P. Casalino, "The Growth of Medical Groups Paid through Capitation in California," The New England Journal of Medicine (21 December 1995): 1684-1687; and Manning et al., "A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services."
8. Kerr et al., "Managed Care and Capitation."
9. National Committee for Quality Assurance, A Road Map for Information Systems, HEDIS 3.0 (forthcoming).
10. R.H. Miller and H.S. Luft, "Managed Care Plan Performance since 1980," Journal of the American Medical Association (18 May 1994): 1512-1519.
11. J.E. Ware et al., "Differences in 4-Year Health Outcomes for Elderly and Poor, Chronically Ill Patients Treated in HMO and Fee-for-Service Systems," Journal of the American Medical Association (2 October 1996): 1039-1047.
12. Kerr et al., "Managed Care and Capitation;" and T.M. Wickizer and D.S. Lessler, "Containing Costs while Maintaining Quality: An Unresolved Dilemma for Managed Care within Mental Health," and "The Impact of Utilization Management on Hospital Care for Patients with Cardiovascular Disease" (Presented at the Thirteenth Annual Meeting of the Association for Health Services Research, Atlanta, Georgia, June 1996).
13. Kerr et al., "Managed Care and Capitation;" and T.M. Wickizer and D.S. Lessler, "Containing Costs while Maintaining Quality: An Unresolved Dilemma for Managed Care within Mental Health," and "The Impact of Utilization Management on Hospital Care for Patients with Cardiovascular Disease" (Presented at the Thirteenth Annual Meeting of the Association for Health Services Research, Atlanta, Georgia, June 1996).