-
2
-
-
0342409390
-
The managed care backlash and the task force in California
-
Enthoven AC, Singer SJ. The managed care backlash and the task force in California. Health Aff (Millwood). 1998;17:95-110.
-
(1998)
Health Aff (Millwood)
, vol.17
, pp. 95-110
-
-
Enthoven, A.C.1
Singer, S.J.2
-
4
-
-
0033812396
-
The prudent layperson definition: Will it work for emergency medicine?
-
Williams RM. The prudent layperson definition: will it work for emergency medicine? Ann Emerg Med. 2000;36:238-240.
-
(2000)
Ann Emerg Med
, vol.36
, pp. 238-240
-
-
Williams, R.M.1
-
5
-
-
85030902780
-
-
HR2015 Balanced Budget Act of 1997. US House of Representatives; 1997
-
HR2015 Balanced Budget Act of 1997. US House of Representatives; 1997.
-
-
-
-
6
-
-
85030892686
-
-
Balanced Budget Act of 1997. Pub L No. 105-33 §4704
-
Balanced Budget Act of 1997. Pub L No. 105-33 §4704.
-
-
-
-
7
-
-
0942298490
-
Market failures and the evolution of state regulation of managed care
-
Sloan FA, Hall MA. Market failures and the evolution of state regulation of managed care. Law Contemp Probl. 2002;65:169-206.
-
(2002)
Law Contemp Probl
, vol.65
, pp. 169-206
-
-
Sloan, F.A.1
Hall, M.A.2
-
8
-
-
85030897568
-
-
California Health & Safety Code §1317.1(b) and §1371.4
-
California Health & Safety Code §1317.1(b) and §1371.4.
-
-
-
-
9
-
-
0034710633
-
What recourse? Liability for managed-care decisions and the Employee Retirement Income Security Act
-
Mariner WK. What recourse? Liability for managed-care decisions and the Employee Retirement Income Security Act. N Engl J Med. 2000;343:592-596.
-
(2000)
N Engl J Med
, vol.343
, pp. 592-596
-
-
Mariner, W.K.1
-
10
-
-
0033887222
-
Controversial company: The prudent layperson standard and the patients' bill of rights
-
Asplin BR. Controversial company: the prudent layperson standard and the patients' bill of rights. Ann Emerg Med. 2000;35:304-307.
-
(2000)
Ann Emerg Med
, vol.35
, pp. 304-307
-
-
Asplin, B.R.1
-
11
-
-
85030893279
-
-
S1052, Bipartisan Patient Protection Act, 2001
-
S1052, Bipartisan Patient Protection Act, 2001.
-
-
-
-
12
-
-
85030902744
-
-
HR2563, Bipartisan Patient Protection Act, 2001
-
HR2563, Bipartisan Patient Protection Act, 2001.
-
-
-
-
13
-
-
0029970790
-
Disagreement among health care professionals about the urgent care needs of emergency department patients
-
Gill JM, Reese CL, Diamond JJ. Disagreement among health care professionals about the urgent care needs of emergency department patients. Ann Emerg Med. 1996;28:474-479.
-
(1996)
Ann Emerg Med
, vol.28
, pp. 474-479
-
-
Gill, J.M.1
Reese, C.L.2
Diamond, J.J.3
-
14
-
-
0030960848
-
Judging who needs emergency department care: A prerequisite for policy-making
-
Lowe RA, Bindman AB. Judging who needs emergency department care: a prerequisite for policy-making. Am J Emerg Med. 1997;15:133-136.
-
(1997)
Am J Emerg Med
, vol.15
, pp. 133-136
-
-
Lowe, R.A.1
Bindman, A.B.2
-
15
-
-
0028262333
-
What is an emergency? The judgment of two physicians
-
Foldes SS, Fischer LR, Kaminsky K. What is an emergency? The judgment of two physicians. Ann Emerg Med. 1994;23:833-840.
-
(1994)
Ann Emerg Med
, vol.23
, pp. 833-840
-
-
Foldes, S.S.1
Fischer, L.R.2
Kaminsky, K.3
-
16
-
-
0029961614
-
Triage: Limitations in predicting need for emergency care
-
Brillman JC, Doezema D, Tandberg D, et al. Triage: limitations in predicting need for emergency care. Ann Emerg Med. 1996;27:493-500.
-
(1996)
Ann Emerg Med
, vol.27
, pp. 493-500
-
-
Brillman, J.C.1
Doezema, D.2
Tandberg, D.3
-
17
-
-
0029930930
-
Inappropriate emergency department use: A comparison of three methodologies for identification
-
O'Brien GM, Shapiro MJ, Woolard RW, et al. Inappropriate emergency department use: a comparison of three methodologies for identification. Acad Emerg Med. 1996;3:252-257.
-
(1996)
Acad Emerg Med
, vol.3
, pp. 252-257
-
-
O'Brien, G.M.1
Shapiro, M.J.2
Woolard, R.W.3
-
18
-
-
0035016933
-
Appropriate standards for appropriateness
-
Lowe RA, Abbuhl SB. Appropriate standards for appropriateness. Ann Emerg Med. 2001;37:629-632.
-
(2001)
Ann Emerg Med
, vol.37
, pp. 629-632
-
-
Lowe, R.A.1
Abbuhl, S.B.2
-
19
-
-
0034124304
-
Underestimation of case severity by emergency department patients: Implications for managed care
-
Caterino JM, Holliman CJ, Kunsleman AR. Underestimation of case severity by emergency department patients: implications for managed care. Am J Emerg Med. 2000;18:254-256.
-
(2000)
Am J Emerg Med
, vol.18
, pp. 254-256
-
-
Caterino, J.M.1
Holliman, C.J.2
Kunsleman, A.R.3
-
20
-
-
0033822174
-
Results of provider self-adjudication using the prudent layperson standard compared with the managed care organization's emergency department claim review process
-
Shesser R, Holtermann K, Smith J, et al. Results of provider self-adjudication using the prudent layperson standard compared with the managed care organization's emergency department claim review process. Ann Emerg Med. 2000;36:212-218.
-
(2000)
Ann Emerg Med
, vol.36
, pp. 212-218
-
-
Shesser, R.1
Holtermann, K.2
Smith, J.3
-
21
-
-
0036142872
-
The prudent layperson: Definition of an emergency medical condition
-
Li J, Galvin HK, Johnson SC. The prudent layperson: definition of an emergency medical condition. Am J Emerg Med. 2002;20:10-13.
-
(2002)
Am J Emerg Med
, vol.20
, pp. 10-13
-
-
Li, J.1
Galvin, H.K.2
Johnson, S.C.3
-
22
-
-
0036147167
-
Managed care gatekeeping, emergency medicine coding, and insurance reimbursement outcomes for 980 emergency department visits from four states
-
Young GP, Ellis J, Becher J, et al. Managed care gatekeeping, emergency medicine coding, and insurance reimbursement outcomes for 980 emergency department visits from four states. Ann Emerg Med. 2002;39:24-30.
-
(2002)
Ann Emerg Med
, vol.39
, pp. 24-30
-
-
Young, G.P.1
Ellis, J.2
Becher, J.3
-
23
-
-
0030881384
-
Denial of emergency department authorization of potentially high-risk patients by managed care
-
Zautcke JL, Fraker LD, Hart RG, et al. Denial of emergency department authorization of potentially high-risk patients by managed care. J Emerg Med. 1997;15:605-609.
-
(1997)
J Emerg Med
, vol.15
, pp. 605-609
-
-
Zautcke, J.L.1
Fraker, L.D.2
Hart, R.G.3
-
24
-
-
0033882974
-
Analysis of insurance payment denials using the prudent layperson standard
-
Tintinalli J. Analysis of insurance payment denials using the prudent layperson standard. Ann Emerg Med. 2000;35:291-294.
-
(2000)
Ann Emerg Med
, vol.35
, pp. 291-294
-
-
Tintinalli, J.1
-
25
-
-
0029610803
-
The growth of medical groups paid through capitation in California
-
Robinson JC, Casalino LP. The growth of medical groups paid through capitation in California. N Engl J Med. 1995;333:1684-1687.
-
(1995)
N Engl J Med
, vol.333
, pp. 1684-1687
-
-
Robinson, J.C.1
Casalino, L.P.2
-
26
-
-
0035407279
-
Scale and structure of capitated physician organizations in California
-
Rosenthal MB, Frank RG, Buchanan JL, et al. Scale and structure of capitated physician organizations in California. Health Aff (Millwood). 2001;20:109-119.
-
(2001)
Health Aff (Millwood)
, vol.20
, pp. 109-119
-
-
Rosenthal, M.B.1
Frank, R.G.2
Buchanan, J.L.3
-
28
-
-
0035461830
-
Managed care and market power: Physician organizations in four markets
-
Rosenthal MB, Landon BE, Huskamp HA. Managed care and market power: physician organizations in four markets. Health Aff (Millwood). 2001;20:187-193.
-
(2001)
Health Aff (Millwood)
, vol.20
, pp. 187-193
-
-
Rosenthal, M.B.1
Landon, B.E.2
Huskamp, H.A.3
-
29
-
-
0035286985
-
Provider organizations at risk: A profile of major risk-bearing intermediaries, 1999
-
Gold MR, Hurley R, Lake T. Provider organizations at risk: a profile of major risk-bearing intermediaries, 1999. Health Aff (Millwood). 2001;20:175-185.
-
(2001)
Health Aff (Millwood)
, vol.20
, pp. 175-185
-
-
Gold, M.R.1
Hurley, R.2
Lake, T.3
-
32
-
-
0036634461
-
Patients in conflict with managed care: A profile of enrollee appeals of benefits denials in two HMOs
-
Gresenz CR, Studdert DM, Campbell N, et al. Patients in conflict with managed care: a profile of enrollee appeals of benefits denials in two HMOs. Health Aff (Millwood). 2002;21:189-196.
-
(2002)
Health Aff (Millwood)
, vol.21
, pp. 189-196
-
-
Gresenz, C.R.1
Studdert, D.M.2
Campbell, N.3
-
33
-
-
0003518513
-
-
Hyattsville, MD: US Department of Health, Education and Welfare. Public Health Service, Office of the Assistant Secretary for Health, National Center for Health Statistics. DHEW publication No. (PHS) 79-1352
-
Schneider D, Appleton L, McLemore T. A Reason for Visit Classification for Ambulatory Care. Hyattsville, MD: US Department of Health, Education and Welfare. Public Health Service, Office of the Assistant Secretary for Health, National Center for Health Statistics; 1979. DHEW publication No. (PHS) 79-1352.
-
(1979)
A Reason for Visit Classification for Ambulatory Care
-
-
Schneider, D.1
Appleton, L.2
McLemore, T.3
-
34
-
-
0037453948
-
Consumer protection in managed care: Enrollee appeals of pre-service coverage denials at two HMOs
-
Studdert, DM, Gresenz, CR. Consumer protection in managed care: enrollee appeals of pre-service coverage denials at two HMOs. JAMA. 2003;289:864-870.
-
(2003)
JAMA
, vol.289
, pp. 864-870
-
-
Studdert, D.M.1
Gresenz, C.R.2
-
37
-
-
80755186397
-
Do the poor sue more? A case-control study of malpractice claims and socioeconomic status
-
Burstin HR, Johnson WG, Lipsitz SR, et al. Do the poor sue more? A case-control study of malpractice claims and socioeconomic status. JAMA. 1993;270:1697-1701.
-
(1993)
JAMA
, vol.270
, pp. 1697-1701
-
-
Burstin, H.R.1
Johnson, W.G.2
Lipsitz, S.R.3
-
38
-
-
0034146021
-
Negligent care and malpractice claiming behavior in Utah and Colorado
-
Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38:250-260.
-
(2000)
Med Care
, vol.38
, pp. 250-260
-
-
Studdert, D.M.1
Thomas, E.J.2
Burstin, H.R.3
-
39
-
-
0035090783
-
Effect of ethnicity on denial of authorization for emergency department care by managed care gatekeepers
-
Lowe RA, Chhaya S, Nasci K, et al. Effect of ethnicity on denial of authorization for emergency department care by managed care gatekeepers. Acad Emerg Med. 2001;8:259-266.
-
(2001)
Acad Emerg Med
, vol.8
, pp. 259-266
-
-
Lowe, R.A.1
Chhaya, S.2
Nasci, K.3
|