Physician evaluations of care management practices in medicaid programs

American Journal of Managed Care

Volumn 11, Issue 3, 2005, Pages 156-164

  Avery, George H ^a   Wholey, Douglas R ^a   Christianson, Jon B ^b  

^a UNIVERSITY OF MINNESOTA DULUTH   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL PRACTICE; HEALTH CARE PLANNING; HEALTH CARE QUALITY; LOGISTIC REGRESSION ANALYSIS; MANAGED CARE ORGANIZATION; MEDICAID; PRIORITY JOURNAL; REVIEW;

ADULT; DATA COLLECTION; HEALTH SERVICES ACCESSIBILITY; HUMANS; MANAGED CARE PROGRAMS; MEDICAID; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 15244360006     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (29)

1. Hurley RE, Draper DA. Medicaid confronts a changing managed care marketplace. Health Care Financ Rev. 2002;24:11-25.
2. Epstein AM. Medicaid managed care and high quality: can we have both? JAMA. 1997;278:1617-1621.
3. Ku L, Hoag S. Medicaid managed care and the marketplace. Inquiry. 1998;35: 332-345.
4. Coughlin TA, Long SK, Holahan J. Commercial health plan participation in Medicaid managed care: an examination of six markets. Inquiry. 2001;38: 22-34.
5. Felt-Lisk S, Dodge R, McHugh M; Mathematica Policy Research, Inc. Trends in Health Plans Serving Medicaid: 2000 Data Update. Washington, DC: Kaiser Commission on Medicaid and the Uninsured; 2001.
6. Draper DA, Hurley RE, Short AC. Medicaid managed care: the last bastion of the HMO? Health Aff (Millwood). 2004;23(2):155-167.
7. Ahern M, Molinari C. Impact of HMO ownership on management processes and utilization outcomes. Am J Manag Care. 2001;7:489-497.
8. Zahner SJ. Evaluation of mandated memoranda of understanding between local health departments and Medicaid managed care plans. J Public Health Manag Pract. 2002;8:11-21.
9. Landen BE, Epstein AM. Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA. 1999;282:1769-1775.
10. Vohr BR, Moore PE, Tucker RJ. Impact of family health insurance and other environmental factors on universal hearing screen program effectiveness. J Perinatol. 2002;22:380-385.
11. Gifford BD. Is the content of prenatal care for teens less adequate in Medicaid managed care settings? In: Kronenfeld JJ, ed. Research in the Sociology of Health Care. Stanford, Conn: JAI Press Inc; 1999:115-129.
12. Sisk JE, Gorman SA, Reisinger AL, Glied SA, DuMouchel WH, Hynes MM. Evaluation of Medicaid managed care: satisfaction, access, and use. JAMA. 1996;276:50-55.
13. Ray GT, Lieu T, Weinick RM, Cohen JW, Fireman B, Newacheck P. Comparing the medical expenses of children with Medicaid and commercial insurance in an HMO. Am J Manag Care. 2000;6:753-760.
14. Cooper WO, Kuhlthau K. Evaluating Medicaid managed care programs for children. Ambul Pediatr. 2001;1:112-116.
15. Harris DM, Hanes P, Jimison H, Jones D, Bryan-Wilson J, Greenlick MR. Physician and plan effects on satisfaction of Medicaid managed care patients with their health care and providers. J Ambul Care Manage. 1997;20:46-64.
16. Fairbrother G, Friedman S, Butts GC, Cukor J, Tassi A. Problems with quality monitoring for Medicaid managed care: perceptions of institutional and private providers in New York City. J Urban Health. 2000;77:573-591.
17. Cukor J, Fairbrother G, Tassi A, Butts GC, Friedman S. Quality oversight for Medicaid managed care plans: impact on providers. J Public Health Manag Pract. 2002;8:1-10.
18. Gazewood JD, Longo DR, Madsen R. Physician satisfaction with Medicaid managed care: the Missouri experience. J Fam Pract. 2000;49:20-26.
19. Silverstein G. Physicians' perceptions of commercial and Medicaid managed care plans: a comparison. J Health Polit Policy Law. 1997;22:5-21.
20. Brown LD. Risky business: the evolution of Medicaid managed care. In: Ginsburg P, Lesser C, eds. Understanding Health System Change: Local Markets, National Trends. Chicago, III: Health Administration Press; 2001:71-90.
21. Wholey DR, Finch M, Christianson JB, Knutson D, Rockwood T, Warrick L; Physicians Evaluating Health Plans Research Team. Evaluating health plan quality 3: survey measurement properties. Am J Manag Care. 2003;9(spec 2):SP76-SP87.
22. Wholey DR, Christianson JB, Jones KF, Finch M; Physicians Evaluating Health Plans Research Team. What do physician recommendations of health plans mean? Am J Manag Care. 2003;9(spec 2):SP88-SP99.
23. Wholey DR, Christianson JB, Finch M, Knutson D, Rockwood T, Warrick L; Physicians Evaluating Health Plans Research Team. Evaluating health plan quality 1: a conceptual model. Am J Manag Care. 2003;9(spec 2):SP53-SP64.
24. Wholey DR, Christianson JB, Finch M, Knutson D, Rockwood T, Warrick L; Physicians Evaluating Health Plans Research Team. Evaluating health plan quality 2: survey design principles for measuring health plan quality. Am J Manag Care. 2003;9(spec 2):SP65-SP75.
25. Green L, Kreuter M. Health Promotion and Planning: An Educational and Environmental Approach. 2nd ed. Mountain View, Calif: Mayfield Publishing Co; 1991.
26. Solomon DH, Hashimoto H, Daltroy L, et al. Techniques to improve physicians, use of diagnostic tests: a new conceptual framework. JAMA. 1998;280: 2020-2027.
27. Greene WH. Econometric Analysis. 4th ed. Upper Saddle River, NJ: Prentice-Hall; 2000:462-491, 567-578.
28. Rich EC, Kralewski J. Physicians' ratings of health plans. JAMA. 1998;279:193-194.
29. Christianson JB, Warrick L, Wholey DR. Physicians' perceptions of managed care: a review of the literature. Med Care Res Rev. In press.