Managed care-present day challenges and a working model for future consideration

Health Care Manager

Volumn 21, Issue 2, 2002, Pages 46-59

  Tisdale, Tina ^a   Liberman, Aaron ^b  

^a Aon Consulting   (United States)

^b UNIVERSITY OF CENTRAL FLORIDA   (United States)

Author keywords

Fee for service; Health maintenance organizations (HMO); Indemnity insurance; Mandated benefits; Point of service (POS); Preferred provider organization (PPO)

Indexed keywords

ARTICLE; CONSUMER; ECONOMICS; FORECASTING; HEALTH CARE DELIVERY; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; INSURANCE; MEDICAL FEE; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; UNITED STATES;

CONSUMER SATISFACTION; FEE-FOR-SERVICE PLANS; FORECASTING; HAWAII; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH SERVICES ACCESSIBILITY; MANAGED CARE PROGRAMS; MODELS, ORGANIZATIONAL; PREFERRED PROVIDER ORGANIZATIONS; UNIVERSAL COVERAGE;

EID: 1542318120     PISSN: 15255794     EISSN: 1550512X     Source Type: Journal    
DOI: 10.1097/00126450-200212000-00008     Document Type: Article

References (27)

1. J.S. Reisel et al., “Health Care Trends in the New Millennium.” CPA Journal 70, no.5 (2000): 86.
2. M.E. Makeover, “What’s Wrong with Managed Care and How to Fix It.” World and I 15, no. 2 (2000): 299-313.
3. L. Peeno, “Managed Care and the Corporate Practice of Medicine.” Trial 36, no. 2 (2000): 2-20.
4. M. Austin, “Health Plans Treading Familiar Ground in '99.” Denver Business Journal 51, no. 19 (1999): 18-20.
5. K. Robertson, “Hospitals Refuse Capitation Pacts.” Sacramento Business Journal 17, no. 9 (2000): 1-3.
6. K.D. Frick, “Cross Product Subsidization in the Health Insurance Market with Managed Care: A Model and Issues.” Atlantic Economic Business Journal 27, no. 2 (1999):121-135.
7. L.C. Baker, “Association of Managed Care Market Share and Health Expenditures for Fee-for-Service Medicare Patients.” The Journal of the American Medical Association 281, no. 5 (1999): 432-438.
8. J.D. Bentley, “Covering the Managed Care Business.” The Quill 87, no. 4 (1999): 53-57.
9. E. Vaughan and T. Vaughan, Fundamentals of Risk & Insurance. (New York: John Wiley & Sons, 1999).
10. R.P. Ko, “Critical Condition (Harvard Pilgrim Health Care Inc.).” Best’s Review 100, no. 11 (2000): 107-110.
11. M. Austin, “HMO Losses will Hit Employers Hard.” The Denver Business Journal 51, no. 29 (2000): 1a, 62a.
12. F. Hansen, “Healthcare: Trouble Ahead.” Compensation and Benefits Review 20 (2000): 20-27.
13. M. Whigham-Desir, “What to Know about Choosing an HMO: Faced with a Multitude of Options, Deciding on a Plan Is More Than Just Dollars - It’s Sense.” Black Enterprise 26, no. 7 (1996): 160-166.
14. “Protecting the Managed Care Option.” South Carolina Business Journal 18, no. 12 (2000): 8.
15. M. Fortune, “How to Deal with Higher Health Premiums.” Nashville Business Journal 16, no. 17 (2000): 33-34.
16. J. Elswick, “Health-care Costs Spur Benefit, ECI Inflation.” Employee Benefit News 14, no. 3 (2000): 64-65.
17. K. Carson, “Employees Take Hit on Health Coverage Hikes.” Orlando Business Journal 16, no. 36 (2000): 25.
18. S.J. Wells, “Avoiding the Health Care Squeeze.” HR Magazine 45, no. 5 (2000): 46-52.
19. J. Wojcik, “Coalitions’ Roles Vary: Most Still Formed To Gather, Share Health Care Information.” Unpublished manuscript prepared in 1999: 1-3.
20. G. Coldewey, “Rising Health Insurance Costs Spur Innovative Programs.” Memphis Business Journal 21, no. 45 (2000): 24.
21. G. Coldewey, “Costs Lead More Employers to Self-funded Plans.” San Antonio Business Journal 14, no. 1 (2000): 20.
22. M. Torres-Kitamura, “The Buddy System.” Hawaii Business 43, no. 14 (1997): 19-25.
23. N.K. Thurston, “Labor Market Effects of Hawaii’s Mandatory Employer-Provided Health Insurance.” Industrial & Labor Relations Review 51, no. 1 (1997): 117-136.
24. C. DeSilva, “Spin Doctors.” Hawaii Business 45, no. 4 (1999): 31-37.
25. M. Matthews, “Hawaii Offers No Model for Health Reform.” Human Events 50, no. 35 (1994): 12-13.
26. “S&P Affirms Medical Service ‘A+' Ratings; Outlook Stable.” Unpublished manuscript prepared in 2001: 1-4.
27. L.B. Benko, “Hawaii Dreaming.” Modern Healthcare 31, no. 36 (2001): 34-36.