Download or read book Improving Managed Health Care in California written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Managed Health Care in California Executive summary written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Managed Health Care in California Supporting documentation written by California. Managed Health Care Improvement Task Force and published by . This book was released on 1998 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medi Cal Managed Care Program written by California. Bureau of State Audits and published by . This book was released on 2011 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book California Department of Health Care Services written by California. Bureau of State Audits and published by . This book was released on 2015 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Managed Care written by United States. General Accounting Office and published by . This book was released on 1995 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Managed Care written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed California's Medicaid managed care program, focusing on: (1) state oversight of managed care contractors; (2) state plans for expansion; and (3) key issues in implementing the expanded program. GAO found that: (1) California plans a major expansion of its Medi-Cal managed care program in selected counties; (2) by the end of 1996, the number of enrollees in California managed care plans will total over 3.4 million, almost four times the number currently enrolled; (3) enrollment will be mandatory for women and children, who will choose from one of two plans, unlike the current voluntary system with several choices; (4) mandatory enrollment could magnify the problems already associated with California's Medi-Cal program, such as availability and quality of services, capabilities of management staff, and providers' financial incentives to limit care; and (5) any benefits of competitive managed care could be lessened by California's decision to limit beneficiaries to two health plans.
Download or read book Medicaid Managed Care in California written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1994 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improving Accountability in Medicare Managed Care written by Charles E. Grassley and published by DIANE Publishing. This book was released on 1998-10 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focuses on how Congress & the Administration can provide better information to Medicare beneficiaries when they are trying to select the right health plan to meet their health care needs. Contains statements from U.S. Senate Committee on Aging members as well as testimony from the Medicare Rights Center in New York City, the Institute of Medicine in Stanford, CA, the Health Benefits Service of the California Public Employees Retirement System, & a Medicare beneficiary. Includes General Accounting Office responses to Senate questions on the operations of the Health Care Financing Administration.
Download or read book Lettres patentes portant permission aux Trinitaires de faire la qu te pour les captifs 30 juillet 1665 Copie sign e Hesseler written by and published by . This book was released on 1665 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Capitation in California written by Maurice J. Penner and published by Maurice Penner. This book was released on 1997 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This "from-the-trenches" guide can help you meet the challenges of forecasting a population's healthcare needs, building a provider panel, establishing financial incentives for providers, establishing information systems for managed care, negotiating managed care contracts, & managing utilization & quality.
Download or read book Benefits and Costs of Consumer Protection Proposals in California written by Price Waterhouse (Firm) and published by . This book was released on 1998 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analysis of the potential impact of selected Managed Health Care Improvement Task Force recommendations in the areas of access to care and specialists, information disclosure, and dispute resolution.
Download or read book Options for Improving Timely Access to Care Reporting in California written by Jeanne S. Ringel and published by . This book was released on 2019 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Timely access to care is an important element of a high-performing health care system. There is, however, very little evidence to inform metrics and appropriate benchmarks. Given the limitations of the literature, the state of California has taken the lead in developing metrics, standards, and a methodology for collecting the needed data for monitoring timely access to care in the state. The California Department of Managed Health Care (DMHC) has developed the Provider Appointment Availability Survey (PAAS), which health plans that offer products regulated by the department are required to implement. The PAAS methodology has changed over time to address issues with the data collection and reporting process, but the methodology is set to be finalized in January 2020. Health plans have faced numerous challenges in collecting and reporting this information. In this report the authors focus on two specific concerns with the methodology that have been raised by health plans and other stakeholders: the burden associated with the PAAS (particularly on providers) and a change in methodology between measurement years (MY) 2017 and 2018 that removed a question from the survey script and changed the way compliance is measured. Having conducted an environmental scan of timely access issues, undertaken discussions with stakeholders, and analyzed MY 2017 PAAS data for a subset of health plans, they use a multipronged approach to describe and document each of these issues and identify and assess potential solutions.
Download or read book Leadership for a Healthy California written by California. Department of Health Services and published by . This book was released on 1994 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book The Changing Health Care Marketplace written by Walter A. Zelman and published by Jossey-Bass. This book was released on 1996-05-31 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores the Rise of Managed Care An incisive and informative analysis of our rapidly changing health care system--the best of current books on the subject. --Arnold S. Relman, former editor-in-chief, New England Journal of Medicine Walter A. Zelman, a leading expert on health care research and policy, examines the key trAnds that are changing today's health care marketplace. He looks at the growth of managed care; the new and sometimes uneasy partnerships among physicians, hospitals, and health plans; and the trAnd toward integration between sectors. This important resource draws on the latest data and research, including more than fifty interviews with expert analysts and practitioners.
Download or read book Improving the Medicare Market written by Institute of Medicine and published by National Academies Press. This book was released on 1996-11-01 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare beneficiaries are rapidly moving into managed care, as attempts to restrain the growth of this costly entitlement program progress. However, advocates for patients question whether the necessary information and structures are in place to enable Medicare consumers to select wisely among private-sector managed care options. Improving the Medicare Market examines how to give Medicare beneficiaries the same choice of health plan options enjoyed in the private sectorâ€"yet protect them as consumers and patients. This book recommends approaches to ensuring accountability and informed purchasing for Medicare beneficiaries in an environment of broader choice and managed careâ€"how the government should evaluate and approve plans, what role the traditional Medicare program should play, how to help to elderly understand their options, and many other practical matters. The committee discusses the information requirements of Medicare beneficiaries and explores in detail how best to respond to their special needs. And it examines the procedures that should be developed to provide the necessary protections for the elderly in a managed care system.
