competitive medical plans

Summary

Summary: Alternative health care delivery mechanisms, such as PREFERRED PROVIDER ORGANIZATIONS or other health insurance services or prepaid plans (other than HEALTH MAINTENANCE ORGANIZATIONS), that meet Medicare qualifications for a risk-sharing contract. (From Facts on File Dictionary of Health Care Management, 1988)

Top Publications

  1. pmc Will choice-based reform work for Medicare? Evidence from the Federal Employees Health Benefits Program
    Curtis S Florence
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Health Serv Res 41:1741-61. 2006
  2. ncbi [GKV-WSG--what is the status today?]
    Jörg Andreas Rüggeberg
    Chirurg . 2007
  3. ncbi Cost sharing revisited
    Tom Miller
    Health Aff (Millwood) 25:883; author reply 883-4. 2006
  4. ncbi [Promoting competition and improving quality. Accepting the intergenerational contract by stabilizing health care reform]
    J Wasem
    Lehrstuhl für Allgemeine BWL, und Gesundheitsmanagement, Ernst Moritz Arndt Universitat Greifswald, Friedrich Loeffler Str 70 17489 Greifswald
    Z Gerontol Geriatr 35:292-6. 2002
  5. ncbi Competition in health insurance--is there such a thing in Iowa?
    Lucinda Stephenson
    Iowa Med 92:20-2. 2002
  6. pmc Medicare risk contracting: determinants of market entry
    F W Porell
    Heller School, Brandeis University, Waltham, MA 02254
    Health Care Financ Rev 12:75-85. 1990
  7. ncbi Revenue models in managed competition
    N E Mischler
    Physicians Plus Insurance, Madison, WI
    Physician Exec 19:68-71. 1993
  8. ncbi Applications of health risk adjustment: what can be learned from experience to date?
    D L Dunn
    Integrated Healthcare Information Services, Inc, Cambridge, MA 02138, USA
    Inquiry 35:132-47. 1998
  9. ncbi What does social enterprise mean for community nursing?
    Rosemary Cook
    Queen s Nursing Institute, London
    Br J Community Nurs 11:472-4. 2006
  10. ncbi Insuring Californians: a proposal that matters
    Rick Curtis
    Health Policy Solutions, Washington, DC, USA
    Health Aff (Millwood) 26:w92-5. 2007

Research Grants

Scientific Experts

Detail Information

Publications98

  1. pmc Will choice-based reform work for Medicare? Evidence from the Federal Employees Health Benefits Program
    Curtis S Florence
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Health Serv Res 41:1741-61. 2006
    ..To examine the effect of premiums and benefits on the health plan choices of older enrollees who choose Federal Employees Health Benefits Program (FEHBP) health plans as their primary payer...
  2. ncbi [GKV-WSG--what is the status today?]
    Jörg Andreas Rüggeberg
    Chirurg . 2007
  3. ncbi Cost sharing revisited
    Tom Miller
    Health Aff (Millwood) 25:883; author reply 883-4. 2006
  4. ncbi [Promoting competition and improving quality. Accepting the intergenerational contract by stabilizing health care reform]
    J Wasem
    Lehrstuhl für Allgemeine BWL, und Gesundheitsmanagement, Ernst Moritz Arndt Universitat Greifswald, Friedrich Loeffler Str 70 17489 Greifswald
    Z Gerontol Geriatr 35:292-6. 2002
    ..The reform proposal by an expert group, invited by the Friedrich-Ebert-Foundation to develop a concept of health care reform, takes these considerations into account...
  5. ncbi Competition in health insurance--is there such a thing in Iowa?
    Lucinda Stephenson
    Iowa Med 92:20-2. 2002
  6. pmc Medicare risk contracting: determinants of market entry
    F W Porell
    Heller School, Brandeis University, Waltham, MA 02254
    Health Care Financ Rev 12:75-85. 1990
    ..Act (TEFRA) of 1982 made it more attractive for health maintenance organizations (HMOs) and other competitive medical plans to enter into risk contracts with Medicare...
  7. ncbi Revenue models in managed competition
    N E Mischler
    Physicians Plus Insurance, Madison, WI
    Physician Exec 19:68-71. 1993
    ..These relationships differ within the fee-for-service, prepaid, and managed fee-for-service revenue models. This article describes these different revenue models and highlights the benefits and issues associated with each model...
  8. ncbi Applications of health risk adjustment: what can be learned from experience to date?
    D L Dunn
    Integrated Healthcare Information Services, Inc, Cambridge, MA 02138, USA
    Inquiry 35:132-47. 1998
    ..Although many operational issues need to be addressed, obstacles can be overcome and the implementation of health-based payments is a feasible objective...
  9. ncbi What does social enterprise mean for community nursing?
    Rosemary Cook
    Queen s Nursing Institute, London
    Br J Community Nurs 11:472-4. 2006
    ..Rosemary Cook takes a look at the thinking behind social enterprise, its potential role in the NHS and what is could mean for community nursing...
  10. ncbi Insuring Californians: a proposal that matters
    Rick Curtis
    Health Policy Solutions, Washington, DC, USA
    Health Aff (Millwood) 26:w92-5. 2007
    ..In this commentary we suggest some modifications to achieve a more viable plan...
  11. pmc Washington State Health Services Act: implementing comprehensive health care reform
    P D Jacobson
    RAND, Santa Monica, CA 90407, USA
    Health Care Financ Rev 16:177-96. 1995
    ..A major implementation challenge is to facilitate competition and minimize regulation...
  12. ncbi Competition in the UK National Health Service: mission impossible?
    A Maynard
    Centre for Health Economics, University of York, UK
    Health Policy 23:193-204. 1993
    ..e. increases efficiency, enhances equity and contains costs. Despite this reformers seek to create competition and complete mission impossible...
  13. ncbi Testing: can financial incentives improve performance and quality?
    Ed Rabinowitz
    AHIP Cover 48:36-8, 41-2, 44. 2007
  14. ncbi Contracting for services and limits to managed competition
    D Brookfield
    Department of Economics and Accounting, University of Liverpool
    J Manag Med 8:17-23. 1994
    ..An important consequence of this is that the complexity of hospital services and requirements will work against a wider implementation of piecemeal managed competition and will form a natural barrier to market forces in the NHS...
  15. ncbi State health reform initiatives. They're calling it managed competition
    K S Wells
    National Association for Home Care
    Caring 12:34-8. 1993
    ..Several key states have already begun pursuing reform. What are their approaches to managed competition and how are they championing the inclusion of home care and hospice?..
  16. ncbi Bridging cost & quality through patient outcome measurement
    A A Wilson
    Outcome Concept Systems, Gig Harbor, WA
    Caring 12:40-4. 1993
    ..In an environment of managed competition, statistical and graphic data about nurses' effects on patients, as documented by Outcome Concept Systems, will be invaluable support for home care...
  17. ncbi VIP interview: John D. (Jay) Rockefeller IV, United States Senator
    J D Rockefeller
    United States Senate
    Manag Care Q 2:90-1. 1994
    ..He then served four years as Secretary of State, three years as President of West Virginia Wesleyan College, and eight years as Governor of West Virginia. In 1984, he was elected to the United States Senate and was reelected in 1990...
  18. ncbi Who really wants price competition in Medicare managed care?
    L M Nichols
    Urban Institute, Washington, D C, USA
    Health Aff (Millwood) 19:30-43. 2000
    ..A public report of this story may save future market-based Medicare reforms from a similar fate...
  19. ncbi VIP interview: Alain C. Enthoven, Ph.D
    A C Enthoven
    Graduate School of Business, Stanford University
    Manag Care Q 1:87-89. 1993
    ..As a leader of the Jackson Hole Group, he favors internal market reform and employer tax incentives as the most effective means to control unnecessary medical costs...
  20. ncbi Mental health services under health reform: the less government, the better
    A R Rodriguez
    Preferred Works Value Health, Wilton, CT
    Manag Care Q 2:10-2. 1994
    ..A needlessly costly and burdensome system could evolve that will undermine the goals of improved access and quality of care...
  21. pmc Role of information in consumer selection of health plans
    F Sainfort
    Center for Health Systems Research and Analysis, University of Wisconsin Madison 53705, USA
    Health Care Financ Rev 18:31-54. 1996
    ..Results are reported showing the relationship between information and problem perception, preference structure, choice of plan, and attitude towards the decision...
  22. ncbi Solving the value equation in health care
    Stephen J Langel
    Health Aff (Millwood) 32:526. 2013
    ..In seeking to foster greater value in health care, Michael Porter and colleagues have advanced ideas for a very different delivery and payment system...
  23. ncbi Competition on outcomes and physician leadership are not enough to reform health care
    Jennifer Dixon
    King s Fund, London, England
    JAMA 298:1445-7. 2007
  24. ncbi The challenge of managed care and managed competition
    J H Sunshine
    Research Department, American College of Radiology, Reston, VA 22091
    AJR Am J Roentgenol 162:767-71. 1994
    ..We concentrate on the implications of changes for radiologists and on how radiologists can respond effectively...
  25. pmc Key issues in managed competition
    D W Shapiro
    Department of Medicine, University of California, School of Medicine, San Francisco
    West J Med 160:434-9. 1994
    ..Physicians should inform their political representatives on how these issues should be resolved as compromise bills are drafted by the United States Congress this year...
  26. pmc Consumer-oriented health care reform strategies: a review of the evidence on managed competition and consumer-directed health insurance
    Thomas C Buchmueller
    Ross School of Business, University of Michigan, Ann Arbor, MI 48109, USA
    Milbank Q 87:820-41. 2009
    ....
  27. ncbi Private health insurance: a role model for European health systems
    Christine Arentz
    Institut für Wirtschaftspolitik an der Universität zu Köln, Pohligstr 1, 50969, Cologne, Germany
    Eur J Health Econ 13:615-21. 2012
    ..We develop a market-based model for financing health care and show how it can be put into practice without generating additional costs for society while meeting social equity criteria...
  28. ncbi Government-managed healthcare. More for less or less for more?
    W A Niskanen
    Cato Institute, Washington, DC
    Postgrad Med 95:107-12. 1994
    ..Mr Niskanen elaborates on this viewpoint in the following remarks, which were originally delivered in a speech...
  29. ncbi Choosing the 'best' plan in a health insurance exchange: actuarial value tells only part of the story
    Ryan Lore
    Towers Watson
    Issue Brief (Commonw Fund) 23:1-10. 2012
    ..Actuarial value is a useful starting point for selecting a plan, but it does not pinpoint which plan will produce the best overall value for a particular person...
  30. pmc The experience of Massachusetts shows that consumers will need help in navigating insurance exchanges
    Anna D Sinaiko
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Health Aff (Millwood) 32:78-86. 2013
    ..Some may have been eligible for subsidized plans. Exchanges may need to provide more resources and decision-support tools to improve consumers' experiences in selecting a health plan...
  31. ncbi Systematic review: the evidence that publishing patient care performance data improves quality of care
    Constance H Fung
    RAND, Santa Monica, California 90407 2138, USA
    Ann Intern Med 148:111-23. 2008
    ..Previous reviews have shown inconsistent effects of publicly reported performance data on quality of care, but many new studies have become available in the 7 years since the last systematic review...
  32. ncbi Reorganizing the financial flows in American health care
    U E Reinhardt
    Princeton University
    Health Aff (Millwood) 12:172-93. 1993
    ..A reformed health system should reduce the role of business to the mere collection of premiums at the nexus of payroll...
  33. ncbi Health plan competition for Medicaid enrollees based on performance does not improve quality of care
    Bruce Guthrie
    School of Medicine, University of Dundee, Scotland
    Health Aff (Millwood) 29:1507-16. 2010
    ..Combined with some evidence of negative impact on other areas of care, the findings raise questions about the usefulness of this program in California Medicaid, and about similar programs in other states...
  34. pmc The structure of risk adjustment for private plans in Medicare
    Joseph P Newhouse
    Harvard University, 180 Longwood Ave, Boston, MA 02115, USA
    Am J Manag Care 17:e231-40. 2011
    ....
  35. ncbi Consumer assessments of care for children and adults in health plans: how do they compare?
    Chunliu Zhan
    Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
    Med Care 40:145-54. 2002
    ..This study examined how adult and child assessments differed in ranking health plans and explored whether the differences justified the additional cost and respondent burden in administering both surveys...
  36. ncbi The role of the physician and the present and emerging health care channel
    K W Westbrook
    University of Memphis, USA
    J Hosp Mark 12:1-22. 1997
    ..Propositions are offered that explain recent vertical integration. Moreover, a conceptual model of the future health care channel is offered for capitated pricing...
  37. pmc Confirmatory factor analysis of the Consumer Assessment of Health Plans Study (CAHPS) 1.0 Core Survey
    G N Marshall
    RAND, Health Sciences, 1700 Main Street, P O Box 2138, Santa Monica, California 90407 2138, USA
    Psychol Assess 13:216-29. 2001
    ..Magnitude of factor loadings and correlations among factors was essentially equivalent within a common health service sector. A higher order factor analysis revealed that rating and reports of care showed marked convergence...
  38. pmc Capitation and risk adjustment in health care financing: an international progress report
    N Rice
    University of York
    Milbank Q 79:81-113; 2 p preceding VI. 2001
    ..In practice, however, the setting of capitation payments has been heavily constrained to date by poor data availability and unsatisfactory analytic methodology...
  39. ncbi [Competition in the health care system]
    Olli Pekka Lehtonen
    TKYSLAB
    Duodecim 121:937-8. 2005
  40. ncbi A tale of four cities: Medicare reform and competitive pricing
    B Dowd
    Division of Health Services Research and Policy, University of Minnesota, USA
    Health Aff (Millwood) 19:9-29. 2000
    ..In the absence of political support, a demonstration of competitive pricing may be infeasible, and Congress could be forced to take the risky step of implementing broad Medicare reforms with very little information about their effects...
  41. pmc The health plan choices of retirees under managed competition
    T C Buchmueller
    Graduate School of Management, University of California, Irvine 92697, USA
    Health Serv Res 35:949-76. 2000
    ..To investigate the effect of price on the health insurance decisions of Medicare-eligible retirees in a managed competition setting...
  42. ncbi The iron triangle and the chrome pentagon
    R B Donker
    Global Business Network, Emeryville, CA
    Healthc Forum J 36:72-7. 1993
    ..Like the arms race, the healthcare system is built on a framework of incentives driven by fear and finance--also like the arms race, it will not admit to piecemeal reform...
  43. ncbi Effects of health savings account-eligible plans on utilization and expenditures
    Mary E Charlton
    Rural Health Resource Center, Iowa City, IA 52246, USA
    Am J Manag Care 17:79-86. 2011
    ....
  44. ncbi HMOs healthier, less abused, but fail to increase market share. Interview by Patrick Mullen
    Richard L Hamer
    Manag Care 11:42-3, 47. 2002
  45. ncbi Let's explore a truly free market, consumer driven health care system
    Mariannette Miller-Meeks
    Iowa Med 97:8. 2007
  46. ncbi [Does the cartel law affect the established sector?]
    H J Schade
    Aktuelle Urol 39:111-2. 2008
  47. ncbi [Legal framework of private health insurance with risks and benefits]
    F Beske
    Versicherungsmedizin 60:57-8. 2008
  48. pmc Unhealthy competition: consequences of health plan choice in California Medicaid
    Christopher Millett
    Division of General Internal Medicine, San Francisco General Hospital, San Francisco, CA, USA
    Am J Public Health 100:2235-40. 2010
    ..We compared the quality of care received by managed care Medicaid beneficiaries in counties with a choice of health plans and counties with no choice...
  49. ncbi Early adverse drug event signal detection within population-based health networks using sequential methods: key methodologic considerations
    Jeffrey S Brown
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Pharmacoepidemiol Drug Saf 18:226-34. 2009
    ..Our objective was to expand our previous signal detection work by investigating the effect on signal detection of alternative study specifications...
  50. ncbi Taxing cadillac health plans may produce Chevy results
    Jon Gabel
    National Opinion Research Center, Bethesda, Maryland, USA
    Health Aff (Millwood) 29:174-81. 2010
    ..1 percent of this variation. Industry type and medical costs in the region also play a role. Most variation in premiums, however, remains largely unexplained...
  51. ncbi Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, USA
    Am J Med 118:1392-400. 2005
    ..For-profit health plans now enroll the majority of Medicare beneficiaries who select managed care. Prior research has produced conflicting results about whether for-profit health plans provide lower quality of care...
  52. ncbi Paying for performance: implementing a statewide project in California
    Cheryl L Damberg
    RAND, Santa Monica, California, USA
    Qual Manag Health Care 14:66-79. 2005
  53. ncbi Should benefit to individuals outweigh good for groups?
    MargaretAnn Cross
    Manag Care 12:33. 2003
  54. ncbi Interest grows in consumer-driven health plans
    Kate Traynor
    Am J Health Syst Pharm 60:130. 2003
  55. ncbi Early detection of adverse drug events within population-based health networks: application of sequential testing methods
    Jeffrey S Brown
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    Pharmacoepidemiol Drug Saf 16:1275-84. 2007
    ....
  56. ncbi Strengths and limitations of competitive versus non-competitive models of integrated capitated fundholding
    Leonie Segal
    Health Economics Unit, Monash University, West Heidelberg, Vic, Australia
    J Health Serv Res Policy 7:S56-64. 2002
    ..Future research on this issue is clearly required...
  57. ncbi Value-based formulas for purchasing. PEHP's designated service provider program: value-based purchasing through global fees
    D W Emery
    Public Employees Health Program of Utah, Salt Lake City, USA
    Manag Care Q 5:64-72. 1997
    ..Most importantly, global fees simultaneously maximize patient choice and provider cost consciousness...
  58. ncbi Estimating health expenditure growth under managed competition. Science, simulations, and scenarios
    R H Miller
    Institute for Health and Aging, University of California, San Francisco 94109
    JAMA 273:656-62. 1995
    ..We recommend that simulation models should provide a range of estimates that better reflect both market trends and the profound uncertainty about the effects of health system reform...
  59. ncbi A specialized mental health plan for persons with severe mental illness under managed competition
    R Scheffler
    Center for Research on the Organization and Financing of Care for the Severely Mentally Ill, Western Consortium for Public Health, Berkeley, CA
    Hosp Community Psychiatry 44:937-42. 1993
    ..Alternatively, HIPCs could require the general health plan to operate or contract for MHMOs. In each case, the HIPC would provide quality-of-care oversight and assign a team to act as a gatekeeper for referrals to the MHMO...
  60. ncbi The marketplace in health care reform. The demographic limitations of managed competition
    R Kronick
    Department of Community and Family Medicine, University of California San Diego, La Jolla 92093
    N Engl J Med 328:148-52. 1993
    ..We examined the demographic features of health markets in the United States to see what proportion of the population lives in areas that might successfully support managed competition...
  61. ncbi Getting to go in managed care
    G R Wolford
    Alliant Health System, Louisville, KY
    Health Care Manage Rev 18:7-19. 1993
    ....
  62. pmc President Clinton's managed competition proposal
    T P Weil
    Bedford Health Associates Inc, Management Consultants for Health and Hospital Services, Asheville, NC 28801
    J Natl Med Assoc 85:257-63. 1993
    ....
  63. ncbi Questions and answers about managed competition
    C M Clancy
    Center for National Health Program Studies, Cambridge Hospital, MA 02139
    Int J Health Serv 23:213-8. 1993
    ..Managed Competition would empower vertically integrated corporate health care insurer/providers and disempower patients and the clinical work force...
  64. ncbi The hubris of health status measurement: a clarification of its role in the assessment of medical care
    N Goldfield
    3M Health Information Systems Inc, Department of Health Services, Boston University School of Public Health, MA, USA
    Int J Qual Health Care 8:115-23. 1996
    ..The paper then provides different suggestions for dealing with this important issue. Most notably, a community based health status assessment is recommended...
  65. ncbi Paying for efficiency: what price the quality of hospital care?
    A Shiell
    Centre for Health Economics Research and Evaluation, Westmead Hospital
    Aust J Public Health 16:294-301. 1992
    ..If managed competition is tried in Australia, the opportunity should also be taken to examine its impact on the quality and outcomes of hospital care...
  66. ncbi Managed competition: a health reform plan that "puts people first"
    C W Stenholm
    U S House of Representatives Washington, DC
    J Am Health Policy 3:15-8. 1993
    ..President-elect Clinton should use the managed competition model as a blueprint for the health plan he has promised in the first 100 days in office...
  67. ncbi Health care reform: clarifying the concepts
    A M Miller
    Ball State University, School of Nursing, Muncie, IN 47306
    J Community Health Nurs 10:199-211. 1993
    ..Reform is inevitable. The challenge for nurses is to understand reform issues and then influence policymakers to initiate reforms that make essential medical and preventive services universally available...
  68. ncbi How will changes in health insurance tax policy and employer health plan contributions affect access to health care and health care costs?
    M S Marquis
    RAND, Washington, DC 20037 1270
    JAMA 271:939-44. 1994
    ....
  69. pmc Saying goodbye to Canada's single-payer system
    C Carruthers
    Ottawa Civic Hospital
    CMAJ 152:731-3. 1995
    ..The result, says Carruthers, is that government influence is bound to diminish as the private sector tries to fill voids created by governments that are trying to live within their fiscal means...
  70. ncbi Managed competition for the poor: more promise than value?
    T P Weil
    Bedford Health Associates, Inc, Asheville, NC 28801
    J Health Care Poor Underserved 5:158-68; discussion 169-72. 1994
    ....
  71. ncbi Managed competition: a critical analysis
    A L Jackson
    Michael Reese Hospital, Chicago, IL 60616 3390
    J Health Care Poor Underserved 5:252-5. 1994
    ..A single-payer alternative presents a more viable way of reducing administrative costs and providing health insurance for all...
  72. ncbi Strategies for implementing global budgets
    J Holahan
    Urban Institute, Washington, DC 20037
    Milbank Q 72:399-429. 1994
    ..The fourth model is singled out for its ability to control costs. An independent policy toward capital expenditures could increase the likelihood of success under any of the strategies...
  73. ncbi Anticipated changes in the doctor-patient relationship in the managed care and managed competition of the Health Security Act of 1993
    J La Puma
    Department of Medicine, Lutheran General Hospital, Park Ridge, Ill
    Arch Fam Med 3:665-71. 1994
    ..Both doctors and patients want to have strong, personal, values-oriented relationships. Whether such relationships are possible under the Health Security Act remains to be seen...
  74. ncbi Healthcare reform wars. Somebody could get hurt
    R E Moffit
    Heritage Foundation, Washington, DC
    Postgrad Med 96:47-51, 55-6. 1994
    ....
  75. ncbi [Quality management between science and competition]
    H K Selbmann
    Institut für Medizinische Informationsverarbeitung, Universitat Tubingen, Deutschland
    Gynakol Geburtshilfliche Rundsch 34:139-44. 1994
    ..but the only way to a widely applied total quality management is quality-assuring activities and quality becoming factors of competition themselves...
  76. ncbi Managing the health care system under a global expenditure limit: a workshop summary
    D L Rogal
    Alpha Center, Washington, DC 20036
    Inquiry 30:318-27. 1993
    ....
  77. ncbi Managed competition that works
    P Caper
    Codman Research Group, Inc, Lebanon, NH 03766
    JAMA 269:2524-6. 1993
    ..Although this proposal is written as a national plan, trust funds could be implemented at the state level, if problems associated with portability of benefits among states could be solved...
  78. ncbi Medical group practice and President Clinton's health reform proposals
    T P Weil
    Bedford Health Associates, Inc, Asheville, NC 28801
    Med Group Manage J 40:54-66; discussion 68-9. 1993
    ..In addition, Austin Ross Jr., FACMGA, offers his many years of group practice experience through a commentary following Weil's article...
  79. ncbi Alternatives to Federal regulatory realignment of health care
    C J Kalkhof
    Group Health Inc, Buffalo, NY
    Healthc Financ Manage 48:34, 36, 38 passim. 1994
    ....
  80. ncbi Managed competition: issues for Australia
    D Scotton
    National Centre for Health Program Evaluation, Monash University, Melbourne
    Aust Health Rev 18:82-104. 1995
    ....
  81. ncbi From evolution to revolution: restructuring the New Zealand health system
    T Ashton
    School of Medicine, University of Auckland, New Zealand
    Health Care Anal 1:57-62. 1993
    ..The costs of the reform process have, however, already been high, both in financial terms and in terms of their impact on the morale of health workers...
  82. ncbi Are competing psychotherapists manageable?
    M J Bennett
    Medco Behavioral Care Systems, Burlington, MA
    Manag Care Q 2:36-42. 1994
    ..Shared accountability is proposed as an alternative to the problematic ethic of competition...
  83. ncbi Reform in Washington state
    S A Rubenstein
    Group Health Cooperative of Puget Sound, Seattle, WA 98121
    HMO Pract 8:26-9. 1994
    ..The most dramatic observation is that the pace of change is far more rapid than our organization has experienced in recent years; and that pace of change is likely to continue for years to come...
  84. ncbi Managed cooperation, not competition: a proposal for implementing national health reform
    R C Coile
    Health Forecasting Group, Santa Clarita, CA
    Front Health Serv Manage 10:3-28; discussion 43-4. 1994
    ..Structural and legal barriers to cooperation, such as antitrust and malpractice reform, should be reduced or eliminated to encourage collaborative initiatives under national health reform...
  85. ncbi What will future historians say about the Clinton health reform act
    N Goldfield
    3M Health Information Systems, Wallingford, CT
    Physician Exec 19:3-8. 1993
    ..He calls himself a skeptic, not a cynic, saying that the likelihood of meaningful change is small, given the numerous proponents of the status quo...
  86. ncbi Federal official discusses reform. Interview by Debra Mamorsky
    B C Vladeck
    Health Care Financing Administration
    J Health Care Benefits 3:37-42. 1993
    ..The administrator of the Health Care Financing Administration discusses managed competition, the cost concerns of small and large employers under such a program, and what benefits managers must do in response to health care reform...
  87. ncbi Elements of the American Health Security Act of 1993
    K Fickenscher
    Michigan State University Center for Medical Studies, Kalamazoo
    Physician Exec 19:4-16. 1993
    ..This article will examine the position of the Clinton Administration on health reform and the core elements of the reform package...
  88. ncbi Managed competition in Minnesota
    J Klein
    Minnesota Department of Employee Relations, St Paul, MN
    Manag Care Q 1:58-67. 1993
    ..The program's experience may offer insights into the potential success of managed competition in other settings...
  89. ncbi Medical technology meets managed competition
    D Durenberger
    United States Senate
    J Am Health Policy 3:23-8. 1993
    ..The federal government can provide a safety valve for specific coverage decisions and can facilitate the acquisition, evaluation, and dissemination of information on new technologies...
  90. ncbi What'll ya have?
    S J Hage
    Cedars Sinai Medical Center, Los Angeles
    Radiol Manage 15:10-2. 1993
    ..In the article, Mr. Hage describes two proposed financing approaches and tells why he thinks both of them miss the mark...
  91. ncbi Fixing the individual health insurance market
    W R Jones
    Aetna Life and Casualty
    Benefits Q 9:52-8. 1993
    ..The individual health insurance market is in crisis. Among the possible options for reform, a managed competition approach offers the broadest, most comprehensive solution...
  92. ncbi Aggressive regulator or passive price-taker: what role should HIPCs (health insurance purchasing cooperatives) play?
    E K Wicks
    Institute for Health Policy Solutions, Washington, DC
    J Am Health Policy 3:21-5. 1993
    ..Policymakers must decide whether they want a HIPC to be an aggressive regulator--using its power to force changes among health plans--or a passive price-taker that contracts with plans meeting key criteria...
  93. ncbi The opportunity to do better: lessons old and new from Germany's health system
    R A Knox
    Boston Globe
    J Am Health Policy 3:37-48. 1993
    ..New lessons, which are more concerned with operational strategies, include societal affordability, budgets, supply side restrictions, and volume controls...
  94. ncbi Managed competition
    V F Maher
    Department of Health Care Programs, Iona College, New Rochelle, NY
    Hosp Mater Manage Q 15:69-78. 1993
    ....
  95. ncbi Consumer-driven health care marketing
    R L Upton
    Browning, Dolby and Sanders Advertising Milwaukee, WI, USA
    Manag Care Q 5:25-9. 1997
    ..They understand--as does their employer--that no longer are all health care plans alike or at parity with each other. The consumer is also demanding greater access to freedom of provider choice, quality of health care coverage...
  96. ncbi Battling for national health reform
    L DiVenere
    National Association for Home Care
    Caring 12:12-20, 22, 24-6. 1993
    ..Who in Washington holds the ammunition to wage a winning war? Here is your insider's guide to the health reform leaders and their likely strategies. Be assured only that their battles will be intense...
  97. ncbi Purchasing coalitions and managed care
    T Hausner
    Office of Managed Care, Health Care Financing Administration, Rockville, MD, USA
    Manag Care Q 3:76-88. 1995
    ..This article describes the types of managed care plans used by these coalitions and their arrangements with Medicare managed care...
  98. ncbi Physician collective bargaining: all eyes are on Texas
    J L Quinn
    Vinson and Elkins L L P, Austin, Texas, USA
    J Health Law 33:141-55. 2000
    ..Notwithstanding the intention of its drafters, it is likely that the law and its proposed regulations may only provide physicians with costly and time-consuming procedures that present multiple risks instead of renewed power...

Research Grants1

  1. Coverage, Organization of Care, and Colorectal Screening
    Eric Schneider; Fiscal Year: 2004
    ..Results of this study can guide the enactment of health policies that will increase rates of colorectal cancer screening and thereby reduce the incidence of colorectal cancer and its associated morbidity and mortality. ..