Clarifies for executives many of the aspects of the growing method of delivering health care. The topics include developing structures for effective managed care contracting, understanding the backlash against managed care, anticipating the future, monitoring access, and managing information. There is no index.

Foreword

vii

John A. Russell

Part I Managed Care/Health System Overview

Introduction

1

(2)

Working Toward an Ideal System

3

(22)

Stephen M. Shortell

Robin R. Gillies

David A. Anderson

Karen Morgan Erickson

John B. Mitchell

The Health Services Delivery System: Managed Care

25

(30)

Phoebe Lindsey Barton

Managed Care Mythology: Supply-Side Dreams Die Hard

55

(10)

Jeff C. Goldsmith

Michael Goran

Managing Risks in Managed Care

65

(22)

Kyle L. Grazier

Part II Operations

Introduction

85

(2)

How HMOs Structure Primary Care Delivery

87

(16)

Suzanne Felt-Lisk

Taking the Step Toward Capitation Payment in Managed Care Contracts

103

(18)

Douglas Conrad

Robert Bonney

Michael Sachs

Robert Smith

Developing Structures for Effective Managed Care Contracting

121

(22)

Douglas Conrad

Robert Bonney

Michael Sachs

Robert Smith

Information Systems: Managed Care Applications

143

(18)

Brian T. Malec

Marketing and Managed Care

161

(8)

Arthur C. Sturm, Jr.

Using consumer Satisfaction Surveys to Asses Quality of Care: Current Practices and Issues

169

(26)

Marsha Gold

Judith Wooldridge

Can Ethical Management and Managed Care Coexist?

195

(14)

Leonard H. Friedman

Grant T. Savage

Part III Effects

Introduction

207

(2)

Understanding the Managed Care Backlash

209

(16)

Robert J. Blendon

Mollyann Brodie

John M. Benson

Drew E. Altman

Larry Levitt

Tina Hoff

Larry Hugick

Assessing the Effect of Increased Managed Care on Hospitals

225

(12)

Charles A. Mowll

Shifting the Paradigm: Monitoring Access in Medicare Managed Care

237

(24)

Elizabeth R. Docteur

David C. Colby

Marsha Gold

Part IV Future Models

Introduction

259

(2)

The Sixth Stage of Managed Care: New Models for the Post-Reform Ear

261

(20)

Russell C. Coile, Jr.

Managed Care: The Next Generation

281

(22)

Michael Sachs

The Future of Managed Care Organization

303

James C. Robinson

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