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9780787903091

Competitive Managed Care The Emerging Health Care System

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  • ISBN13:

    9780787903091

  • ISBN10:

    0787903094

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 1996-09-30
  • Publisher: Jossey-Bass
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Summary

The Emerging U.S. Health Care System The first comprehensive assessment of the new managed care and its potential for addressing the health delivery problems facing the nation. --Stephen M. Shortell, A. C. Buehler, Distinguished Professor of Health Services Management and professor of organization behavior, J. L. Kellogg Graduate School of Management, Northwestern University A distinguished group of sixteen health care experts identify and assess the challenges and opportunities raised by the U.S.'s emerging competitive health care system. This timely book looks at the managed forms of care that are thriving in today's competitive bottom line environment. A thoughtful commentary on the major trAnds in health care, this book provides a much needed resource for health care providers and government policymakers.

Author Biography

JOHN D. WILKERSON Kelly J. Devers, and Ruth S. Given collaborated on this book while they were Robert Wood Johnson Scholars in the Health Policy Research Program at the University of California, Berkeley. John D. Wilkerson is assistant professor of political science at the University of Washington, Seattle. Kelly J. Devers is an expert appointee at the Agency for Health Care Policy and Research, Center for Organization and Delivery. Ruth S. Given is director of the Department of Health Care Policy at the California Medical Association.

Table of Contents

UNDERSTANDING COMPETITIVE MANAGED CARE.
The Emerging Competitive Managed Care Marketplace (J. Wilkerson, et al.).
Perspectives and Evidence on Efficiency in Managed Care Organizations (H. Luft).
PRIVATE SECTOR INITIATIVES AND RESPONSES.
The Role of Purchasing Groups (L.Bergthold & L. Solomon).
Exercising Purchasing Power for Prevention (H. Schauffler & T. Rodriguez).
The Challenge of Measuring and Monitoring Quality (A. Bindman).
The Future of the Health Professions Under Managed Care (E. O'Neil & L. Finnocchio).
Inside the System: The Patient-Physician Relationship in the Era of Managed Care (H. Waitzkin & J. Fishman).
PUBLIC SECTOR INITIATIVES AND RESPONSES.
Ensuring Competition in the Market for HMO Services (R. Given).
State-Sponsored Health Insurance Purchasing Cooperatives: California's ""HIPC"" (T. Buchmueller).
Managing the Managed Care Revolution: States and the New Medicaid (M. Sparer).
The Challenges of Implementing Market-Based Reform for Public Clients (K. Devers).
Messing with Medicare: Markets and Politics in the 104th Congress (J. Wilkerson).
Lessons for the United States: Britain's Experience with Managed Competition (D. Light).
Conclusion: The Potential and Limits of Competitive Managed Care.

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