LECTURE+8+-+Managed+care

LECTURE+8+-+Managed+care - Lecture 8: Managed Care Health...

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Unformatted text preview: Lecture 8: Managed Care Health Economics 01:220:316 Prof. Derek DeLia, Ph.D. Managed care concept FFS indemnity insurance Disconnected providers, patients, & payers Inflationary Managed care Integration of HC financing & delivery Prudent payer Basic goals Cost containment Supply-side incentives Care coordination Population health (statistical measures) Brief history of managed care Prepaid health service plans 1920s Ex: Kaiser Permanente, Group Heath Coop Unpopular w/med societies HC cost inflation in 1960s, 70s, 80s New name : Health Maintenance Organization (HMO) HMO Act 1973 Loan guarantees & grants for start-ups ESI groups w/>25 enrollees had to offer an HMO option if available Federal qualification/standards Federal changes in 1980s Investor guides/conferences Rise of for-profit & regional/national HMO chains Growth in HMO membership in the U.S....
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This note was uploaded on 01/13/2011 for the course ECONOMICS 01:220:316 taught by Professor Delia during the Fall '10 term at Rutgers.

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LECTURE+8+-+Managed+care - Lecture 8: Managed Care Health...

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