ライフサイエンスコーパス: managed care

1 g policy as a result of the backlash against managed care.

2 icists--to develop a statement of ethics for managed care.

3 ions about quality, and dissatisfaction with managed care.

4 he VA system than for patients in commercial managed care.

5 p to avoid a large proportion of disputes in managed care.

6 eficiaries who were and were not enrolled in managed care.

7 l disparity in vaccination is not reduced in managed care.

8 re African American and 11% were enrolled in managed care.

9 s may not be fulfilled due to pressures from managed care.

10 o substance abuse treatment after a shift to managed care.

11 ars and enrolled in Medicare FFS or Medicare managed care.

12 1994 to 7.7% in 1997, following the shift to managed care.

13 ment, collaborative care, enhanced care, and managed care.

14 f the same specific clinical competencies in managed care.

15 service medicine, and 29.3 percent preferred managed care.

16 ine their experiences in and perspectives on managed care.

17 zations can be influenced by the presence of managed care.

18 service medicine, and 20.5 percent preferred managed care.

19 atient-physician relationship as a result of managed care.

20 cost-effectiveness depend on good clinically managed care.

21 determine how best to inform patients about managed care.

22 difference in societal costs associated with managed care.

23 e critically reviewed 32 studies on Medicaid managed care (2011-2019).

24 , Diagnostic, and Treatment dental services; managed care accountability; integration of medical and

25 y enrollment rate and two measures of county managed care activity (penetration and index of competit

26 More than 99% were covered by managed care agreements.

27 Views of managed care among academic physicians and medical stude

28 viously documented negative attitudes toward managed care among academic physicians may obscure an un

29 importance of confidentiality in the era of managed care and computers.

30 arize some of the complex issues surrounding managed care and discuss the resultant changes in anesth

31 variation of health plan exit from Medicaid managed care and evaluate the relationship between healt

32 care utilization and outcomes of persons in managed care and fee-for-service after adjusting for dif

33 erican and white Medicare beneficiaries with managed care and fee-for-service insurance.

34 between patients in HMOs and those in other managed care and fee-for-service settings in rates of in

35 y to use biologic agents than those in other managed care and fee-for-service settings, primarily due

36 d other treatments among patients with RA in managed care and fee-for-service settings, with and with

37 Patients in New York State with private managed care and Medicare managed care insurance were si

38 he current and potential long-term impact of managed care and other system changes on the practice of

39 ween financial and administrative aspects of managed care and physicians' concern about the scope of

40 mics, discussing physician organizations and managed care, and a medical ethics evaluation of medical

41 o understand and exercise other rights under managed care, and discourage use of compensation methods

42 with changes in reimbursement, increases in managed care, and growth in the prescription of medicati

43 Payer mix, the penetration of managed care, and negotiated contracts as well as a numb

44 d whether the ascendancy of computerization, managed care, and the adoption of more businesslike appr

45 ed antidepressants, increased penetration of managed care, and the development of rapid and efficient

46 Negative views of managed care are widespread among medical students, resi

47 ing caused by the transition into a Medicaid managed care arrangement or Medicaid ineligibility (the

48 ted HealthCare Information Services National Managed Care Benchmark Database.

49 Managed care can have widespread effects on the health c

50 dvisory patterns using a national integrated managed care claims database from July 1999 through June

51 fter an acute hospitalization at a time when managed care companies and others increasingly hold hosp

52 5 to 64 years belonging to a large, national managed care company from January 1, 2005, to December 3

53 In the multivariate model, greater county managed care competition (IOC) was inversely related to

54 counties, and counties with higher levels of managed care competition had significantly lower enrollm

55 was Kaiser Permanente Hawaii, an integrated managed care consortium that serves approximately 15% of

56 Whether managed care could reduce racial disparities in the use

57 Many believe that managed care creates pressure on physicians to increase

58 A published managed care curriculum is reviewed as an educational ca

59 re conducted using data from a US integrated managed care database (PharMetrics claims database) from

60 tive cohort analysis using data from a large managed care database (PharMetrics, 2000-2006), patients

61 nalysis of a 1.1-million-member, integrated, managed-care database.

62 Benefits of clinically managed care depend on stable contracts and universal co

63 f patients with RA in managed care, those in managed care did not differ from those in fee-for-servic

64 therapy visits in 1999, patients with RA in managed care did not report significantly different util

65 ical competencies that are important to both managed care directors and medical educators.

66 Managed care embodies an effort by employers, the insura

67 Among Medicare managed care enrollees carrying a diagnosis of RA betwee

68 D who were commercially insured and Medicare managed care enrollees from a large, national US managed

69 However, private expenditures for managed care enrollees offset decreased Medicaid expendi

70 Medicaid managed care enrollees receive lower-quality care than t

71 Managed care enrollees reported significantly fewer prob

72 Managed care enrollees were more likely than those with

73 cedures were performed per 1000 Medicare non-managed care enrollees.

74 uality care than that received by commercial managed care enrollees.

75 ve), more fee-for-service beneficiaries than managed-care enrollees underwent angiography (46 percent

76 ollment in Medicaid or low-income subsidies, managed care enrollment, region and rurality of residenc

77 ans, is a complex statute that dominates the managed care environment.

78 to prepare physicians to work effectively in managed care environments, managed care is often perceiv

79 Managed care financing strategies that involve financial

80 In 1995, interference from managed care; government regulations, control, and red t

81 fee-for-service group and 15 percent in the managed-care group, P<0.001).

82 Medicare beneficiaries enrolled in managed care had consistently higher rates of hospice us

83 ectors, and department chairs responded that managed care had reduced the time they had available for

84 However, both VA and commercial managed care had room for improvement, especially for bl

85 Medicaid-managed care has been shown to reduce the number and len

86 Although the increase of corporate managed care has helped to reduce excesses and costs, co

87 Managed care has not caused a shift in the pattern of ca

88 The shift to Medicaid managed care has raised numerous concerns about access t

89 Managed care has strongly discouraged generalists from r

90 Managed care has the potential to transform fundamentall

91 ged care enrollees from a large, national US managed care health insurer.

92 es (derived from medical records) in a large managed care health plan.

93 beneficiaries who were enrolled in Medicare managed care health plans had data for at least 1 of the

94 Many Medicare beneficiaries enroll in managed care health plans to obtain outpatient drug bene

95 Among Medicare beneficiaries enrolled in managed care health plans, blacks received poorer qualit

96 those in fee-for-service plans and those in managed care health plans.

97 A unique model of managed care (i.e., the Oregon Health Plan) was associat

98 Parity implemented under managed care improved financial protection and different

99 e-for-service medicine was rated better than managed care in terms of access (by 80.2 percent of resp

100 section is important from the perspective of managed care in the United States and for the commission

101 The growth of managed care in the United States during the past decade

102 The proportion of respondents in managed care increased from 60% to 79% between 1994 and

103 nsurance (n = 18,905), patients with private managed care insurance (n=7169) and Medicare managed car

104 managed care insurance (n=7169) and Medicare managed care insurance (n=880) were less likely to recei

105 , we examined whether patients with Medicare managed care insurance enrolled in hospice earlier and h

106 New York State; however, the extent to which managed care insurance plans direct enrollees to the low

107 State with private managed care and Medicare managed care insurance were significantly less likely to

108 there was no difference for indemnity versus managed care insurance.

109 ly to undergo reconstruction than those with managed care insurance; however, there was no difference

110 Expansion of managed care, intensified price competition, and the int

111 Financial pressures from managed care interests, recent developments in the law,

112 Further penetration by managed care into the public insurance system or modific

113 Managed care is associated with higher rates of influenz

114 rk effectively in managed care environments, managed care is often perceived negatively by academic p

115 A central assumption underlying managed care is that plan switching is a viable option f

116 Perhaps disillusionment with managed care, loss of the traditional doctor-patient rel

117 r data indicate that residency directors and managed care medical directors value mastery of many of

118 ps," on drug benefits are common in Medicare managed care (Medicare + Choice) and have been part of s

119 s' experiences with health care for Medicare managed care (MMC) and traditional fee-for-service (FFS)

120 The collaborative managed care model for improving outcomes in depression

121 However, returning to the pre-managed care model of uncoordinated open access to speci

122 ir scope of practice, and a proliferation of managed-care models that emphasized the use of these pro

123 ntinuously enrolled in a large nationwide US managed care network and who visited an eye care profess

124 ed for more than 6 months in a nationwide US managed care network between 2001 and 2011 in communitie

125 olled for 3 or more years in a nationwide US managed care network between January 1, 2001, and Decemb

126 es aged 21 years or older in a United States managed care network during 2001-2014.

127 Nearly 60% of enrollees in this managed care network filled antibiotic prescriptions for

128 55 years who were continuously enrolled in a managed care network for at least 2 years and who had >/

129 o were continuously enrolled in a particular managed care network for at least 5 years between Januar

130 d no preexisting record of OAG in a large US managed care network from January 1, 2001, through Decem

131 th newly diagnosed diabetes enrolled in a US managed care network from January 1, 2001, through Decem

132 ctomy rates per 1000 enrollees in this large managed care network over the course of the past decade.

133 The managed care network was queried starting in 2009, and d

134 Claims data from a managed care network were analyzed to identify all enrol

135 ims data from a large national United States managed care network were reviewed to identify Asian Ame

136 G patients enrolled in a large United States managed care network were reviewed to identify glaucoma-

137 nrollees in a large nationwide United States managed care network with newly diagnosed acute conjunct

138 nrolled in Medicaid or a large United States managed care network.

139 cataracts who were enrolled in a nationwide managed-care network during the period from 2001 to 2011

140 of almost 8 million enrollees in a national managed-care network throughout the United States who ha

141 sons continuously enrolled for 11 years in a managed-care network were searched for International Cla

142 All enrollees aged >/=21 years in a US managed-care network who underwent bilateral LPIs in 200

143 T1DM or T2DM who were enrolled in a large US managed-care network.

144 ood out as a low and slow payer, but neither managed care nor Medicare had a consistent effect on fin

145 The protagonists of managed care now are in full retreat, broadening physici

146 Respondents rated their attitudes toward managed care on a 0-to-10 scale, with 0 defined as "as n

147 ad better scores than patients in commercial managed care on all process measures (for example, 93% v

148 stionnaire designed to address the impact of managed care on research and scholarly activity.

149 costs of new technologies, and the impact of managed care on the medical marketplace.

150 assessed the trends for visits covered by a managed-care or other prepaid health plan (prepaid visit

151 rospective study was done among members of a managed care organization in Minneapolis/St. Paul, Minne

152 seasons using research databases of a large managed care organization in the United States.

153 t Kaiser Permanente Hawaii, a multispecialty managed care organization serving approximately 15% of t

154 he case patients were matched to controls by managed care organization site, sex, and age at the inde

155 We searched databases at a large managed care organization to obtain complete ascertainme

156 Claims data from a large, multistate managed care organization were used to establish 4 cohor

157 Many women in a managed care organization who accepted a prescription fo

158 Patients from a managed care organization who filled > or =1 NSAID presc

159 ical records of 452 patients from a regional managed care organization with >/=3 consecutive NSAID pr

160 rom Kaiser Permanente Southern California, a managed care organization with more than 3 million membe

161 -years]), was evaluated using records from a managed care organization with nearly 20 community hospi

162 opriately vaccinated children by birth date, managed care organization, and sex.

163 Using databases from a national managed care organization, enrollees who had been prescr

164 patients with heart failure in an integrated managed care organization, low health literacy was signi

165 authorized by the primary care physician or managed care organization.

166 trols (n = 73,545) within a large integrated managed care organization.

167 at Kaiser Permanente Colorado, an integrated managed care organization.

168 isits (1996-1999) from a large Massachusetts managed care organization/multispecialty practice group

169 From a large managed-care organization, 296 adults, aged 50-92 yr, we

170 at baseline enrolled in a Pacific Northwest managed-care organization.

171 e in the relationship between themselves and managed care organizations (MCOs), including how it can

172 Using 1998 fee schedules of seven large managed care organizations (with 54.3% market share and

173 crete definition of primary care has allowed managed care organizations and payers, among others, to

174 Some managed care organizations and private health insurance

175 years of age or older who were enrolled in 2 managed care organizations and received care between Jul

176 Managed care organizations and third-party payers may re

177 care for individuals who are not covered by managed care organizations can be influenced by the pres

178 older who were continuously enrolled in the managed care organizations from 1 July 1998 to 31 July 1

179 Consecutive patients (N=27,332) from six managed care organizations in five states were screened,

180 ician visits were obtained from Medicare and managed care organizations in the Philadelphia region.

181 f significant medically attended events at 8 managed care organizations in the United States that com

182 ieties, influenza vaccine manufacturers, and managed care organizations met to assess whether current

183 Eight managed care organizations of the Vaccine Safety Datalin

184 Managed care organizations prefer putatively less expens

185 The new HEDIS measure will require managed care organizations seeking NCQA accreditation to

186 Managed care organizations should carefully evaluate whe

187 seniors (adults aged >/=65 years) from 7 US managed care organizations that participated in the Vacc

188 with the vision behind the creation of HMOs, managed care organizations that were once embraced by ph

189 ct that the new HEDIS measure will encourage managed care organizations to develop systems that impro

190 well as court decisions increasingly require managed care organizations to disclose physician financi

191 to satisfy patient demand, and pressure from managed care organizations to speed throughput.

192 the generalizability of these findings in 2 managed care organizations to the general geriatric popu

193 m 46 primary care practices in 6 nonacademic managed care organizations were enrolled in a randomized

194 fairs (VA) with that delivered in commercial managed care organizations, nor have studies focused in

195 ervice to patients, surgeons, hospitals, and managed care organizations, thereby securing the future

196 There was no overall difference between managed care organizations.

197 disorder from 46 primary care practices in 6 managed care organizations.

198 8) of primary care clinicians (N = 181) in 7 managed care organizations.

199 lure referred to a home monitoring system by managed care organizations.

200 of community-dwelling members of three large managed-care organizations who were at least 65 years ol

201 dless of their own level of involvement with managed care (P<.01).

202 After adjustment, managed care patients had higher rates of hospice enroll

203 ative intrusions or the actual percentage of managed care patients in their practice.

204 Managed care patients were less likely to enroll in hosp

205 Managed care patients were more likely to use hospice th

206 teristics, process of care, and outcomes for managed care patients who received new antidepressant pr

207 In particular, managed care payers are reducing compensation to physici

208 The relationship between managed care penetration and trial enrollment was less c

209 , physicians who practice in areas with high managed care penetration provided fewer hours of charity

210 showed that departments with medium to high managed care penetration reported more dissatisfaction i

211 ns and those who practice in areas with high managed care penetration tend to provide less charity ca

212 Counties in the lowest quartile of managed care penetration tended to have lower enrollment

213 ncology from areas with low, medium, or high managed care penetration were asked to complete a questi

214 tics, and local market factors (for example, managed care penetration); the difference in perceived a

215 tile v lowest quartile) after accounting for managed care penetration, proportion uninsured, and othe

216 ommonly by intensivists in regions with high managed care penetration.

217 There were no differences between the managed care plan and the unmanaged fee-for-service plan

218 epair with vitrectomy among a large group of managed care plan beneficiaries throughout the United St

219 rs who were enrolled in a United States (US)-managed care plan for >/=7 years between 2001 and 2012 a

220 Plan exit, defined as the withdrawal of a managed care plan from a state's Medicaid program.

221 Insurance coverage under a managed care plan had no effect on the magnitude of thes

222 Since the study was done in the context of a managed care plan in one geographic area, it could not a

223 Claims data from a large California Medicaid managed care plan that began offering teledermatology as

224 Z diagnosis for children aged <18 years in a managed care plan.

225 rom women 50 years or older enrolled in a US managed-care plan for at least 4 years in which enrollee

226 e created from a national claims database of managed care plans (1998-2005).

227 In California, managed care plans (MCPs) were providing health care to

228 pective cohort of all comprehensive Medicaid managed care plans (N = 390) during the interval 2006-20

229 e than physicians with little involvement in managed care plans (P = .01).

230 Physicians involved with managed care plans and those who practice in areas with

231 our findings raise the possibility that some managed care plans are more successful at facilitating o

232 rom a national integrated claims database of managed care plans from October 1998 to September 2005 (

233 large national integrated claims database of managed care plans from October 1998 to September 2005 (

234 ysicians to collectively negotiate fees with managed care plans has been introduced in 10 state legis

235 are for people enrolled in Medicare + Choice managed care plans is far from optimal.

236 Of the 366 comprehensive Medicaid managed care plans operating prior to 2014, 106 exited M

237 This was the case well before the rules of managed care plans required patients to align themselves

238 at least 85% of their practice revenue from managed care plans were considerably less likely to prov

239 edical care services for enrollees (Medicaid managed care plans).

240 tion of approximately 800,000 members from 4 managed care plans, we identified patients who had at le

241 the balance of power between physicians and managed care plans.

242 provided to patients who are not enrolled in managed care plans.

243 aid and commercial populations in 3 types of managed care plans: Medicaid-only plans (serving predomi

244 Since 1997, all managed-care plans administered by Medicare have reporte

245 coverage for mammography within 174 Medicare managed-care plans from 2001 through 2004.

246 f care for elderly Medicare beneficiaries in managed-care plans improved substantially from 1997 to 2

247 ten among Medicare beneficiaries enrolled in managed-care plans than among those with fee-for-service

248 rmed less frequently in patients enrolled in managed-care plans than in those with fee-for-service co

249 and black beneficiaries enrolled in Medicare managed-care plans who were eligible for at least one of

250 high overhead in their Medicare and Medicaid managed-care plans.

251 use among Medicare beneficiaries enrolled in managed-care plans.

252 However, managed care policies that emphasize primary care physic

253 glucocorticoid-associated AEs in a large US managed care population.

254 ted foreclosure among a continuously insured managed-care population of persons with type 2 diabetes

255 pressed primary care patients implemented by managed care practices can improve health outcomes 5 yea

256 As gatekeepers, especially in managed care, primary care providers have a unique respo

257 <15 years) enrolled in Tennessee's Medicaid Managed Care Program in the 4 study counties, representi

258 s in health outcomes have occurred since the managed care program was established.

259 In the Medicare managed care program, broad improvements in quality have

260 potentially duplicative funds in 2 separate managed care programs for the care of same individuals.

261 the clinical and social consequences of such managed care programs.

262 with implementation or redesign of Medicaid managed-care programs.

263 Fear about managed care rather than its actual effect was the domin

264 s had a mean of greater than 10% of Medicaid managed care recipients enrolled in plans that exited, w

265 p of stakeholders--patients, physicians, and managed care representatives, along with medical ethicis

266 0%) household survey respondents, 51 (23.4%) managed care respondents, and 173 (57.7%) NYU Langone re

267 Radiologists' perceptions of managed care's effect on their practice had more influen

268 In a managed care setting with salaried physicians, endoscopi

269 of these guidelines in high-risk women in a managed care setting.

270 ith generalized social anxiety disorder in a managed care setting.

271 y to use biologic agents than those in other managed care settings (difference of -6.6%; 95% confiden

272 5%; 95% CI -19.0%, -5.9%); patients in other managed care settings and fee-for-service did not differ

273 ignificantly less likely than those in other managed care settings to initiate the use of biologic ag

274 ors, and corticosteroids than those in other managed care settings; they were also less likely to use

275 Despite condition-specific and managed care-specific reports, no systematic program has

276 Managed care status in 1994, and change in managed care status between 1994 and 1999, were not asso

277 Managed care status in 1994, and change in managed care

278 te the impact of health insurance status and managed care status on the health care expenditures of t

279 003 household survey [n = 119] and 2004-2005 managed care subscriber survey [n = 218]) who completed

280 sons who were enrolled in one large regional managed care system and treated for AF during calendar y

281 s in a geographically dispersed 280-hospital managed-care system from 2005 to 2014 were reviewed.

282 primary care physicians as "gatekeepers" in managed care systems.

283 Twenty-six specific clinical managed care tasks were identified by the residency dire

284 iews office economics, this year focusing on managed care, the physician workforce, practice manageme

285 wth in the proportion of patients with RA in managed care, those in managed care did not differ from

286 The act also restricts the use of managed care tools that apply to behavioral health benef

287 Residents who participated in managed care training were significantly more confident

288 Managed care uses financial incentives and restrictions

289 fferences in readmission rates were seen for managed care versus fee-for-service or capitated versus

290 extensively on self-pay patients, had fewer managed-care visits, and prescribed medications in fewer

291 uartile range) length of stay was longer for managed care vs FFS patients (32 days [11-82] vs 25 days

292 Hospice enrollment and length of stay among managed care vs FFS patients differed significantly by r

293 rvice was 24.9% (95% CI, 19.6%-30.1%) and in managed care was 18.6% (95% CI, 9.8%-27.4%).

294 Managed care was associated with a tendency toward reduc

295 Our data suggest that managed care was better at delivering preventive service

296 the message they delivered to students about managed care was negative.

297 Professional liability costs and managed care were both considered important contributing

298 as possible." The expressed attitudes toward managed care were negative, ranging from a low mean (+/-

299 Changes in exposure to managed care were weakly related to changes in satisfact

300 The changes in the sources of payment and managed care will directly affect the economics of a phy