Precision of provider licensure data for mapping member accessibility to Medicaid managed care provider networks

Managed care: provider profiling.

The Physician Payment Review Commission has examined the potential of profiling physician practice patPR. Lee and A.B. Bindman, Institute for Healty Policy Studies, University of California, San Francisco. P.R. Lee, D.W. Shapiro and R.D. Lasker, Physician Payment Review Commission. A.B. Bindman, Division of General Internal Medicine, San Francisco General Hospital. terns within the context oi c...

Use of cost data, provider experience, and clinical guidelines in the transition to managed care.

Since the 1920s health insurance has been based on the principle of controlling the risk pool with specific benefit limitations used to manage costs. Due to changes in the risk pool demographics, the increase in volume and intensity of services and the array of new technologies to subscribers, additional measures are needed. This trend, called "managed care," places an emphasis on clinical crit...

Accessibility of MOOCs: Understanding the Provider Perspective

Massive Online Open Courses (MOOCs) have become an accepted way to make learning opportunities available at large scale and with low cost to the learner. However, only if these are made accessible will they be able to offer flexibility of learning and benefits to all, irrespective of disability. Experience in providing accessible online learning at distance universities suggests that this can b...

Provider Incentive Programs: An Opportunity for Medicaid to Improve Quality at the Point of Care

Electronic - Cash Provider Electronic - Cash Provider Data

Electronic commerce is emerging as one of the main application domains on the Internet and the WWW and promises to change radically the relationship between customers, retailers and service providers. However, for this to happen, electronic commerce must become eeectively a better way of selling goods and services than the traditional channels. This requires a suitable infrastructure for develo...