Children and Managed Health Care: Analysis and Recommendations
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چکیده
Arevolution in health care has taken place during the past decade in the United States. The revolution was ignited by skyrocketing health care costs1 and fueled by the widespread public sentiment that the high cost of health care was the most important problem in the health care industry.2 The health insurance industry and providers responded to the public’s outcry by creating lower-cost health care insurance alternatives—managed health care plans. Managed health care is a vast array of financing and health care delivery systems that are designed to limit costs and ration health care. Employers and individuals seized the opportunity to lower their health care costs and began to buy these managed health care plans. Today, managed care plans are pervasive; 85% of all employed families and a growing number of those covered by Medicaid are in managed health care plans.3,4 By choosing managed health care, U.S. employers and consumers have changed the nation’s health care system.
منابع مشابه
Improving state Medicaid contracts and plan practices for children with special needs.
The rapid transition of state Medicaid beneficiaries into fully capitated managed care plans requires a special focus on children with chronic or disabling conditions, who often depend on numerous pediatric physicians and other specialty services for health care and related services. Because managed care arrangements for this population are growing in popularity nationwide, it is important that...
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