Managed care comes of age.

Evaluation of managed health care in contagious and non-contagious diseases in Golestan province, northern Iran during 2016

Background and Objective: Managed health care is one of the main components of universal health care systems, which recently has drawn more attentions. Therefore, based on the high costs of health system, poor quality of services, reduce efficiency, it is necessary to study and design a model to distinguish managed form unmanaged systems in Iran. This study was done to evaluate the managed heal...

Iranian Journal of Basic Medical Sciences comes of age on the 20th anniversary of publication

Designing a managed care model for emerging respiratory infectious diseases in the Iranian health care system

Background and Aim: The purpose of this study is to design a model of managed care for emerging respiratory infectious diseases in the Iranian health care system in 1399. Methods: To achieve this goal, first the effective factors and indicators affecting the managed care model for emerging respiratory infectious diseases are identified based on content analysis technique and then these factors...

How does managed care do it?

Integrating the health services and insurance industries, as health maintenance organizations (HMOs) do, could lower expenditure by reducing either the quantity of services or unit price or both. We compare the treatment of heart disease in HMOs and traditional insurance plans using two datasets from Massachusetts. The nature of these health problems should minimize selection. HMOs have 30% t...

Medicaid Managed Care and Working-Age Beneficiaries with Disabilities and Chronic Illnesses

Even after a decade of study, there are still many questions about how working-age adults with disabilities or chronic illnesses are faring in Medicaid managed care. This article draws from recent research to examine two critical issues: the need for better outcome measures specific to this population and the importance of evaluations that accurately estimate program effects, despite continued ...