How Mco Medical Directors See the System
ثبت نشده
چکیده
In this chapter, we describe and interpret our interviews with representatives of nine managed care organizations. We begin by providing background on how the managed care organizations were selected and recruited to participate, and the issues addressed in the interviews. We then report and interpret their experiences with emerging medical technologies. As with manufacturers, the discussion is somewhat general in order to avoid inadvertently revealing the identity of any participating managed care organization. Despite this limitation, we believe we convey various ways that MCOs handle emerging technologies.
منابع مشابه
Specific clinical competencies for managing care: views of residency directors and managed care medical directors.
CONTEXT Although medical educators recognize the need to prepare physicians to work effectively in managed care environments, managed care is often perceived negatively by academic physicians. Curricular reform has been hampered by a failure to seek agreement about specific clinical competencies that are important to both managed care directors and medical educators. OBJECTIVES To identify sp...
متن کاملMedicaid Managed Care: Compensation of Medicaid Directors and Managed Care Organization Executives in Selected States in 2015
In fiscal year 2017, Medicaid is projected to finance the health care coverage for an estimated 74 million beneficiaries with estimated expenditures of $596 billion.1 State Medicaid directors oversee the day-to-day operations of their state Medicaid programs, and are responsible for a wide array of activities including benefit and payment determinations; procurement of services; and processing ...
متن کاملMedicaid managed care and health care access for adult beneficiaries with disabilities.
OBJECTIVE To evaluate the impact of Medicaid managed care organizations (MCO) on health care access for adults with disabilities (AWDs). DATA SOURCES Mandatory and voluntary enrollment data for AWDs in Medicaid MCOs in each county were merged with the Medical Expenditure Panel Survey and the Area Resource File for 1996-2004. STUDY DESIGN I use logit regression and two evaluation perspective...
متن کاملInterpretation of the contraindications to whooping cough vaccination.
The official recommendations on the contraindications to whooping cough immunisation are currently couched in general terms. The results of a simple inquiry made to directors of public health laboratories, general paediatriciains, paediatric neurologists, medical officers, general practitioners, and health visitors to see how they would interpret the contraindications in certain specific cases ...
متن کاملGood research practices for measuring drug costs in cost-effectiveness analyses: a managed care perspective: the ISPOR Drug Cost Task Force report--Part III.
OBJECTIVES The objective of this report is to provide guidance and recommendations on how drug costs should be measured for cost-effectiveness analyses conducted from the perspective of a managed care organization (MCO). METHODS The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Task Force on Good Research Practices-Use of Drug Costs for Cost Effectiveness Analysis ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2000