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Medicare managed care
 — sinking or swimming with the tide
Author(s)Robyn I Stone, P H Niefeld, Marlene R Niefeld
Journal titleThe Journal of Long Term Home Health Care : the PRIDE Institute Journal, vol 17, no 1, Winter 1998
Pagespp 7-16
KeywordsHealth services ; Management [care] ; Costs [care] ; United States of America.
AnnotationThe major characteristics of managed care include: some form of capitation payment to plans, systems or providers; the assumption of full or partial risk by plans and/or providers; and a gatekeeping mechanism to assure delivery of the most efficient and appropriate type and level of care. This article briefly describes the history and status of Medicare managed care, and highlights changes following the Balanced Budget Act 1997 (BBA). It summarises the potential advantages and disadvantages of managed care for Medicare beneficiaries - particularly those with chronic illnesses and disability - and the extent to which these advantages and disadvantages are supported or refuted by the empirical evidence. The authors also review the position on integrating acute and long-term care within managed care. (RH).
Accession NumberCPA-981020223 A
ClassmarkL: QA: QDC: 7T

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