Health Care Topic: Managed Care

Apr 7, 2011

A major challenge of the current system of care for adults with functional limitations is the inability of middle-income individuals to protect themselves against the financial risk of needing and accessing available supports and services to help them remain in their homes and communities. Over 10 million Americans need supports and services today due to disabling conditions, and this figure will likely grow due to population aging. In 2008, the cost of this care totaled $264 billion, comprising public, private, and in-kind expenditures.

Mar 10, 2011

Imagine that you decided to run an Accountable Car-Care Organization. The government announces that you would no longer be paid on repairs alone, but for keeping cars on the road and out of the garage.

Mar 3, 2011

National health reform legislation gave birth to accountable care organizations, which were touted as a model to promote quality and reduce costs of health care delivery, but are they “HMOs on steroids”?

Jan 11, 2011

Over the last six months, a new government in the U.K. has proposed a series of sweeping reforms for the English NHS, many of which I support, including expanding patient choice, increasing quality transparency, and increasing competition. However, the type of competition the new government wants to introduce—simultaneous price and quality competition—has me worried.

Nov 2, 2010

A recent joint project between the London School of Economics and McKinsey & Company had a powerful central finding: good hospital management leads to good patient outcomes.

Sep 9, 2010

Medicaid currently pays for half of all long-term care in the United States at a cost of more than $100 billion a year to taxpayers. As a result, state and federal budgets are collapsing under the weight of these skyrocketing expenditures

Aug 24, 2010

Given that the United States has the highest health care costs in the world relative to the size of our economy, it would be hard to argue against the utility of examining where and how our health care dollars are being spent. Finding ways to decrease the cost and burden of health care benefits both patients and the economy.

Aug 17, 2010

Care Oregon, the state’s main Medicaid managed care plan, had two choices a few years ago, after many commercial partners in the Oregon Health Plan decided to get out of the money-draining business. It could go broke. Or it could change its world.

Jul 27, 2010

Even before President Barack Obama signed the Patient Protection and Affordable Care Act (H.R. 5390) into law in March, there was much consternation among health care professionals who believed the results from health reform would negatively affect their bottom line.

Jun 22, 2010

Transitions are one of the weak points in the U.S. health care system. Poor coordination and inadequate communication around transitions is particularly pronounced in the care of frail elderly people with multiple chronic diseases—or maybe an acute illness or injury on top of a whole big bunch of chronic diseases.


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