Managed care penetration private sector
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16 Feb Proponents of managed care extol its potential to control costs and improve coordinated, and prudent in the use of public and private dollars.
Using a logistic regression they report a significant reduction in preventable hos- pitalizations associated with managed care penetration in the private sector.
Description:It is more challenging because managed care has evolved over time from the comparatively monolithic, prepaid group practice—based health maintenance organization HMO model to a multiplicity of organizational forms, including several variants of the HMO, preferred provider organizations PPOs , point-of-service POS plans, and various hybrid models 1. Stringent authorization procedures for use of hospital emergency departments and for certain surgical procedures were also relaxed. What is clear is that these two well-executed analyses have yielded except notably for breast cancer generally divergent findings. Increased efforts by managed care plans to compete in the United States health care marketplace also led to the adoption of other business strategies characteristic of traditional insurance.