Synonyms
Definition
“Managed care” does not have a precise definition. In general, it refers to techniques intended to reduce costs and improve the quality outcomes. It also reflects systems of financing and delivering care. Most often multiple providers use a systematic approach to the delivery of healthcare. The providers and the patients they manage defines group health. Group health insurance provides members of a group at a discounted rate medical insurance. Managed care systems may be mandated by governmental agencies or be established spontaneously by groups of physicians or health insurance companies. Sometimes, the providers accept financial risk for the costs associated with medical care. However, fee-for-servicemedical treatment can also be provided according to a managed care plan. The key feature of managed care is that a set of guidelines is established to determine how certain medical conditions will be treated. Thus, a...
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References
Cheadle, A., Wickizer, T. M., Franklin, G., et al. (1999). Evaluation of the Washington state workers’ compensation managed care pilot project II. Medical Care, 37, 982–993.
Dembe, A. E. (1998). Evaluating the impact of managed health care in workers’ compensation. Occupational Medicine, 13, 787–798.
Ducatman, A. M. (1987). The inevitable growth of workers’ compensation costs. In Workers compensation best’s review (pp. 50–52, 79–80). Oldwick: AM Best Company.
Feldstein, A., & Breen, V. (1998). Prevention of work-related disability. American Journal of Preventive Medicine, 14(3S), 33–39.
Greenberg, E. L., & Leopold, R. (1998). Performance measurement in workers’ compensation managed care organizations. Occupational Medicine, 13, 755–772.
Johnson, W. G., Baldwin, M. L., & Burton, J. F., Jr. (1996). Why is the treatment of work-related injuries so costly? New evidence from California. Inquiry, 33, 53–65.
Loeser, J. D., Henderlite, S. E., & Conrad, D. A. (1995). Incentive effects of workers’ compensation benefits: A literature synthesis. Medical Care Research and Review, 52, 34–59.
Managed care for workers’ compensation up 150 %, new survey finds (pp. 181–182). (1993). BNA’s workers’ compensation report. Washington, DC: The Bureau of National Affairs.
Prevalence of work disability-United States. (1990). MMWR, 42(39).
Robinson, J. C. (1998). The rising long term trend in occupational injury rates. American Journal of Public Health, 78, 276–281.
Worker’s compensation costs. (1992). Medical benefits, 1–2 Sept. New York: Panel Publishers.
Workers Comp Res Inst. (1997). Managed care and medical cost containment in workers’ compensation: A national inventory, 1997–1998 (Rep WC-97-6). Cambridge, MA: Workers Comp Res Inst.
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McCarberg, B. (2013). Disability Management in Managed Care System. In: Gebhart, G.F., Schmidt, R.F. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28753-4_1131
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DOI: https://doi.org/10.1007/978-3-642-28753-4_1131
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