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(HSE and the National Care Planning Project, 2006-10)The terms of reference for the academic review included consideration both of the practice instruments developed for the NCCP against national and international best practice and research, and addressed questions on their ...
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(Project HOPE, 2003-06-18)Despite widespread concern about denials of coverage by managed care organizations, little empirical information exists on the profile and outcomes of utilization review decisions. This study examines the outcomes of nearly ...
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Effect of primary care visits on the demand for specialty care in health maintenance organizations (Springer Netherlands, 2003)Health maintenance organizations (HMOs) provide low cost access to primary care physicians (PCPs) in an effort to restrict expensive specialty use. Although managed care plans hope that low cost primary care will reduce ...
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(Irish Association of Social Care Educators, 2002)This article is divided into two sections. In section one, the emergence of relative care is traced, together with the regulatory framework that has developed (Dept. of Health 1995a). A snap shot of a cohort of ninety-two ...
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(California HealthCare Foundation, 2005-06)
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(Mwc Medical World Communnications, Inc, 2002-12)Objectives: To describe the variation in practice structure, financial arrangements, and utilization and quality management systems for eye care practices with managed care contracts. Study Design: Cross-sectional survey ...
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(Sage Periodicals Press, 2000-06)This study compares expenditures for physician services in a closed panel gatekeeper health maintenance organization (HMO) and an open panel point of service HMO that share the same physician network. The study uses ...
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(Blackwell, 2001-12)OBJECTIVE: To compare expenditures for medical care in a closed-panel gatekeeper HMO and an open-panel point-of-service (POS) plan that share the same provider network. DATA SOURCE/STUDY SETTING: The two study HMOs are ...
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(Mwc Medical World Communications, Inc, 2000)Objective: To assess utilization of ambulatory visits to primary care physicians (PCPs) and to specialists in 2 different managed care models: a closed panel gatekeeper health maintenance organization (HMO) and an open ...
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(The Johns Hopkins University Press, 2006)This study examined the effects of education, income, and wealth on medical care expenditures in two Medicare managed care plans. The study also sought to elucidate the pathways through which socioeconomic status (SES) ...