Sentence examples for managed care model from inspiring English sources

"Churning might be the single biggest obstacle to making the managed care model work for Medicaid," said Kathryn Haslanger, vice president of the United Hospital Fund and author of the report, who has written extensively on the health care system.

The Texas Health and Human Services Commission (HHSC) administers Medicaid using both a managed care model consisting of twenty-seven (27) managed care organizations (MCOs) and a fee-for-service (FFS) program.

A decade ago, only a few states operated programs offering LTSS under a managed care model.

Available population characteristics included gender, age, language area and type of insurance coverage (managed care model, deductible class).

During the late 1980s and 1990s, pharmaceutical companies and health professionals were impacted by the managed care model of containing costs.

The managed care model was associated with lower inpatient, but higher outpatient costs and a higher number of consultations, especially in primary care physicians.

But some veterinarians warn their colleagues not to give in to the temptation of performing unnecessary procedures or prescribing unneeded medication, fearing that such abuses will lead pet insurance companies to adopt managed care models.

Over the next three years, New York State plans to shift 70,000 to 80,000 people who need more than 120 days of Medicaid-reimbursed long-term care services and are not in nursing homes into managed care models, Mr. Helgerson said.

Such plans differ from fee-for-service and managed care models in terms of the economic alignment of the parties.

Indeed, cutbacks in long-term care occurred in the private treatment system when managed care models became prevalent in the 1990s (National Association of State Alcohol and Drug Abuse Directors [NASADAD] 2010).

1. Transition in financing: As health and human service nonprofits across the country undergo a transition from fee-for-service to managed care models of funding for direct services, they will need to think strategically about business development, marketing and accountability.