Sentence examples for managed care models from inspiring English sources

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

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.

These savings are contingent upon transition of care away from hospital-based episodic care models to primary and long-term care based managed care models.

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.

When treating patients with real health problems, the managed care model is inherently inefficient and costly.

"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.

A Sept. 22 front-page article on health care at Rikers Island reflects the tensions that can result when the replacement for an obsolete health care system for New York City's jails is characterized as a managed care model.

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.

Both Medicare and Medicaid continue to evolve to a managed care model: a private payer manages a population with government funded health benefits.