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Articles 1 - 8 of 8
Full-Text Articles in Health Policy
The Americans With Disabilities Act: Implications For Managed Care For Persons With Mental Illness And Addiction Disorders, Sara J. Rosenbaum, Joel B. Teitelbaum, Robert Silverstein
The Americans With Disabilities Act: Implications For Managed Care For Persons With Mental Illness And Addiction Disorders, Sara J. Rosenbaum, Joel B. Teitelbaum, Robert Silverstein
Health Policy and Management Issue Briefs
This Issue Brief, prepared for the Substance Abuse and Mental Health Services Administration, examines the Americans with Disabilities Act ("the ADA") and its application to managed care. The ADA provides important protections for persons with disabilities who are members of managed care arrangements, regardless of whether their membership is sponsored by an employer, Medicare, or Medicaid or is purchased privately. The interaction between the ADA and managed care is complex, and different issues can arise under publicly and privately sponsored plans.
Sub-State Purchasing Of Managed Behavioral Health Care: An Analysis Of County-Level Managed Care Contracts, Joel B. Teitelbaum, D. Richard Mauery, Sara J. Rosenbaum
Sub-State Purchasing Of Managed Behavioral Health Care: An Analysis Of County-Level Managed Care Contracts, Joel B. Teitelbaum, D. Richard Mauery, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
For this study, SAMHSA asked us to analyze county-level managed health care contracts that include behavioral health services. SAMHSA has indicated that sub-state entities, particularly counties, are beginning to explore the feasibility of contracting with managed care organizations, both to control costs and to improve coordination of services for the mental health or substance abuse systems they manage. In commissioning these various contract studies, SAMHSA was primarily interested in tracking the development of these new types of managed behavioral health care procurements and contracting practices, as well as determining whether there were exemplary commercial behavioral health provisions that could be …
Groping For Autonomy: The Federal Government And American Hospitals, Robert B. Hackey
Groping For Autonomy: The Federal Government And American Hospitals, Robert B. Hackey
Health Policy & Management Faculty Publications
This article chronicles the slow but steady emergence of countervailing power in the hospital industry since mid-century. The transformation of American health care policymaking reflects the federal government's growing fiscal obligations as the single largest purchaser of health care. As John Kenneth Galbraith [1956,113] notes, "Power on one side of a market creates both the need for, and the prospect of reward to, the exercise of countervailing power from the other side." The federal government's effort to exercise countervailing power over health care providers shows no sign of abating in the future, for Medicare and Medicaid costs threaten the stability …
An Analysis Of Implementation Issues Relating To Chip Cost-Sharing Provisions For Certain Targeted Low Income Children, Sara J. Rosenbaum, Anne Rossier Markus, Dylan Roby
An Analysis Of Implementation Issues Relating To Chip Cost-Sharing Provisions For Certain Targeted Low Income Children, Sara J. Rosenbaum, Anne Rossier Markus, Dylan Roby
Health Policy and Management Issue Briefs
This analysis, prepared for the Health Care Financing Administration and the Health Resources and Services Administration, examines issues that arise under laws designed to avert excessive cost-sharing in the case of low income families whose children participate in the State Children’s Health Insurance Program (CHIP). High cost-sharing has been shown to significantly affect children’s participation in insurance programs, as well as their utilization of health services. As a result, the Federal CHIP legislation, while permitting cost-sharing under certain circumstances, also places limitations on the total amount of cost-sharing to which families can be exposed for services covered by State CHIP …
Cultural Competence In Medicaid Managed Care Purchasing: General And Behavioral Health Services For Persons With Mental And Addiction-Related Illnesses And Disorders, Sara J. Rosenbaum, Joel B. Teitelbaum
Cultural Competence In Medicaid Managed Care Purchasing: General And Behavioral Health Services For Persons With Mental And Addiction-Related Illnesses And Disorders, Sara J. Rosenbaum, Joel B. Teitelbaum
Health Policy and Management Issue Briefs
This Issue Brief explores cultural competence. Employing the data base from the large-scale Medicaid contract analysis conducted annually by the Center for Health Services Research and Policy (CHSRP) (now CHPR), we examine the approaches that state agencies take in implementing the concept of cultural competence in the design and implementation of their managed care systems.
Diversion As A Work-Oriented Welfare Reform Strategy And Its Effect On Access To Medicaid: An Examination Of The Experiences Of Five Local Communities, Kathleen A. Maloy, Ladonna A. Pavetti, Julie S. Darnell, Peter Shin
Diversion As A Work-Oriented Welfare Reform Strategy And Its Effect On Access To Medicaid: An Examination Of The Experiences Of Five Local Communities, Kathleen A. Maloy, Ladonna A. Pavetti, Julie S. Darnell, Peter Shin
Center for Health Policy Research
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) ended the individual entitlement to welfare benefits and gave states new flexibility to emphasize work instead welfare. PRWORA also severed the traditional eligibility link between Medicaid and welfare. This research examined the emergence of diversion programs as a particular aspect of state welfare reform efforts and the potential for diversion programs to reduce access to Medicaid. In this second of two reports, we present the results of case studies in five states.
The Continuing Decline In Medicaid Coverage, Leighton Ku, Brian K. Bruen
The Continuing Decline In Medicaid Coverage, Leighton Ku, Brian K. Bruen
Health Policy and Management Faculty Publications
No abstract provided.
Health Care Delivery And Financing : In Search Of An Ideal Model - Reflections On The Harvard Report, Lok Sang Ho
Health Care Delivery And Financing : In Search Of An Ideal Model - Reflections On The Harvard Report, Lok Sang Ho
Centre for Public Policy Studies : CPPS Working Paper Series
There are three models of health care delivery and financing: the market model, the professional model, and the bureaucracy-dominated model. The Hospital Authority in Hong Kong is essentially a professional model, but it is supplemented by the bureaucracy-dominated model (the Department of Health) and private suppliers. The Harvard consultants see such a system as fragmented and inefficient but their proposals place too much emphasis on the market and have ignored the peculiar nature of the health care market. Although some of the principles that they espouse, such as protection against excessive burden and prevention of moral hazard, are good and …