A nationally representative sample of 12,280 physicians was selected to investigate physician practices in 60 randomly selected communities. Multivariate analyses demonstrate that the more the physicians accept Medicare managed care patients, private or commercial insurance plans including...

Hospitals in California have argued that because of hospital competition and managed care, their costs have increased faster than their revenues. By developing a payer-specific Case Mix Index (CMI) for Medi-Cal, California's Medicaid programme, this study attempts to test the hospitals'...

Recent passage of legislation in Florida mandating the development of a statewide Medicaid managed care long-term care plan was initiated to facilitate the utilisation of home- and community-based long-term care services in place of high cost, non-skilled nursing home care. However, programme...

More than a quarter of Medicare beneficiaries are enrolled in Medicare Advantage, which was created in large part to improve the efficiency of health care delivery by promoting competition among private managed care plans. This paper explores the spillover effects of the Medicare Advantage...

This paper describes the effects of one U.S.-based public psychiatry clinic's shift to a centralized, corporate style of management, in response to pressures to cut expenditures by focusing on “evidence based” treatments. Participant observation research conducted between 2008 and 2012 for a...