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Palliative care has been through a difficult development process, but now has the evidence and experience base to make a contribution in the changing health environment. There has now been a great deal of experience with different types of care, and research has shown that patients strongly...
Persistent link: https://www.econbiz.de/10005448919
Patients with health insurance do not make the most cost conscious healthcare decisions since they bear only a fraction of the total cost of medical care. Managed care advocates point to financial incentives as a way to reduce wasteful resource use. However, physicians with managed care...
Persistent link: https://www.econbiz.de/10005242991
This article describes research-based principles of successful treatment interventions in individuals with co-occurring disorders. These principles are placed in the context of an integrated model of service delivery that utilises a common language or treatment philosophy that makes sense from...
Persistent link: https://www.econbiz.de/10005243013
This article exposes and corrects some of the major myths about outsourcing disease management to a specialised expert vendor. Currently, a number of health plan medical directors feel that outsourcing costs more than building internally, will not provide a return on investment, and requires a...
Persistent link: https://www.econbiz.de/10005448786
Episodes of care provide a clinically meaningful unit of analysis for measuring both the cost and quality of patient care. Many health plans are currently using episode of care grouping software in cost-focused provider profiling applications. These profiles compare the cost for one provider to...
Persistent link: https://www.econbiz.de/10005448789
Objectives: To compare the experience of one managed care organization (MCO) [Anthem Blue Cross and Blue Shield Midwest Region] to the experience of a reference group of 15 other MCOs participating in a study designed to test the usefulness of outcomes management information in developing and...
Persistent link: https://www.econbiz.de/10005448852
Increasing healthcare expenditures and other economic pressures mandate fundamental reforms of the healthcare system in Germany. The overall goal is restraint of costs while at the same time maintaining a high standard of medical care. Among all options, managed care represents a potential...
Persistent link: https://www.econbiz.de/10005404690
Rheumatoid arthritis (RA) is a prevalent condition associated with pain, joint destruction and morbidity. Direct healthcare costs are 2 to 3 times higher than average costs for individuals of similar age and gender. Furthermore, utilisation and costs rise with age and disease duration. Managed...
Persistent link: https://www.econbiz.de/10004990354
Persistent link: https://www.econbiz.de/10011005069
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