Managed Care and The Treatment of Chronic Illness

This book provides a comprehensive overview and analysis of the current thinking on managed care, exploring the issues related to treating chronic illness in Managed Care Organizations; chronic care in MCOs versus that provided under traditional insurance arrangements; specific programs MCOs have develped and there effectiveness; and futre avenues for development and research. INDICE: Foreword - E. WagnerPreface1. Introduction Defining Chronic Illness Defining Managed Care/Managed Care Organizations Organizing the Literature Review and Synthesis Searching for Relevant Literature Appendiz: Description of Illnessq2. Chronic Illness and Managed Care: What Are the Issues? People With Chronic Illness The Shift to Managed Care Early Concerns Current Debate Research Issues3. Individuals With Chronic Illness: MCO Versus Fee-for-Service Comparisons Discussion4. The Prevalence of Chronic Illness Management Programs in Managed Care Organizations Background Small-Scale Studies The Wagner et al. Study The InterStudy Survey Vendor Products and Chronic Illness Carve-Outs Vendor Products for Use With Multiple Diseases Vendor Products for Specific Chronic Illness Discussion5. Use of Administrative and Medical Records Data by MCOs for Chronic Illness Management Benchmarking Assessment of Quality of Care Identification of Opportunities for Improvement Profiling of Clinics and Providers Characterization of High-Risk Patients Simulation of Disease Management Interventions Summary6. The Effectiveness of Targeted Initiatives in Treating Chronic Illnesses Some Definitions Criteria for Study Selection Overview of Review Process Diabetes Asthma Congestive Heart Failure Cardiovascular Disease Arthritis Overall Summary and Conclusions Appendix A Appendix B Appendix C Appendix D Appendix E7. Conclusions and Future Research Directions Observations on Existing Research Research Challenges for the FutureIndexAbout the Authors

• ISBN: 978-0-7619-1968-1
• Editorial: SAGE Publications, Inc
• Encuadernacion: Rústica
• Páginas: 256
• Fecha Publicación:
• Nº Volúmenes: 1
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