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Managed care and public health.
F D Scutchfield1, J R Harris, J P Koplan
1University of Kentucky Division of Health Services Management, Lexington, USA.
Journal of Public Health Management and Practice : JPHMP
|December 8, 1997
Summary
Public health and managed care organizations can improve population health through collaboration. Exploring their relationships in preventive services and core public health functions reveals significant potential for joint efforts.
Area of Science:
- Public Health
- Healthcare Management
- Health Services Research
Background:
- Managed care organizations (MCOs) and public health entities both aim to improve population health.
- Existing collaborations between MCOs and public health are not fully realized.
- Synergies exist across various public health domains.
Purpose of the Study:
- To explore the current and potential relationships between MCOs and public health.
- To identify areas for collaboration to enhance population health outcomes.
- To examine the intersection of MCOs with clinical preventive services, policy, and core public health functions.
Main Methods:
- Literature review of existing partnerships and potential synergies.
- Analysis of core public health functions (e.g., health information, education, workforce, research, partnerships, evaluation).
- Examination of MCO involvement in preventive services and policy.
Main Results:
- Significant overlap exists between MCO objectives and public health functions.
- Potential for enhanced collaboration in areas like disease prevention, health education, and data sharing.
- MCOs can leverage public health infrastructure and expertise, and vice versa.
Conclusions:
- Collaboration between MCOs and public health offers substantial opportunities to improve population health.
- Strategic partnerships can optimize resource allocation and service delivery.
- Joint efforts are crucial for addressing complex health challenges and achieving better health outcomes.