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Managed care's move to rural areas.

P L Grimaldi1

  • 1Birch & Davis Health Management Corp., Silver Spring, Md., USA.

Nursing Management
|June 22, 1999
PubMed
Summary

Rural providers are developing their own managed care plans as Medicare, Medicaid, and commercial insurers expand into rural areas. This shift reflects a response to increasing managed care penetration in underserved regions.

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Area of Science:

  • Health Services Research
  • Rural Health Policy

Background:

  • Managed care organizations (MCOs) from Medicare, Medicaid, and commercial sectors are expanding into rural regions.
  • This expansion presents challenges and opportunities for rural healthcare providers.

Purpose of the Study:

  • To examine the trend of rural healthcare providers initiating their own managed care plans.
  • To understand the drivers behind this strategic response to external managed care pressures.

Main Methods:

  • Analysis of healthcare policy trends in rural areas.
  • Review of provider-sponsored managed care initiatives.

Main Results:

  • Rural providers are actively forming their own managed care entities.
  • This proactive approach is a direct response to the growing presence of external MCOs.

Conclusions:

  • Provider-sponsored managed care in rural areas is an emerging strategy.
  • This trend indicates a move towards local control and adaptation within rural healthcare systems.

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