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Understanding managed behavioral health care.

M A Hoge¹, N M Thakur, S Jacobs

¹Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

The Psychiatric Clinics of North America

|July 26, 2000

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Managed care, a developing force in healthcare, is understood through its history, evolution, and diverse forms. Understanding its varied dimensions is key for consumers and providers navigating its implementation.

Area of Science:

Health Services Research
Healthcare Management
Public Health Policy

Background:

Managed care evolved as a response to provider practices and public sector care management.
It represents a significant shift in healthcare delivery, acting as a 'fourth party' in transactions.

Purpose of the Study:

To provide a comprehensive understanding of managed care from historical, developmental, and dimensional perspectives.
To guide consumers and providers in interpreting managed care's varied implementations.

Main Methods:

Historical analysis of managed care's origins and evolution.
Examination of managed care as an emerging entity with distinct generational phases.
Analysis of the multifaceted dimensions characterizing managed care initiatives.

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Main Results:

Managed care is presented as a dynamic entity with a complex history.
It is characterized as an evolving 'fourth party' in healthcare, continually redefining service organization and delivery.
Significant variation exists in managed care's implementation across different regions and communities.

Conclusions:

A singular, simple definition of managed care is currently elusive due to its diverse forms and functions.
Understanding managed care requires appreciating its historical context, developmental stages, and the specific dimensions of its local application.
Further uniformity in managed care's structure and operation is needed for clearer definition and implementation.