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Managed care--present day challenges and a working model for future consideration.

Tina Tisdale1, Aaron Liberman

  • 1Aon Consulting, Winston-Salem, North Carolina, USA.

The Health Care Manager
|February 13, 2004
PubMed
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Managed care is growing, increasing the uninsured. This paper reviews current health coverage options and examines Hawaii

Area of Science:

  • Health Services Research
  • Health Policy Analysis

Background:

  • Managed care is a dominant health coverage model in the US.
  • There is a concurrent rise in uninsured and underinsured populations.
  • This necessitates cost-effective and efficient healthcare reimbursement strategies.

Purpose of the Study:

  • To summarize current health insurance coverage options.
  • To analyze Hawaii's universal health insurance program as a future model.
  • To explore efficient reimbursement strategies in healthcare.

Main Methods:

  • Literature review of health coverage types.
  • Analysis of Hawaii's healthcare system structure and outcomes.
  • Comparative assessment of reimbursement strategies.

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Main Results:

  • Managed care presents challenges for workforce coverage.
  • Hawaii's system offers a unique universal coverage approach.
  • Current strategies require adaptation for future efficiency.

Conclusions:

  • Healthcare reimbursement strategies must evolve with coverage changes.
  • Hawaii's universal health insurance model warrants further investigation.
  • Cost-effective solutions are crucial for future healthcare access.