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Managed care in Iowa. A difficult transition

C McMahon

    Iowa Medicine : Journal of the Iowa Medical Society
    |September 1, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Iowa

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    Area of Science:

    • Health Services Research
    • Public Health Policy

    Background:

    • Medco Behavioral Care assumed management of mental health services for Iowa's Title 19 population on March 1.
    • This transition marks Iowa's initial large-scale implementation of managed behavioral healthcare.

    Purpose of the Study:

    • To evaluate the implications of managed care implementation for mental health services in Iowa.
    • To assess the stated goals of improved access and cost savings against provider and patient advocate concerns.

    Main Methods:

    • Qualitative assessment of stakeholder concerns.
    • Analysis of state-provided rationale for managed care adoption.

    Main Results:

    • The state anticipates enhanced access and cost efficiencies through Medco's management.

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  • Significant apprehension exists among providers and patient advocates regarding the managed care model.

    • Conclusions:

    • The introduction of managed behavioral healthcare in Iowa presents a critical juncture.
    • Balancing state objectives with stakeholder concerns is paramount for successful implementation and patient welfare.