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Managed care--issues and opportunities: a view from the CDC
P B Holman1, J R Harris, W K Jones
1Office of Managed Care, Centers for Disease Control and Prevention, USA.
Journal of the American Medical Women'S Association (1972)
|April 1, 1997
Summary
The US health system is undergoing major changes driven by managed care. The Centers for Disease Control and Prevention (CDC) highlights opportunities for public health promotion and prevention within these evolving healthcare structures.
Area of Science:
- Public Health
- Health Services Research
- Healthcare Management
Background:
- The US healthcare system is experiencing significant transformation.
- Managed care is a dominant concept characterizing this era of change.
Purpose of the Study:
- To present the perspective of the Centers for Disease Control and Prevention (CDC) on managed care.
- To identify issues and opportunities for prevention and community health promotion within managed care.
- To discuss the role of the CDC in collaborative projects related to managed care.
Main Methods:
- The study offers a perspective from the CDC.
- It describes collaborative projects between the CDC, public health agencies, and managed care organizations.
- It reviews prevention aspects within Healthcare Effectiveness Data and Information Set (HEDIS) 3.0.
Main Results:
- Managed care presents both challenges and opportunities for public health and prevention efforts.
- Collaboration between public health entities and managed care organizations is crucial.
- Standardized quality measures, such as HEDIS 3.0, incorporate prevention metrics.
Conclusions:
- The CDC plays a vital role in guiding prevention and health promotion within the evolving managed care landscape.
- Effective collaboration can leverage managed care to improve population health outcomes.
- Integrating prevention into quality assessment frameworks like HEDIS is essential.