Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Managed care strategy

E F Maguire1

  • 1Maguire and Associates, El Cajon, CA 92019, USA.

Best Practices and Benchmarking in Healthcare : a Practical Journal for Clinical and Management Application
|January 1, 1996
PubMed
Summary

Managed care is essentially managed payment. Healthcare providers must restructure to join exclusive contracts and share in premium revenue distribution.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Band keratopathy in vitamin D intoxication; report of a case.

A.M.A. archives of ophthalmology·1954
Same author

The treatment of rheumatoid arthritis.

Journal of the American Medical Women's Association·1954
See all related articles

Area of Science:

  • Health economics
  • Healthcare management
  • Health policy

Background:

  • Managed care models are prevalent in healthcare systems.
  • These models involve complex payment structures and provider networks.
  • Understanding the operational impact on providers is crucial.

Purpose of the Study:

  • To define the true nature of managed care.
  • To analyze the requirements for healthcare provider participation.
  • To elucidate the financial implications for providers within managed care.

Main Methods:

  • Conceptual analysis of managed care principles.
  • Examination of contractual agreements in managed care.
  • Review of provider organizational requirements.

Main Results:

  • Managed care is fundamentally a payment management system.
  • Participation necessitates provider reorganization.
  • Contracts dictate equal sharing in premium dollar division.

Conclusions:

  • Healthcare providers must adapt organizationally to engage in managed care.
  • The financial structure of managed care requires provider equity in premium distribution.

Related Experiment Videos