A conceptual model of the effects of health care organizations on the quality of medical care

Article Abstract:

A strategy is presented for evaluating the impact of an HMO's organizational structure and how it impacts physician behavior. HMOs have traditionally hired physicians on salary or contracted with individual or group practices. However, some HMOs incorporate more than one of these models, which makes it difficult to analyze quality control indicators. Most HMOs use financial incentives to change physician behavior, but management controls, structural capabilities and the normative environment are also worthy of consideration.

Analysis, Health maintenance organizations, Organization

---

Quality of care in Medicaid managed care and commercial health plans

Article Abstract:

A study compares the quality of care within and between the Medicaid and commercial populations in three types of managed care plans. Findings indicate that Medicaid managed care enrollees receive lower-quality care than that received by commercial managed care enrollees in both Medicaid-only plans and in commercial plans that also serve Medicaid beneficiaries.

Product quality, Management dynamics, Medicaid, Administration of Public Health Programs, Company business management

---

Comparison of performance of traditional medicare vs medicare managed care

Article Abstract:

Surveys of Medicare beneficiaries in fee-for-service were conducted. Results showed that managed care plans were better for preventive care and customer service.

Science & research, Services information, Research, Services, Comparative analysis, Managed care plans (Medical care), Medicare

Similar abstracts:

• Abstracts: Effect of the transformation of the Veterans Affairs health care system on the quality of care. Future health consequences of the current decline in US household income
• Abstracts: Financial conflicts of interest and the NIH. Biomedical research and biosecurity. Conflicts of interest at the NIH - resolving the problem
• Abstracts: Placental blood as a source of hematopoietic stem cells for transplantation into unrelated recipients. Cord-blood transplants from unrelated donors in patients with Hurler's syndrome
• Abstracts: Despite the odds-providing reproductive health care to Afghan women. The battle for access-health care in Afghanistan
• Abstracts: Effects of Estrogen with and without progestin on urinary incontinence. Estrogen and dementia

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.