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Nov 1, 1999 · The “managed care revolution of the 1990s” achieved an important, if temporary, success. It stabilized health insurance premiums and National Health Expenditures (NHE) as a percent of GDP for 5 or 6 years. But it now appears to be failing.
Aug 23, 2021 · These twin defects in the ACO proposal — a wrong diagnosis along with a poorly defined and evidence-free prescription — have plagued the managed care experiment since health maintenance ...
Feb 7, 2024 · A pair of health insurer lawsuits have rekindled debate on whether to repair or replace a flawed bonus payment program for Medicare managed care plans. Private Medicare Advantage insurers received an estimated $16 billion in quality bonus payments in 2023, according to the Medicare Payment Advisory Commission.
- tpugh@bloombergindustry.com
- Senior Reporter
We conclude that the backlash is real and influenced by at least two principal factors: (1) A significant proportion of Americans report problems with managed care plans; and (2) the public...
- Robert J. Blendon, Mollyann Brodie, John M. Benson, Drew E. Altman, Larry Levitt, Tina Hoff, Larry H...
- 1998
ABSTRACT: We analyzed evidence on managed care plan (mostly health maintenance organization, or HMO) performance from thirty-seven recently published peer-reviewed studies.
- Robert H. Miller, Harold S. Luft
- 1997
Aug 15, 2023 · This post examines the recent DOJ settlement, analyzes the trend towards enforcement of provider-owned managed care plans, and offers a prediction on what might be coming on the enforcement side. The Black-and-White Issue: Unsupported Diagnosis Codes.
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Mar 17, 2005 · During the 1980s and 90s, managed care expanded rapidly in the United States. In private health insurance, a major shift occurred from traditional indemnity insurance to managed care plans in many markets.