Managed care regulation: in the laboratory of the states
T. E. Miller
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA. Tracy Miller@smptlink.mssm.edu
In the wake of failed national health care system reform, the
responsibility of crafting public policy to respond to changes in the
health care system has fallen largely to state governments. Beginning in
1995, state policymakers focused intensively on managed care regulation,
adopting policies on a broad array of issues with important implications
for patients, physicians, and the physician-patient relationship. To a
surprising degree, the regulatory activity in diverse health care markets
across the nation has reflected a shared set of concerns about managed care
practices and trends. An evaluation of the impact of these state policies
will provide essential information about the most effective role for
government in promoting the physician-patient relationship and the rights
of patients and health care professionals in the era of managed care.
The Political Management of Managed Care: Explaining Variations in State Health Maintenance Organization Regulations
Gray et al.
Journal of Health Politics, Policy and Law 2007;32:457-495.
ABSTRACT
The Death of Managed Care: A Regulatory Autopsy
Hall
Journal of Health Politics, Policy and Law 2005;30:427-452.
ABSTRACT
The Paradoxical Politics of Provider Reempowerment
Brown and Eagan
Journal of Health Politics, Policy and Law 2004;29:1045-1072.
ABSTRACT
A Broader Vision For Managed Care, Part 3: The Scope And Determinants Of Community Benefits
Schlesinger et al.
Health Aff (Millwood) 2004;23:210-221.
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On Values and Democratic Policy Making: The Deceptively Fragile Consensus around Market-Oriented Medical Care
Schlesinger
Journal of Health Politics, Policy and Law 2002;27:889-926.
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Relationship Between Low Quality-of-Care Scores and HMOs' Subsequent Public Disclosure of Quality-of-Care Scores
McCormick et al.
JAMA 2002;288:1484-1490.
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Continuity of Care: A Reconceptualization
Donaldson
Med Care Res Rev 2001;58:255-290.
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Continuity of Care, Informed Consent, and Fiduciary Responsibilities in For-Profit Managed Care Systems
Holleman et al.
Arch Fam Med 2000;9:21-25.
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Disclosing Physician Financial Incentives
Miller and Sage
JAMA 1999;281:1424-1430.
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The Stages of Managed Care Regulation: Developing Better Rules
Noble and Brennan
Journal of Health Politics, Policy and Law 1999;24:1275-1304.
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Managed Care and Patients With Cardiovascular Disease
Fye
Circulation 1998;97:1895-1896.
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Developing Models for Pediatric Residency Training in Managed Care Settings
Devries et al.
Pediatrics 1998;101:753-761.
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