Managed Care and Chronic Care Illness

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ISBN: 9780834208445 | 083420844X
Cover: Hardcover
Copyright: 8/1/1996

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HMOs everywhere are experiencing rapid enrollment increases and an aging of their current enrollees. Managing the care of people with chronic conditions can be challenging and resource-intensive. Packed with case studies, lessons learned, tips for success, and pitfalls to avoid, this practical reference will help you explore new ways of managing chronic conditions.

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Overview
Managed Care and Chronic Illness: An Overview
Managed Care and Chronic Care: Challenges and Opportunities
Choosing Chronic Disease Measures for HEDIS: Conceptual Framework and Review of Seven Clinical Areas
Care Management
Components of a Successful Case Management Program
Case Management: Meeting the Needs of Chronically Ill Patients in an HMO
The Role of Health Organizations in Integrating Care for Persons with Special Health Care Needs
Reorganizing Primary Care
Improving Outcomes in Chronic Illness
Kaiser Colorado's Cooperative Health Care Clinic: A Group Approach to Patient Care
Disease Management
The Community Medical Alliance: An Integrated System of Care in Greater Boston for People with Severe Disability and AIDS
A Systems Approach to Asthma Care
The Treatment of Chronic Benign Pain Syndrome in Capitated Health Care
Physician Attitudes Toward Computerized Practice Guidelines
Children With Special Needs
Enhancing Preventive and Primary Care for Children with Chronic or Disabling Conditions Served in Health Maintenance Organizations
Caring for Children with Special Needs in HMOs: The Consumer's Perspective
Mental Health
Evolution of Services for the Chronically Mentally Ill in A Managed Care Setting: A Case Study
A Medicaid Mental Health Carve-Out Program: The Massachusetts Experience
Commentary: Man in Denver, CO
Case Study: Group Health Cooperative and the Public Health System Serving Olympia, WA
Case Study: Group Health Cooperative and the Public Health Sector HMO in Portland, OR
Case Study: Reconfiguring Memphis' Public Health System for Managed Care
Case Study: The Local Health Department's Role in Milwaukee's Managed Care Market
Case Study: Privatizing a Community Hospital in Rocky Mount, NC
Case Study: Providing Public Health Services through an Integrated Delivery System in Mecklenburg County, NC
Case Study: Hospital Privatization as a Quality Improvement Strategy in Jersey
Table of Contents provided by Publisher. All Rights Reserved.

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Managed Care and Chronic Care Illness

Summary

Table of Contents

Supplemental Materials