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Research Guides > Managed Care |
| Managed Care |
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"Managed care" refers to systems that manage healthcare delivery, utilization and costs, such as health insurance programs. Below are suggested print and electronic works for topics concerning
managed care. See also the following research guides :
Books
| Call
Number Ranges |
| Managed Care Programs |
W
130
-or-
W 275 |
| Delivery
of Health Care |
| Health
Benefit Plans |
Starting Points:
- A guide to managed care medicine
5th Floor W 130 P895 2000
- Essentials of managed health care
Reserve W 130 AA1 E7 2001
- Evidence-based health economics : from effectiveness
to efficiency
Info Desk W 74 E93 2002
- Health care economics
Reserve W 74 F312h 2005
- Jonas & Kovner's health care delivery in the United States
Reference W 84 AA1 J68 2005
- Managing managed care in the medical practice
5th floor W 130 AA1 M2656 2004
- Medicare matters : what geriatric medicine can teach American health care
5th Floor WT 31 C344m 2005
- Managing managed care in the medical practice
5th floor W 130 AA1 M2656 2004
- Strangers in the night: law and medicine in the
managed care era
5th floor W 130 AA1 J17s 2002
- Using cost-effectiveness analysis to improve health
care : opportunities and barriers
5th floor W 17 N48 2005
Databases
- HealthSTAR
Contains citations to the published literature on health services, technology,
administration, and research. Topics include: evaluation of patient outcomes;
health insurance; health policy; health services research; health economics
and financial management; laws and regulation;and quality assurance.
- MEDLINE
Suggested Medical Subject Headings (MeSH):Managed
Care Programs; Health Maintenance Organizations; Health Benefit
Plans, Employee; Preferred Provider Organizations; Patient-Centered
Care; Group Practice; Marketing of Health Services; Delivery
of Health Care; Utilization Review; Diagnosis-Related Group.
- Web of Knowledge
Institute for Scientific Information (ISI)
Provides retrospective access with cited references from articles covered from 1974 in: Arts & Humanities Index, Science Citation Index, Social Sciences Citation Index.
Journals
Starting Points:
The following journals may be available
in full-text. Search the Tufts catalog and Tufts Serial Solutions for full-text availability.
Websites
Government
Federal
- AHRQ
Research on Managed Care
Agency for Health Care Policy and Research
Describes recent research projects supported by AHCPR, in
conjunction with other agencies in the Department of Health
and Human Services, or conducted by AHCPR researchers.
- Centers for Medicare
& Medicaid Services
U.S. agency reponsible for the following programs:Medicare,
Medicaid, State Children's Health Insurance Program (SCHIP),
HIPAA, and CLIA.
- Centers for Medicaid and Medicare Services (CMS) Data and Statistics
Includes national health care indicators and expenditures (aggregate national health care spending); Medicare enrollment (aged, disabled, all), utilization, and expenditure; DRG data for short-stay hospitals; Medicare Chartbook; Data Compendium (Annual compilation of national health care data); Medicaid data.
- Health Insurance Data
U.S. Bureau of the Census
Links to Current Population Survey reports and tables, including health insurance coverage, children's health insurance, low-income uninsured children by state, and detailed historical tables (1987- ).
- Health Insurance Portability
and Accountability Act - HIPAA
Centers for Medicare & Medicaid Services
Passed by Congress in 1996, HIPAA protects health insurance coverage for
workers and their families when they change or lose their jobs. It also
provides rights and protections for employers when getting and renewing
health coverage for their employees. HIPPA requires the Department of Health
and Human Services to establish national standards for electronic health
care transactions and national identifiers for providers, health plans,
and employers. It also addresses the security and privacy of health data.
- Managed
Care Terminology
U.S. Deptartment of Health and Human Services
Concise glossary of commonly used terms related to managed
care.
- Medical Expenditure Panel Survey (MEPS)
Agency for Healthcare Research and Quality
A set of large-scale surveys of families and individuals, their medical providers, and employers across the United States. MEPS is the most complete source of data on the cost and use of health care and health insurance coverage.
Massachusetts
- Commonwealth Connector
Commonwealth of Massachusetts Executive Office for Administration and Finance
An independent public authority created to implement significant portions of the 2006 health care reform legislation. The Connector assists qualified Massachusetts adult residents with the purchase of affordable health care coverage if they don’t already have it.
- MassHealth
Commonwealth of Massachusetts Office of Health and Human Services
The Commonwealth's site covers worker's compensation, programs for the uninsured, coverage types et al.
Guides
- Ethics
in Medicine: Managed Care
University of Washington
Addresses ethical questions related to managed care. Sample case studies,
a bibliography of related journal articles, and links to managed care resources
are also provided.
- MEDLINEplus:
Managed Care
Provides a general overview of managed care for health consumers;
contains links to news and related organization.
- State of Health Care Quality Report - 2007
National Committee for Quality Assurance (NCQA)
PDF document contains plan-specific information on clinical performance, accreditation and member satisfaction from 273 organizations, collectively covering some 63.3 million lives, that voluntarily submitted their performance results to NCQA. Includes national, regional and state averages, as well as benchmarks, on specific measures of care and service.
Insurance Providers (Massachusetts)
Organizations
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