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ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE

Medical Practice Strategies:  Systems Based Practice - Business Laws Ethics

Janet Lerman, J.D.

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TOPIC NINE: MANAGED CARE ORGANIZATION AND EMPLOYER PERSPECTIVE REGARDING MANAGED CARE

REFERENCES

SUGGESTED READING (SR):

Re: Consumers

SR9-1.    Julie T. Chyna, "The Consumer Revolution: An Age of Changing Expectations," Healthcare Executive (January/February, 2000): 7 - 10.

SR9-2.    Joseph P. Newhouse, Ph.D., "Switching Health Plans to Obtain Drug Coverage," JAMA (April 26, 2000): 2161 -2162.

SR9-3.    Thomas S. Rector, Ph.D., "Exhaustion of Drug Benefits and Disenrollment of Medicare Beneficiaries from Managed Care Organizations," JAMA (April 26, 2000): 2163 - 2167.

Re: E-Health

SR9-4.    Russell C. Coile, "E-Health: Reinventing Healthcare in the Information Age," Journal of Healthcare Management 45:3 (May/June, 2000): 206 - 210.

SR9-5.    Health Care Strategic Management, "After More Major Acquisitions, Affiliations, Healtheon Says Big Pieces Now in Place," Health Care Strategic Management (April, 2000): 11.

Re: Employers

SR9-6.    Robert Kuttner, "Employer Sponsored Health Coverage", The New England Journal of Medicine (January 21, 1999): 248-252.

SR9-7.    Leonard J. Morse, "What Ethical Rules Apply When Employer Requires A Medical Exam?," American Medical News (May 1, 2000): 12.

Re: MCOs

SR9-8.    Laura B. Benko, "New Leaders Drive Managed Care," Modern Healthcare (March 13, 2000): 28.

SR9-9.    Frank Cerne, "Cash Kings," Hospitals & Health Networks (April 5, 1995): 51 -54.

SR9-10.    Suzanne Duke, "HMNo: The Name of This Practice Says It All," Medical Economics (March 6, 2000): 78 - 89.

Re: MCOs - Continued

SR9-11.    Diana J. Mason, RN, Ph.D., Thedra E. Nichols, Christine Molnar, and et al., "Using Public Media to Teach Medicaid Recipients About Managed Care," American Journal of Public Health (January, 2000): 34 - 35.

SR9-12.    Leigh Page, "Vermont Doctor Puts New Twist in Fee For Service," American Medical News (May 1, 2000): 16.

SR9-13.    Michael Pretzer, "Managed Care Holdouts: How Are They Doing Now?," Medical Economics (March 6, 2000): 61 - 78.

SR9-14.    William L. Roper and Charles M. Cutler, "Health Plan Accountability and Reporting: Issues and Challenges," Health Affairs (March/April, 1999): 152-155.

Re: Medical Errors

SR9-15.    Kristen Hallam, "$20 Million Isn’t Enough," Modern Healthcare (May 1, 2000): 32.

SR9-16.    J. Duncan Moore, "AHA Moves on Medical Errors," Modern Healthcare (February 28, 2000): 3, 8.

Re: Paying for Healthcare

SR9-17.    Thomas Bodenheimer, M.D., MPH. and Kevin Grumbach, M.D., "Paying for Health Care," The Journal of the American Medical Association "JAMA" (August 24/31, 1994): 634 - 639.

SR9-18.    Davi Hirsch, "Lessons Health Care Can Learn From Banking," Health Care Strategic Management (January, 2000): 10 - 11.

SR9-19.    Scott Morris, M.D., "Who Will Care for the Uninsured in a Managed Care World?," Archives of Otolaryngology Head & Neck Surgery, Vol. 126 (March, 2000): 290 - 292.

SR9-20.    James D. Reschovsky, Peter Kemper, and Ha Tu, "Does Type of Health Insurance Affect Health Care Use and Assessments of Care Among the Privately Insured?," HSR: Health Services Review, Part II (April, 2000): 219 - 237.

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