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New Publication
Bridging Cultures and Enhancing Care: Approaches to Cultural and Linguistic Competency in Managed Care


HRSA Center for Health Services Financing and Managed Care Publications

Inventory of HRSA Managed Care Activities - May 2002
(Word document - 235 KB)


Managed Care Publications
Authored or Funded by Bureaus and Offices of HRSA

Bureau of Health Professions | HIV/AIDS Bureau | Bureau of Primary Health Care
Maternal and Child Health Bureau | HRSA Office of the Administrator
Office of Rural Health Policy

BUREAU OF HEALTH PROFESSIONS

Publications

(Publications may be ordered by contacting Frances Gipson, Bureau of Health Professions, Health Resources and Services Administration, 5600 Fishers Lane, Room 8-67, Rockville, Maryland, 20857, (301) 443-1592, (301) 443-7904 (fax).

Council on Graduate Medical Education. Resource Paper, Preparing Learners for Practice in a Managed Care Environment, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. September 1997.

Council on Graduate Medical Education. 1997 Recommendations to the Congress and the Secretary of Health and Human Services on Graduate Medical Education Reform, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. June 1997.

Council on Graduate Medical Education. Ninth Report: Graduate Medical Education

Consortia: Changing the Governance of Graduate Medical Education to Achieve Physician Workforce Objectives, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. June 1997. HRSA-97-15.

Health Professions Managed Care Activities, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. June 1996.

Council on Graduate Medical Education. Sixth Report: Managed Health Care: Implications for the Physician Workforce and Medical Education, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. September 1995. HRSA-P-DM-95-2.

National Conference on Estimating Medical Specialty Supply and Requirements in a Changing Health Care Environment: The Technical Challenge, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. May 27-28, 1995.

Health Personnel in the United States: Ninth Report to Congress, 1993, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. 1995. HRSA-P-94-1.

Journal Articles and Chapters in Books

The Provision of Primary Care: Does Managed Care Make a Difference? Simon, Carol J., White, William D., Gamliel, Sandy and Kletke, Phillip R., Health Affairs 1997; 16:89-98.

Downsizing the Physician Workforce, McClendon, B. Jerald, et al., Public Health Reports 1997; 112:231-240.

Matching Physician Supply and Requirements: Testing Policy Recommendations, Politzer, R.M., Gamliel, S., Cultice, J.M., Bazell, C.M., Rivo, M.L., Mullan, F., Inquiry 1996; 33:181-194.

Medical Student Education in Managed Care Settings: Beyond HMO’s, Veloski, John, et al., Journal of the American Medical Association 1996; 276:667-671.

The Academic Health Care System: Preserving the Missions as the Paradigm Shifts, Goldman, L., Journal of the American Medical Association 1995; 273(29):1549-1552.

Managed Care on the March: Will Physicians Meet the Challenge?, Gamliel, S., Politzer, R.M., Rivo, M.L., and Mullan, F., Health Affairs 1995; 42(2):131-142.

Managed Health Care: Implications for the Physician Workforce and Medical Education, Rivo, M.L., Mays, H.L., Katzoff, J., Kindig, D., Journal of the American Medical Association 1995; 274(9):712-715.

Balance and Limits: Modeling Graduate Medical Education Reform Based on Recommendations of the Council on Graduate Medical Education, Mullan, Fitzhugh, Politzer, Robert M., Gamliel, Sandy, Rivo, Marc., The Milbank Quarterly 1994; 72(3): 385-398.

Comparing Physician Workforce Reform Recommendations, Rivo, M.L., Jackson, D.M., Clare, F.L., Journal of the American Medical Association 1994; 270:1083.

Educating Primary Care Providers About HIV Disease: Multidisciplinary Interactive Mechanisms, Macher, A., et al., Public Health Reports 1994; 108:305-310.

Lacking of Primary Care Physicians - A Challenge into the Next Century. Medicine and Health Care into the Twenty-First Century, Xu, G., Veloski, J.J., The Penn Academy of Science 1994; 214-229.

Marching in a New Parade: Family Medicine and Health Care Reform, Rivo, M.L., American Family Physician 1994; 49:42-44.

The Demand for Physician Services in Changing Health Care System: A Synthesis, Weiner, J.P., Medical Care Review 1993; 50:411-449.

Improving Access to Health Care Through Physician Workforce Reform, Rivo, M.L., Satcher, D., Journal of the American Medical Association 1993; 270:1074-1078.

HIV/AIDS BUREAU

Publications

Access to and Quality of HIV/AIDS Care in Medicaid Managed Care Programs: A Summary of the HIV/AIDS Bureau's Research Program, 1996-2000 (Adobe Acrobat file - 72 K)

A Resource Guide for Ryan White CARE Act Grantees and Other HIV/AIDS Providers. U.S. Department of Health and Human Services, Health Resources and Services Administration. Summer 1998. (Copies of this publication may be obtained from the Center for Health Services Financing and Managed Care, Health Resources and Services Administration, 5600 Fishers Lane, Room 11-11, Rockville, MD 20857, (301) 443-1550).

HIV Capitation Risk Adjustment - the HRSA Conference Report. (Washington, D.C.: Henry J. Kaiser Family Foundation). August 1997. (Copies of this publication may be obtained from the Henry J. Kaiser Family Foundation, 1450 G Street, NW, Suite 250, Washington, D.C. 20005, (202) 347-5270.)

Adequacy of Reimbursement for HIV Under Section 1115 Waivers. Richard Conviser, Ph.D., Deanna Kerrigan, M.P.H., and Stephen Thompson, M.A. (Rockville, Maryland: Bureau of Health Resources Development, Office of Science and Epidemiology). 1997. (Copies of this publication may be obtained by contacting the Office of Science and Epidemiology, HIV/AIDS Bureau, 5600 Fishers Lane, Room 7A-07, Rockville, Maryland, 20857, (301) 443-6560.)

(Publications may be ordered by contacting Iris Posner, Director, Legislation, Regulation and Planning Branch, OSE, HIV/AIDS Bureau at (301) 443-8486.)

Delivering HIV Care in a Managed Care Environment: Issues and Strategies. Prepared by Lawrence Bartlett and P.R. Hitz for the Kaiser Foundation. January 1996.

Determining the Unit Cost of Services Funded by the Ryan White CARE Act of 1990. Walter Moreau and Christine Hagar. Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration. No Date.

HMOs and HIV? Examining the SPNS Capitated Healthcare Reimbursement Projects. In Innovations, Indiana State Department of Health (funded through a grant from the Bureau of Health Resources Development, Health Resources and Services Administration). Winter 1995.

Integrating Mental Health Services and HIV/AIDS Primary Care: A Comparative Analysis of the Experiences of Seven Special Projects of National Significance Funded under the Ryan White CARE Act. Prepared for the Health Resources and Services Administration by the American Psychological Association (C.H. Sparks, S.D. Dudley, K.F. Ulman, J.H. Gentry). September 1994.

Journal Articles

Integrating Mental Health Services and HIV/AIDS Primary Care, Psychology and AIDS Exchange. 1994. 16: 1-4.

BUREAU OF PRIMARY HEALTH CARE

Publications

(These publications can be ordered from the Health Resources and Services Administration (HRSA) Information Center, 2070 Chain Bridge Road, Suite 450, Vienna, VA 22182, Telephone: 1-888-275-4772, Fax: (703) 821-2098, E-mail: ask@hrsa.gov)

Medicaid Managed Care Education: A Workbook for Health Centers. Rockville, MD: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. Fall 1998.

Executive Summary: Evaluation of the Impact of Medicaid Waivers on Consumers and Services of Federally Qualified Health Centers. Prepared by the Lewin Group, Inc. For the Bureau of Primary Health Care, Health Resources and Services Administration. November 10, 1997.

Opening the Door to Managed Care. Rockville, MD: Bureau of Primary Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. November 1995.

Contract Checklist for Managed Care for Federally Qualified Health Centers. Rockville, MD: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Service. June 1995.

Community Health Centers Performance Under Managed Care: Executive Summary. Rockville, MD: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. December 1994.

Managed Care Internal Operations Self-Assessment Tool for Federally Qualified Health Centers. Rockville, MD: Bureau of Primary Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. October 1994.

Managed Care Market Area Self-Assessment Tool for Federally Qualified Health Centers. Rockville, MD: Bureau of Health Care Delivery and Assistance, Health Resources and Services Administration, U.S. Department of Health and Human Services. May 1991.

Financial Management Systems for Prepaid Programs. Rockville, MD: Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. July 1990.

Community and Migrant Health Centers Critical Performance Measures for Prepayment. Rockville, MD: Bureau of Health Care Delivery and Assistance, Health Resources and Services Administration, U.S. Department of Health and Human Services. June 1989.

Claims Liability Management in Health Maintenance Organizations. Office of Health Maintenance Organization, U.S. Department of Health and Human Services. April 1981.

Journal Articles

Promoting Opportunities for Community Based Health Education in Managed Care, Gallivan, Leah P., Lundberg, Mary E., Fiedelholtz, Jennifer B., Andringa, Kim, Stableford, Sue, and Visser, Laura, Journal of Health Education 1998; 29: S-28-33.

MATERNAL AND CHILD HEALTH BUREAU

Publications

The Medicaid Managed Care Trends Project: An Analysis of States' Medicaid Managed Care Enrollment Policies Affecting Children, 1996-1999.  Washington, D.C.: Maternal and Child Health Policy Research Center. 2000.
Abstract: Third in a series of reports on the impact of managed care trends on Medicaid, this document presents an analysis of State policies concerning mandatory and voluntary enrollment of children into managed care systems [including primary care case management systems (PCCMs) and managed care organizations (MCOs)]. Also discusses how these enrollment policies evolved between 1996 and 1999, enrollment requirements, and detailed tables on children enrolled into PCCMs and MCOs.

Identifying Children with Special Health Care Needs In Managed Care Plans.  Rockville, MD: Health Resources and Services Administration. 2001.
Abstract: Report focuses on processes for identifying children with special health care needs, benefits to all parties (families, health plans, and Medicaid) when children are identified, and strategies to successfully operationalize these processes in managed care plans. Report is a synopsis of the April 5, 2001 MCHB Expert Work Group Meeting.

Partnerships for Healthier Families: Roles for State Title V Programs in Assuring Quality Services for Women, Infants, Children, and Youth in Managed Care.  Washington, D.C.: Association for Maternal and Child Health Programs. 1997
Abstract: Report is intended to serve as a resource for State Title V programs, managed care organizations, Medicaid agencies, employers, families, other current or potential partners outside the Title V program, national organizations and federal agencies. Includes a background section on Title V programs and the Title V Maternal and Child Health Services Block Grant, a presentation of current roles for Title V programs in managed care including specific state examples, and two case studies from the Delaware and Florida Title V Programs.

Healthy Start Initiative: Collaboration with Managed Care Organizations: Volume V.  Arlington, VA: National Center for Education in Maternal and Child Health. 1997.

(The following publications may be ordered from the Health Resources and Services Administration (HRSA) Information Center, 2070 Chain Bridge Road, Suite 450, Vienna, VA 22182-2536. Phone: (888) 275-4772. Fax: (703) 821-2098.)

Measuring Up: A Blueprint for Building Quality Assurance, (A National Instructional Videoconference for the Maternal and Child Health and Children with Special Health Care Needs Community), Chicago, IL: University of Illinois at Chicago, Measuring Up Website: www.uic.edu/sph/cade/kidsmco/training.htm (funded by the Maternal and Child Health Bureau, Health Resources and Services Administration). September 1998.  Report MCHL021 and videotape MCHL022 can be ordered from the HRSA Information Center.

Maternal and Child Health Principles in Practice: An Analysis of Select Provisions in Medicaid Managed Care Contracts, Washington, D.C.: Association of Maternal and Child Health Programs. July 1998.

How to Negotiate and Contract for Services with Medicaid Managed Care Organizations, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. February 1997.

Children with Special Health Care Needs in Managed Care Organizations: Summaries of Expert Work Group Meetings, Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. 1996.

Review of National Health Care Reform Proposals from a Maternal and Child Health Framework, Washington D.C.: Association of Maternal and Child Health Programs. 1992.

The Medicaid Managed Care Trends Project: An Analysis of States' Medicaid Managed Care Enrollment Policies Affecting Children, 1996-1999.  Washington, D.C.: Maternal and Child Health Policy Research Center. 2000.
Abstract:
Third in a series of reports on the impact of managed care trends on Medicaid, this document presents an analysis of State policies concerning mandatory and voluntary enrollment of children into managed care systems [including primary care case management systems (PCCMs) and managed care organizations (MCOs)]. Also discusses how these enrollment policies evolved between 1996 and 1999, enrollment requirements, and detailed tables on children enrolled into PCCMs and MCOs.

Identifying Children with Special Health Care Needs In Managed Care Plans.  Rockville, MD: Health Resources and Services Administration. 2001.
Abstract: Report focuses on processes for identifying children with special health care needs, benefits to all parties (families, health plans, and Medicaid) when children are identified, and strategies to successfully operationalize these processes in managed care plans. Report is a synopsis of the April 5, 2001 MCHB Expert Work Group Meeting.

Partnerships for Healthier Families: Roles for State Title V Programs in Assuring Quality Services for Women, Infants, Children, and Youth in Managed Care.  Washington, D.C.: Association for Maternal and Child Health Programs. 1997
Abstract: Report is intended to serve as a resource for State Title V programs, managed care organizations, Medicaid agencies, employers, families, other current or potential partners outside the Title V program, national organizations and federal agencies. Includes a background section on Title V programs and the Title V Maternal and Child Health Services Block Grant, a presentation of current roles for Title V programs in managed care including specific state examples, and two case studies from the Delaware and Florida Title V Programs.

Healthy Start Initiative: Collaboration with Managed Care Organizations: Volume V.  Arlington, VA: National Center for Education in Maternal and Child Health. 1997.

(The following publications may be ordered from Health Systems Research, Inc., 2021 L Street NW, Suite 400, Washington, DC 20036, (202) 828-5199.)

Data Systems in a Changing Health Care Environment: Meeting the Needs of State and County MCH Officials, Loren Bell. Washington, D.C.: Health Systems Research. December 1995.

Delivering and Financing Services for Vulnerable Children Under Health Care Reform, Ian Hill, Renee Schwalberg and Patricia Butler. Washington, D.C.: Health Systems Research. November 1995.

Coordinating Adolescent Health Centers and Managed Care: State Experiences and Lessons Learned, Renee Schwalberg and Ian Hill. Washington, D.C.: Health Systems Research. November 1995.

Delivering and Financing Services for Children with Special Health Care Needs Under Managed Care: Design Options for Vermont Officials, Ian Hill, Renee Schwalberg, and Elizabeth Chait. Washington, D.C.: Health Systems Research. September 1995.

Assessing the Risk of Women and Children Enrolled in Managed Care: Design Options for South Carolina Officials, Ian Hill, Renee Schwalberg, and Elizabeth Chait. Washington, D.C.: Health Systems Research. August 1995.

Enhanced Care for Kids: A Proposed Benefit Package for At-Risk Children in Delaware, Ian Hill, Beth Zimmerman, John O’Brien, and Deanne Pearn. Washington, D.C.: Health Systems Research. April 1995

A Consolidated Contract Between the South Carolina Maternal and Child Health and Medicaid Programs for the Provision of Family Support Services under the Palmetto Health Initiative, Ian Hill, et al. Washington, D.C.: Health Systems Research. January 1995.

Monitoring the Impact of Managed Care on Mothers and Children in Seattle/King County, Health Systems Research and Health Policy Analysis Program, University of Washington. August 1994.

Enhanced Care for Kids: A Proposed Benefit Package for At-Risk Children in Delaware, Ian Hill, Beth Zimmerman, John O’Brien, and Deanne Pearn.

Health Care Reform in Vermont and Its Implications for Systems of Care for Children, Ian Hill, et al. Washington, D.C.: Health Systems Research. April 1994.

A Consolidated Contract Between the South Carolina Maternal and Child Health and Medicaid Programs for the Provision of Family Support Services under the Palmetto Health Initiative, Ian Hill, et al.

(The following publications can be ordered from the Association of Maternal and Child Health Programs, 1350 Connecticut Avenue, NW, Suite 803, Washington, DC 20036, (202) 775-0436.)

Partnerships for Healthier Families: Roles for State Title V Programs in Assuring Quality Services for Women, Infants, Children and Youth in Managed Care, Washington, D.C.: Association of Maternal and Child Health Programs. June 1997.

Partnerships for Healthier Families: Roles for State Title V Programs in Assuring Quality Services for Women, Infants, Children and Youth in Managed Care, Executive Summary, Washington, D.C.: Association of Maternal and Child Health Programs. June 1997.

Health Care Reform and Medicaid Managed Care: Implications for Women and Children’s Health and the Role of MCH/Public Health -- Perspectives Shared by State Title V Program Leaders, Jill Kagan, Lisa Gallin, and Catherine Hess. Washington, D.C.: Association of Maternal and Child Health Programs. June 1994.

(The following publications can be ordered from the Maternal and Child Health Policy Research Center, 2 Wisconsin Circle, Suite 700, Chevy Chase, MD 20815, (202) 686-4797.)

1997 State Medicaid Managed Care Policies Affecting Children, Ruth A. Almeida, and Harriette B. Fox. March 1998.

A Compendium of Federally Funded Projects on Managed Care and Children with Special Health Care Needs, Maternal and Child Health Policy Research Center. February 1998.

Current Policies and Future Directions in State Medicaid Managed Care Arrangements for Children, Harriette B. Fox, Margaret A. McManus, and Ruth Almeida. March 1997.

Medicaid Managed Care for Children with Chronic or Disabling Conditions: Improved Strategies for States and Plans, Harriette B. Fox and Margaret McManus. July 1996.

Strengthening Partnerships Between State Programs for Children with Special Health Needs and Managed Care Organizations, Margaret A. McManus, Harriette B. Fox, Paul Newacheck, Merle McPherson, and Beth Roy. March 1996.

Strategies to Enhance Preventive and Primary Care Services for High Risk Children in Health Maintenance Organizations, Margaret McManus and Harriet B. Fox. June 1995.

State Medicaid Health Maintenance Organization Policies and Special-Needs Children, Harriette B. Fox, Lori B. Wicks, and Paul Newacheck. Fall 1993.

(The following publications can be ordered from the Emergency Medical Services for Children (EMSC) National Resource Center, 111 Michigan Avenue, NW, Washington, D.C. 20010, (202) 884-4927, Fax: (301) 650-8045.)

Managed Care and EMSC: A Practical Guide to Resources in Managed Care, Moody-Williams, Jean. Emergency Medical Services for Children National Resource Center. 1997.

Caring for Kids in a Managed Care Environment, Emergency Medical Services for Children National Resource Center. No Date.

A Parent’s Guide to Selecting a Health Plan: When Your Child Needs Help in a Hurry, Emergency Medical Services for Children National Resource Center. No Date.

(The following publications can be ordered from the organizations referenced in each citation.)

1998 Inventory of Managed Care Activities in the Maternal and Child Health Bureau, Health Resources and Services Administration, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. 1998. Ordering Information - Office of Program Development, Maternal and Child Health Bureau, (301) 443-2778.

Evaluating Managed Care Plans for Children with Special Health Needs: A Purchaser’s Tool, McManus, Margaret. 1998. Ordering information - Mail requests to: John Reiss, Ph.D., Institute for Child Health Policy (ICHP), University of Florida, 5700 SW 34th Street, Suite 323, Gainesville, Florida, 32608, E-Mail: jgr@ichp.edu OR download from ICHP web: http://www.ichp.edu/managed/materials/purchaser/

Changing the Rules: Medicaid Managed Care and MCH in U.S. Cities, Madga Peck and Elice Hubert. July 1994. Ordering information - CityMatCH, University of Nebraska Medical Center, Department of Pediatrics, 600 S. 42nd Street, Box 982170, Omaha, NE 68198-2170, (402) 559-8323.

Journal Articles

Family-Centered Care and Managed Care -- Are They Compatible. Advances in Family-Centered Care Journal. Vol. 3, No. 1. Summer 1996.

Devolving Responsibility-Proposed Block Grants Affect Children’s Programs. Health Policy and Child Health. Vol. 2, No. 2. Spring 1995.

Medicaid Reform: States Face Crucial Choices Affecting Children’s Health Care. Health Policy and Child Health Newsletter. Vol. 2, No. 4. 1995.

State Reforms, Medicaid Waivers May Pose Tradeoffs for Children. Health Policy and Child Health Newsletter. Vol. 1, No. 4. 1994.

OFFICE OF THE ADMINISTRATOR

Publications

(The following publications can be ordered from the contact listed with each citation.)

Inventory of Managed Care Activities in the Health Resources and Services Administration, the Center for Health Services Financing and Managed Care, Health Resources and Services Administration. 1998. (Updated periodically.) Contact - the Center for Health Services Financing and Managed Care, (301) 443-1550.

Meeting the Challenge: HRSA & Managed Care. Center for Health Policy Research of The George Washington University Medical Center. November 1997. Ordering Information - HRSA Information Center, 2070 Chain Bridge Road, Suite 450, Vienna, VA 22182, Telephone: 1-888-275-4772, Fax: (703) 821-2098, E-mail: ask@hrsa.gov)

Collaborative Strategies for Success in the Changing Medicaid Market: Improving Managed Care Systems through Partnerships Between Health Plans and Community Based Organizations. (Conference Proceedings). American Association of Health Plans, and the Health Resources and Services Administration. April 1996. Contact - the Center for Health Services Financing and Managed Care, (301) 443-1550.

Health Maintenance Organization Primary Care Staffing Patterns and Processes: A Cross-Site Analysis of 23 HMOs, Mathematica Policy Research. December 1994. Contact - the Center for Health Services Financing and Managed Care, (301) 443-1550.

Tools for Monitoring Cultural Competence in Health Care, Tirado, Miguel D., Ph.D. January 1996. Available from Latino Coalition for a Healthy California, 1535 Mission Street, San Francisco, CA 94103, (408) 582-3967.

Managed Care Systems for Mothers and Young Children, (Summary of Conference Proceedings.) April 1993. Prepared by Fox Health Policy Consultants, Inc., Washington, D.C., and co-sponsored by the Health Resources and Services Administration, the Health Care Financing Administration, and the National Academy for State Health Policy. Available from the National Academy for State Health Policy, 50 Monument Square, Suite 504, Portland, ME 04101, (207) 874-6524.

OFFICE OF RURAL HEALTH POLICY

Publications

(Publications may be ordered by contacting Global Exchange, Inc., at (301) 656-3100 or Fax: (301) 652-5264, or Mail Request to: Global Exchange, Inc., ATTN: ORHP, 7910 Woodmont Avenue, Suite 400, Bethesda, MD 20814-3015.)

On Rural Managed Care

A Rural Government Role in Medicaid Managed Care: The Development of County-based Purchasing in Minnesota. Minneapolis, MN: University of Minnesota Rural Health Research Center. 2001
Report is to describe the development and implementation in Minnesota of a model for rural county government participation in Medicaid managed care initiatives. Discusses the national and state context in which County-Based Purchasing (CBP) was developed. Describes the legislative and administrative evolution of CBP. Summarizes the implementation experiences to date of three rural CBP initiatives, which are also presented in detailed case studies in the appendices. ORHP00112

The Effect of Medicaid Managed Care on Rural Public Health Departments (Findings Brief). Chapel Hill, NC: North Carolina Rural Health Research and Policy Analysis Program. 1999
Paper presents a findings brief on the effects of Medicaid managed care on rural health departments and the populations they serve. Interviews with rural health department directors were the main source for the findings. Discussions include changes in patient care services, the financial status of rural health departments, and the impact on the Medicaid population. ORHP00064

Rural Primary Care Practices and Managed Care Organizations: Relationships and Risk Sharing. Minneapolis, MN: University of Minnesota Rural Health Research Center. 1999.
Working paper presents results of a study examining whether the type of contractual arrangement between rural physician practices and managed care organizations has an effect on the rural practice's assumption of risk. Authors conclude that intermediary affiliations with large organizations (e.g., hospitals) help reduce the rural practice's burden of financial risk. ORHP00142

Understanding & Working with Managed Care: A Guide For Rural Providers. National Association of Rural Health Clinics. Washington, DC: National Association of Rural Health Clinics.
Manual is a resource for hospital physicians, administrators, nurses, and other health professionals who work in rural communities to assist in their evaluation of managed care in rural areas. Includes topics such as definitions of managed care, payment options, and Medicare and Medicaid managed care. Appendices include a listing of State offices of rural health, examples of managed care contracts and FTC/DOJ joint ventures, and practice cost worksheets. ORHP00045

Managed Care and Rural America: An Annotated Bibliography. Rural Information Center, Department of Agriculture, and Office of Rural Health Policy, Health Resources and Services Administration, Department of Health and Human Services. May 1999.

Understanding and Working with Managed Care: A Guide for Rural Providers. Washington, D.C.: National Association of Rural Health Clinics. April 1999.

Introducing Medicaid Managed Care in Rural Communities: Guidelines for Policymakers, Planners, and State Administrators. Buffalo, NY: New York Rural Health Research Center, SUNY, Buffalo. May 1997.

Rural Managed Care: Patterns & Prospects. Minneapolis, MN: University of Minnesota Rural Health Research Center. April 1997.

Market Reform and Managed Care: Implications for Rural Communities. Report prepared for the Office of Rural Health Policy. April 1997.

Rural Prescriptions for Managed Care: A Roundtable. Rockville, MD: Office of Rural Health Policy, Health Resources and Services Administration. May 1996.

Making Managed Health Care Work in Rural America. September 1994.

On related issues of Rural Networks... and Antitrust

Rural Health Network Evolution in the New Antitrust Environment. Minneapolis, MN: University of Minnesota Rural Health Research Center. May 1997.

Rural Community Health Plans: A Summary Report and Directory. Chevy Chase, MD: Prepared by Health Care Consulting. March 1997.

Health Care Antitrust Enforcement in Rural America: A Recommended Safety Zone. February 1997. Prepared for the National Advisory Committee on Rural Health.

Rural Health Networks: Concepts, Cases and Public Policy. University of Minnesota Rural Health Research Center. April 1996. Executive Summary also available.

Rural Health care Providers and the Law: An Issue Brief. University of North Carolina Rural Health Research Program. February 1996.

Public Policy Issues and Rural Health Network Development. University of Minnesota Rural Health Research Center. December 1994. Revised 7/6/99.


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