| Titre : | Quality management practices in Medicaid managed care : A national survey of Medicaid and commercial health plans participating in the Medicaid program. (1999) |
| Auteurs : | B.E. LANDON ; A.M. EPSTEIN ; Department of Health Care Policy. Harvard Medical School. Boston. MA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 282, n° 18, 1999) |
| Pagination : | 1769-1775 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Homme ; Etat santé ; Soins intégrés ; Qualité ; Adaptation ; Besoin ; Programme santé ; Questionnaire ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST Hj99R0x9. Diffusion soumise à autorisation]. Context Rapid expansion of Medicaid managed care has raised concerns about the capacity and willingness of health plans enrolling Medicaid beneficiaries to provide high-quality care. Recently, legislation has facilitated market entry of Medicaid plans, health plans that draw most of their enrollment from the Medicaid population. Objective To characterize and compare the organizational characteristics and programs related to quality of care of commercial and Medicaid health plans that participate in the Medicaid program. Design Cross-sectional survey conducted September 1997 to April 1998. Setting The Medicaid program in 11 states and the District of Columbia. Participants All 154 health plans in these localities that provided prepaid general medical care to Medicaid beneficiaries during June 1997, of which 130 (84%) responded to the survey. Main Outcome Measures Health plan reports of structural characteristics, services offered, performance measurement and feedback, disease management programs, information systems capabilities, and provider network composition and relationships. Results Half of the respondents were Medicaid plans, with 75% or more of enrollees drawn from the Medicaid population. (...) |
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