Managed Care in a Public Setting

In: Health and Human Development (Joav Merrick - Series Editor - National Institute of Child Health and Human Development, Ministry of Social Affairs, Jerusalem)

Abstract

Intro -- Contents -- Foreword -- Introduction -- Coordination -- Managed care -- References -- An introduction with theoretical background -- Operationalizing the strategy: An overview of the process -- The design phase -- The planning/methodology phase -- Implementation phase -- Consolidation/evaluation -- Operationalizing the strategy II: A spectrum of the design and policy issues -- Overall policy and strategy -- Planning of projects and projected consequences -- Budgeting projects -- Planning the functions of CHC projects -- Projected operation of the CHC district -- Emergency functions -- Treatment, prevention and care -- Educational and career counselling -- Alternative limited implementation -- Evaluation of CHC projects -- Impact of the evaluation -- The evaluation theory, strategy and design -- Methodology -- Coordination and collaboration -- Conclusion -- References -- People with a disability in managed care -- Abstract -- Introduction -- National Council on Disability -- Successfully enrolling people with disabilities in managed care plans -- Principle1 (community living) -- Principle 2 (personal control) -- Principle 3 (employment) -- Principle 4 (support for family caregivers) -- Principle 5 (stakeholder involvement) -- Principle 6 (life-span focus) -- Principle 7 (assessment) -- Principle 8 (provider networks) -- Principle 9 (Transition to community based services) -- Principle 10 (competency and expertise) -- Principle 11 (operational responsibility and oversight) -- Principle 12 (continuous innovation) -- Principle 13 (maintenance of effort and reinvesting savings) -- Principle 14 (coordination of services and supports) -- Principle 15 (assistive technology and durable medical equipment) -- Principle 16 (quality management) -- Principle 17 (civil rights compliance) -- Principle 18 (continuity of medical care).