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Regulating Managed Care: Theory, Practice, and Future Options
Stuart H. Altman, Uwe E. Reinhardt, David Shactman
ISBN: 978-0-7879-4783-5
Hardcover
400 pages
June 1999
US $70.00 add_to_cart.gif

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Table of Contents
 
Foreword (Steven A. Schroeder).

Acknowledgments.

The Editors.

The Contributors.

Introduction: The Philosophy of Regulation.

Section I: The Role of Regulation in a Market-Oriented Health Care System.

1. Regulating Managed Care: An Overview (Walter Zelman).

2. The Current Status of State and Federal Regulation (Patricia Butler).

3. Why Should Managed Care Be Regulated? (Mark Pauly and Marc L. Berger).

4. Macro- Versus Microregulation (Thomas Rice).

Section II: Regulatory Issues.

5. Consumer Choice Under "Private Health Care Regulation" (Uwe E. Reinhardt).

6. The Long-Term Care Ombudsman Program: A Model for Health Care Consumers (William F. Benson).

7. Ensuring Equal Access to Care (Brian Biles and David Sandman).

8. Regulating Quality and Clinical Practice (William L. Roper).

9. The Scope of Managed Care Liability (David M. Keepnews).

10. ERISA and the Regulation of Group Health Plans (Craig Copeland and William L. Pierron).

Section III: Perspectives on Regulation.

11. The Public: Understanding the Managed Care Backlash (Robert J. Blendon, Mollyann Brodie, John M. Benson, Drew E. Altman, Larry Levitt, Tina Hoff, and Larry Hugick).

12. A Foundation Perspective: Core Principles for Regulating Health Care Quality (Karen Davis and David Sandman).

13. The Managed Care Industry: Balancing Market Forces and Regulation (Karen Ignagni).

14. Regulation from a Consumer's Perspective (Ronald F. Pollack).

15. Regulation from an Insurance Industry Perspective (Bill Gradison).

16. Regulation Misses the Big Issue--The Uninsured (Larry S. Gage).

Section IV: Managed Care Regulation in Practice.

17. Creating Standards: A Practical Approach (Phil Nudelman).

18. California's Struggle with Regulation (Sara J. Singer and Alain C. Enthoven).

9. The Cost of Regulation: How the Estimates Vary (Allen Dobson and Caroline Steinberg).
 
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