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Your search keyword '"Freund, Deborah A."' showing total 4 results
Start Over Author "Freund, Deborah A." Journal health care financing review
4 results on '"Freund, Deborah A."'

1. Children's Preventive Care Use Under Two Mature Medicaid Managed Care Plans in California

Author

Lo Sasso, Anthony T., Gavin, Norma I., and Freund, Deborah A.

Subjects
Medicine, Preventive -- Usage -- Health aspects, Medicaid -- Services -- Health aspects -- Usage, Children -- Health aspects, Preventive health services -- Usage -- Health aspects, Business, Health care industry, Usage, Services, Health aspects
Abstract

We investigated the extent to which children continuously enrolled in two mature county-organized Medicaid managed care plans for 6, 12, and 24 months received recommended well-child visits and immunizations. We also investigated whether any improvements in compliance were evident during the period 1989-92. Compliance was low for well-child visits and immunizations at the recommended ages regardless of eligibility group. Although slight improvements in immunizations were made over time, little progress was made in compliance with well-child visits. Continued vigilance is required to achieve the government's goal of 90 percent immunization compliance among 2-year-olds., INTRODUCTION The Santa Barbara Health Initiative (SBHI) and the Health Plan of San Mateo (HPSM) are two of the longest-running 1915(b) waiver programs in the United States; the SBHI was [...]

Published
1998

2. Evaluation of the Medicaid competition demonstrations

Author

Freund, Deborah A., Rossiter, Louis F., Fox, Peter D., Meyer, Jack A., Hurley, Robert E., Carey, Timothy S., and Paul, John E.

Subjects
United States. Centers for Medicare and Medicaid Services -- Surveys -- Services -- Evaluation, Health maintenance organizations -- Services -- Evaluation -- Finance, Hospitals -- Outpatient services, Medicaid -- Finance -- Surveys, Community health services -- Surveys, Medical care -- Evaluation -- Surveys, Company financing, Business, Health care industry
Abstract

Evaluation of the Medicaid Competition Demonstrations Introduction This article contains a detailed overview and summary of the activities and findings of the Nationwide Evaluation of Medicaid Competition Demonstrations(1). Six States [...]

Published
1989

3. Overview of Medicaid capitation and case-management initiatives

Author

Freund, Deborah A. and Neuschler, Edward

Subjects
Operations Research, Competition in a Changing Health Care Environment, Fees and Charges, Medicaid, Data Collection, Health Maintenance Organizations, Humans, Capitation Fee, Choice Behavior, United States, Aged
Abstract

Case-management programs have grown in number and in acceptance in the Medicaid program since 1981. In this article, we review their structure and incentives as well as what is known about their impact on cost and use. These programs also have been difficult to implement, posing myriad management challenges for prepaid program managers and State administrators. We highlight the problems in the following areas: eligibility, enrollment, rate setting, and management information systems.

Published
1986

4. Evaluation of the Arizona health care cost-containment system

Author

McCall, Nelda, Henton, Douglas, Crane, Michael, Haber, Susan, Freund, Deborah, and Wrightson, William

Subjects
Financial Management, Evaluation Studies as Topic, Medicaid, Arizona, Pilot Projects, Contract Services, Special Report, Centers for Medicare and Medicaid Services, U.S, Competitive Bidding, United States
Abstract

This article evaluates Arizona's alternative to the acute portion of Medicaid, the Arizona Health Care Cost-Containment System (AHCCCS), during its first 18 months of operation from October 1982 through March 1984. It focuses on the program's implementation and describes and evaluates the program's innovative features. The features of the program outlined in the original AHCCCS legislation included: Competitive bidding, prepaid capitation of providers, capitation of the State by the Health Care Financing Administration, assignment of gatekeepers, beneficiary copayment, private administration, inclusion of private and public employees and county financed long-term care. An assessment of implementation during the second 18 months of the program reporting on more recent developments and is now being prepared by SRI International.

Published
1985

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