Regulating managed care firms: the Connecticut plan.
Virtually every state in the country, as well as the federal government, is either considering or has recently considered legislation to regulate utilization review/managed care companies. Despite the magnitude of this issue, few legislative bodies have expended the resources to study the form that regulation should take. Recently, Connecticut, which has seen considerable growth in utilization review within managed care programs that insure Connecticut residents, funded such a study. This article, authored by two of the study's participants, reviews the issues and explains the study's recommendations.
Fields
J A
JA
Center for Health Systems Management, University of Connecticut.
Kramer
J A
JA
D001291:Attitude of Health Personnel; D003199:Computer Systems; D003237:Connecticut; D003625:Data Collection; D003659:Decision Making, Organizational; D006282:Health Personnel / Q000523:psychology; D008329:Managed Care Programs / Q000331:legislation & jurisprudence*; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods; D013219:State Government; D013689:Telephone; D014600:Utilization Review / Q000331:legislation & jurisprudence* / Q000458:organization & administration