Disease management: legal strategies for the next generation of managed care.
The provision of proper and cost-effective healthcare to chronically ill patients is a crucial aspect of succeeding at managing care. An increasing number of managed care organizations are relying upon specialized outside providers to manage patients with such diseases. In such circumstances, this type of care is "carved out" and given to a specialized disease management organization. The authors discuss the strategies behind such arrangements, provide case studies of many of the specialized organizations providing such disease management, and analyze the legal issues that are likely to arise from such contractual relationships.
Outterson
K
K
Baker, Donelson, Bearman & Caldwell, Nashville, TN, USA.
Butler
J L
JL
D002908:Chronic Disease / Q000628:therapy; D003284:Contract Services / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D019468:Disease Management; D017050:Episode of Care; D006801:Humans; D007883:Legislation, Medical; D016365:Liability, Legal; D008329:Managed Care Programs / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D008511:Medicine / Q000458:organization & administration; D019982:Organizational Case Studies; D020399:Practice Management / Q000331:legislation & jurisprudence; D013038:Specialization; D014481:United States