Regulating Managed Care

Authors: Stuart Altman, Uwe Reinhardt, and David Schactman

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Regulating Managed Care: Theory, Practice and Future Options—A Jossey-Bass Publication

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Twenty-six of the nation's foremost health policy experts have gathered in this book for a debate on the right balance between competition and regulation of managed care in order to ensure a high-quality and compassionate health care system. The book offers insight into the tough choices facing policy makers in their efforts to improve the quality of health care services.

362 Pages © 1999

Table of Contents

Introduction

The Philosophy of Regulation

Section One
The Role of Regulation in a Market-Oriented Health Care System

Chapter 1
Regulating Managed Care: An Overview

Chapter 2
The Current Status of State and Federal Regulation

Chapter 3
Why Should Managed Care Be Regulated?

Chapter 4
Micro- versus Macroregulation

Section Two
Regulatory Issues

Chapter 5
Consumer Choice under "Private Health Care Regulation"

Chapter 6
The Long-Term Care Ombudsman Program: A Model for Health Care Consumers

Chapter 7
Ensuring Equal Access to Care

Chapter 8
Regulating Quality and Clinical Practice

Chapter 9
The Scope of Managed Care Liability

Chapter 10
ERISA and the Regulation of Group Health Plans

Section Three
Perspectives on Regulation

Chapter 11
The Public: Understanding the Managed Care Backlash

Chapter 12
A Foundation Perspective: Core Principles for Regulating Health Care Quality

Chapter 13
The Managed Care Industry: Balancing Market Forces and Regulation

Chapter 14
Regulation from a Consumer's Perspective

Chapter 15
Regulation from an Insurance Industry Perspective

Chapter 16
Regulation Misses the Big Issue—The Uninsured

Section Four
Managed Care Regulation in Practice

Chapter 17
Creating Standards: A Practical Approach

Chapter 18
California's Struggle with Regulation

Chapter 19
The Cost of Regulation: How the Estimates Vary

Non Member Price: $20.00

Member Price: $15.00 - You Save $5.00