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Results for “State Health Plans”

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PubMedDate not supplied

State health manpower planning in the 1980s.

Despite the importance of the state role in health manpower, past studies have documented fragmentation of effort, isolation of health manpower planning from other health policy channels and a relatively low level of interest in manpower issues on the part of state and local health planners. In evaluating the current capabilities of state level agencies to undertake increased responsibility for health manpower planning, this paper: 1) assesses the level of interest and involvement of state health planning and development agencies (SHPDAs) in health manpower planning; 2 (examines health manpower policy issues in states as evidenced in state health plans; and 3) describes the policy environment in which state health manpower planning is currently conducted.

Health Workforce↗
PubMed2001

Effects of managed care on programs and practices for the treatment of alcohol and drug dependence.

Managed care is affecting the organization and financing of treatment services for alcohol and drug dependence. This paper examines the effects of managed care on program operations including the use of clinical protocols, the administrative burden, information systems, staffing, and program consolidation. It also reviews the effects of managed care on system performance related to employer-sponsored health plans, state employee health plans, and Medicaid and other public plans. Our review of managed care's influences on the alcohol and drug abuse treatment system finds evidence of systemic reductions in access to inpatient care and increased reliance on outpatient services. Moreover, although analyses of behavioral health carve-outs often suggest increases in the use of outpatient care, evaluations of substance abuse claims report reductions in ambulatory utilization for the treatment of alcohol and drug dependence.

Alcoholism↗
PubMed2000

A successful collaboration between a private nonprofit health plan and a state health department.

This article describes the experience of a private, nonprofit health plan in establishing a collaborative relationship with a state health department. Through a federal grant project, efforts toward assuring quality care for children with special health care needs in managed care settings provided unique opportunities to form partnerships between multiple health plans, community groups, and other stakeholders. Collaborative activities included (1) formation of a pediatric asthma task force and a performance measurement and quality assurance committee; (2) planning and execution of a statewide conference; (3) development of a teaching manual for incorporating asthma education into elementary classroom curricula; and (4) publication of a parent resource manual for health plan members. Key ingredients and influencing factors for successful public-private partnerships are discussed.

Aged↗