Regulating Managed Care: Theory, Practice, and Future OptionsISBN: 978-0-7879-4783-5
Hardcover
400 pages
July 1999, Jossey-Bass
 This is a Print-on-Demand title. It will be printed specifically to fill your order. Please allow an additional 10-15 days delivery time. The book is not returnable.
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Foreword (Steven A. Schroeder).
Acknowledgments.
The Editors.
The Contributors.
Introduction: The Philosophy of Regulation.
Section I: The Role of Regulation in a Market-Oriented Health CareSystem.
1. Regulating Managed Care: An Overview (Walter Zelman).
2. The Current Status of State and Federal Regulation (PatriciaButler).
3. Why Should Managed Care Be Regulated? (Mark Pauly and Marc L.Berger).
4. Macro- Versus Microregulation (Thomas Rice).
Section II: Regulatory Issues.
5. Consumer Choice Under "Private Health Care Regulation" (Uwe E.Reinhardt).
6. The Long-Term Care Ombudsman Program: A Model for Health CareConsumers (William F. Benson).
7. Ensuring Equal Access to Care (Brian Biles and DavidSandman).
8. Regulating Quality and Clinical Practice (William L.Roper).
9. The Scope of Managed Care Liability (David M. Keepnews).
10. ERISA and the Regulation of Group Health Plans (Craig Copelandand William L. Pierron).
Section III: Perspectives on Regulation.
11. The Public: Understanding the Managed Care Backlash (Robert J.Blendon, Mollyann Brodie, John M. Benson, Drew E. Altman, LarryLevitt, Tina Hoff, and Larry Hugick).
12. A Foundation Perspective: Core Principles for Regulating HealthCare Quality (Karen Davis and David Sandman).
13. The Managed Care Industry: Balancing Market Forces andRegulation (Karen Ignagni).
14. Regulation from a Consumer's Perspective (Ronald F.Pollack).
15. Regulation from an Insurance Industry Perspective (BillGradison).
16. Regulation Misses the Big Issue--The Uninsured (Larry S.Gage).
Section IV: Managed Care Regulation in Practice.
17. Creating Standards: A Practical Approach (Phil Nudelman).
18. California's Struggle with Regulation (Sara J. Singer and AlainC. Enthoven).
9. The Cost of Regulation: How the Estimates Vary (Allen Dobson andCaroline Steinberg).
Acknowledgments.
The Editors.
The Contributors.
Introduction: The Philosophy of Regulation.
Section I: The Role of Regulation in a Market-Oriented Health CareSystem.
1. Regulating Managed Care: An Overview (Walter Zelman).
2. The Current Status of State and Federal Regulation (PatriciaButler).
3. Why Should Managed Care Be Regulated? (Mark Pauly and Marc L.Berger).
4. Macro- Versus Microregulation (Thomas Rice).
Section II: Regulatory Issues.
5. Consumer Choice Under "Private Health Care Regulation" (Uwe E.Reinhardt).
6. The Long-Term Care Ombudsman Program: A Model for Health CareConsumers (William F. Benson).
7. Ensuring Equal Access to Care (Brian Biles and DavidSandman).
8. Regulating Quality and Clinical Practice (William L.Roper).
9. The Scope of Managed Care Liability (David M. Keepnews).
10. ERISA and the Regulation of Group Health Plans (Craig Copelandand William L. Pierron).
Section III: Perspectives on Regulation.
11. The Public: Understanding the Managed Care Backlash (Robert J.Blendon, Mollyann Brodie, John M. Benson, Drew E. Altman, LarryLevitt, Tina Hoff, and Larry Hugick).
12. A Foundation Perspective: Core Principles for Regulating HealthCare Quality (Karen Davis and David Sandman).
13. The Managed Care Industry: Balancing Market Forces andRegulation (Karen Ignagni).
14. Regulation from a Consumer's Perspective (Ronald F.Pollack).
15. Regulation from an Insurance Industry Perspective (BillGradison).
16. Regulation Misses the Big Issue--The Uninsured (Larry S.Gage).
Section IV: Managed Care Regulation in Practice.
17. Creating Standards: A Practical Approach (Phil Nudelman).
18. California's Struggle with Regulation (Sara J. Singer and AlainC. Enthoven).
9. The Cost of Regulation: How the Estimates Vary (Allen Dobson andCaroline Steinberg).
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