Center for Health Services Research and Policy, School of Public Health and Health Services, The George Washington University
Behavioral Health Issue Brief Series No. 20
Medicaid & SCHIP; Managed Care; Managed Care Contracting
This Issue Brief analyzes the devolution of the legal duties assumed by managed care organizations (MCOs) in their contracts with group purchasers. Specifically, this brief examines the delegation of MCO contractual duties related to member care and services to individual network providers by comparing the language used in master contracts between purchasers and MCOs with the language contained in agreements with network health care providers who serve members covered under the master contract.
Rosenbaum, Sara J.; Markus, Anne R.; and Teitelbaum, Joel B., "The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care" (2001). Health Policy and Management Issue Briefs. Paper 5.