The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care

Authors

Sara J. Rosenbaum, George Washington UniversityFollow
Anne R. Markus, George Washington UniversityFollow
Joel B. Teitelbaum, George Washington UniversityFollow
Marcie Zakheim, Feldesman, Tucker, Leifer, Fidell and Bank
Michael Golde, Feldesman, Tucker, Leifer, Fidell and Bank

Document Type

Report

Publication Date

9-2001

Keywords

Legal; Managed Care; Managed Care Contracting

Abstract

This study, undertaken by the Center for Health Services Research and Policy at the George Washington University (GWU) School of Public Health and Health Services for the United States Department of Health and Human Services' Substance Abuse and Mental Health Services Administration, analyzes the devolution of the legal duties assumed by managed care organizations (MCOs) in their contracts with group purchasers. Specifically, this study 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.

Comments

Funder: Substance Abuse and Mental Health Services Administration (SAMHSA).

APA Citation

Rosenbaum, S., Markus, A., & Teitelbaum, J. (2001). The devolution of managed care contractor duties: Analysis and implications for public policy in managed behavioral health care. Washington, D.C.: Center for Health Services Research and Policy, School of Public Health and Health Services, The George Washington University.

Open Access

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