Medicaid & SCHIP; Insurance; Medicare
In the fall of 2001, the United States Department of Health and Human Services' Office of the Assistant Secretary for Planning and Evaluation (ASPE) asked the Center for Health Services Research and Policy in the School of Public Health and Health Services, The George Washington University Medical Center, to undertake a descriptive study of the current and future trends in cost and care management techniques used in the employment-based health insurance marketplace. The purpose of this study was to identify and report on (1) the cost and care management techniques currently in use in the private sector by health plans and employers, and (2) what, in the view of experts, were the likely future trends. The research team was asked to perform this descriptive study by interviewing experts in field. As part of the study, the Center was also asked to conduct a review of the literature concerning current cost and care management approaches used by managed care plans and employers in the private sector, with a focus on non-peer reviewed articles in trade journals and the popular press. Since the focus of this study was private sector purchasers, we were asked to exclude literature regarding cost and care management techniques used in the Medicaid and Medicare programs.
Borzi, P. C., Regenstein, M., Repasch, L., Cyprien, S., & Rosenbaum, S. (2002). How care is managed: A descriptive study of current and future trends in care and cost management practices under private sector employee benefit plans. Washington, D.C.: Department of Health Policy, School of Public Health and Health Services, The George Washington University.