Legal; Managed Care; Managed Care Contracting
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.
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.