Governance challenges for managed care organizations. Interview by Ann C. Bartling. 1996

D M Lawrence, and G C Phillips, and N J Sublette, and B J Plager, and P A Fuhs, and D D Sain, and M T Bateman, and C C King

When Healthcare Executive asked managed care organization CEOs and board chairs to identify governance challenges, they found the question so easy that it was difficult to limit their responses. while all the healthcare leaders interviewed pointed to the need to--and challenge of--staying ahead of the changes affecting the healthcare field, many identified challenges that were more specific to their organizations, markets, or patient population. Some also pointed out that while their challenges may be shared by hospitals and other provider organizations, there were aspects of each that were particularly relevant to managed care organizations, which often offer a variety of products in a number of different of markets.

UI MeSH Term Description Entries
D007857 Leadership The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers. Influentials
D008329 Managed Care Programs Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS. Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D008389 Marketing of Health Services Application of marketing principles and techniques to maximize the use of health care resources. Health Services Marketing,Marketing Services, Health,Marketing, Health Services,Services, Health Marketing,Health Marketing Service,Health Marketing Services,Marketing Service, Health
D003159 Community-Institutional Relations The interactions between members of a community and representatives of the institutions within that community. Community Outreach,Community Relations,Community Institutional Relations,Community Relation,Community-Institutional Relation,Outreach, Community,Relation, Community,Relation, Community-Institutional,Relations, Community,Relations, Community-Institutional
D006075 Governing Board The group in which legal authority is vested for the control of health-related institutions and organizations. Board, Governing,Boards, Governing,Governing Boards
D006270 Health Facility Administrators Managerial personnel responsible for implementing policy and directing the activities of health care facilities such as nursing homes. Administrator, Health Facility,Administrators, Health Facility,Facility Administrator, Health,Facility Administrators, Health,Health Facility Administrator
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D016730 Program Development The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development). Program Descriptions,Description, Program,Descriptions, Program,Development, Program,Program Description

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