“Carmen perpetuum,” &amp;c.

Ham,

doi:10.1093/nq/s1-v.118.104i

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This Contractual Relationship Between Health1

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1999

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“…Thus, the integration of care across traditional boundaries may be 'vertical' or 'virtual'. 10 The UK managed care organisation is thus a network of different health care commissioners (PCGs and PCTs), coordinated and regulated by the Health Authority, acting as a form of 'holding organisation'. This blurring of boundaries highlights the increasing importance of the contractual relationship as the mechanism for allocation of health care resources on an equitable, effective and responsive basis.…”

Section: This Contractual Relationship Between Healthmentioning

confidence: 99%

Managed Care: A Framework for Resource Allocation in the NHS

Smith

1999

Journal of Integrated Care

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In this article, resource allocation in the NHS is examined from the perspective of US managed care. A distinction is drawn between the roles of payers, commissioners and providers of health care, and the emergence of UK-style ‘health maintenance organisations’ (HMOs) is identified. The key features of US managed care are applied to case study pre-Primary Care Group (PCG) primary care organisations, and the importance of the contracting relationship and of patient choice emerge as issues for resource allocation. This is followed by a checklist of questions for resource allocation in the emerging PCGs and Primary Care Trusts — the true UK ‘HMOs’. The vital role of the Health Authority as system regulator is underlined.

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Section: This Contractual Relationship Between Healthmentioning

confidence: 99%

Managed Care: A Framework for Resource Allocation in the NHS

Smith

1999

Journal of Integrated Care

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“Carmen perpetuum,” &c.

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Managed Care: A Framework for Resource Allocation in the NHS

Managed Care: A Framework for Resource Allocation in the NHS

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