Change and Growth in Managed Care

Managed Care for Preventive Services: A Review of Policy Options

“…Interestingly, premium increases in all plans appear to be slowing (Hoy, Curtis, and Rice 1991). This may be due to the increased use of managed care strategies in both conventional and managed care plans.…”

“…Between 1980 and1990, enrollment in preferred provider organizations (PPOs), a managed care model that centers on selective contracting, has grown at an average annual rate of 46 percent (Hoy, Curtis, and Rice 1991). In 1990, approximately 38 million individuals were enrolled in PPOs.…”

“…In 1990, approximately 38 million individuals were enrolled in PPOs. In addition, large numbers of individuals are being enrolled in single-service PPOs, such as PPOs that provide dental services, vision care, or mental health care (Hoy, Curtis, and Rice 1991). Although gaining in popularity, selective contracting has had little evaluation.…”

Managed Care Plans: Characteristics, Growth, and Premium Performance

“…According to one estimate, commercial carriers derived about 1 percent of their premium income from managed care in 1984. This figure had risen to over 25 percent by 1990 (17) and has continued to increase rapidly.…”

Managed Care and Community Health Centers

“…These two indicators were also used in the site selection for a case study of managed care CHCs (Abrams et al, 1995). Many studies have used enrollees as a measure to capture managed care experience at the national (Ermann & Richmond, 1994;Hoy, Curtis, & Rice, 1991;Iglehart, 1992;Zarabozo, 1996), regional (Gold, 1991), state (Gold, 1991), local (Feldman, Kralewksi, & Qowd, 1989;Gold, 1991), and organizational (Gold, 1991;Iglehart, 1994) levels. Research also has used revenue to measure product line within a plan or organization (Hoy et al, 1991).…”