Managed care and community health centers.
This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their...
| Publicado en: | Journal of Ambulatory Care Management Vol. 23; no. 1; pp. 1 - 23 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2000
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107104265&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107104265 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01489917 0NV jtl: Journal of Ambulatory Care Management issn: 01489917 maglogo: N pubinfo: dt: Jan2000 vid: 23 iid: 1 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 107104265 107104265 2000024818 10.1097/00004479-200001000-00002 NLM11184892 107104265 ppf: 1 ppct: 22 formats: fmt: @attributes: type: P tig: atl: Managed care and community health centers. aug: au: Shi L Frick KD Lefkowitz B Tillman J affil: Associate Professor, Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD sug: subj: Managed Care Programs Primary Health Care Community Health Centers Community Health Services United States Medicaid Databases Data Analysis, Statistical Research Health Maintenance Organizations Preferred Provider Organizations Medicare Convenience Sample Retrospective Design Funding Source Human ab: This study has two objectives: (1) to examine the relationship between the involvement of community health centers (CHCs) in managed care and various center characteristics, including patient, provider, services, and financial characteristics, that are critically linked with the fulfillment of their mission and (2) to identify factors significantly associated with CHCs' involvement in managed care. Regarding the first objective, the study indicates that CHCs involved in managed care have more diversified sources of revenue and depend less on grant funding than other CHCs, and they serve a significantly smaller proportion of uninsured and homeless patients. Involvement in managed care is also associated with greater financial vulnerability, reflected in higher costs and net revenue deficits. Regarding the second objective, the study finds that CHCs have become involved in managed care largely in response to external market pressures, such as the prospect of reduced federal grant funding. Other significant factors include center size, location, and the percentage of users who are Medicaid patients. Copyright © 1999 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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