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  1. Medicaid, managed care and optometry : a review.

    Article - En anglais

    Significant changes are restructuring the U.S. health care delivery system.

    National health reform is now extending itself into the public sector.

    Increased health and medical costs by federal and state governments are forcing a reevaluation of major entitlement programs, especially Medicaid.

    Because Medicaid is the single largest item in many state budgets, states are now enrolling Medicaid patients into managed and coordinated care arrangements as a means to control costs and increase access to care.

    HM0s are not only competing for private patients but also actively seeking the Medicaid population.

    Nationally, almost one-fourth of all Medicaid patients are now enrolled in managed care plans.

    Various models and approaches have been developed by individual states.

    Because managed care enrollment the Medicaid program has increased substantially in recent years, selected services including vision care are no longer rendered by any practitioner willing to accept Medicaid fees.

    Freedom of choice is now restricted to pre-selected and panel practitioners participating with the managed care program.

    The rules, regulations, billing procedures, fees, and program requisites will differ under managed care programs.

    Private optometric practitioners must consider entering economic and organizational relationships and linkages that make them attractive to managed care organizations.

    Medicaid, managed care, health care reform, optometric services, mandatory enrollment, freedom of choice.

    Mots-clés Pascal : Optométrie, Système santé, Modification, Liberté, Choix, Article synthèse, Homme

    Mots-clés Pascal anglais : Optometry, Health system, Modification, Freedom, Choice, Review, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0341912

    Code Inist : 002B30A01B. Création : 10/04/1997.