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1. Shifting ground: erosion of the delegated model in California

Author(s):
Ginsburg, Paul B., author
Christianson, Jon B., author
Cohen, Genna R., author
Publication:
[Oakland, Calif.] : California HealthCare Foundation, [2009]
Subject(s):
Delivery of Health Care -- trends
Health Maintenance Organizations -- trends
Managed Care Programs -- trends
Preferred Provider Organizations -- trends
Accountable Care Organizations
Capitation Fee
Contract Services
Cost Control
Fee-for-Service Plans -- trends
Forecasting
Medicare
Humans
California
United States

2. Directory assistance: maintaining reliable provider directories for health plan shoppers

Author(s):
Manatt, Phelps & Phillips. Manatt Health Solutions, author.
Publication:
[Oakland, Calif.] : California HealthCare Foundation, September 2015
Subject(s):
Data Collection -- standards
Directories as Topic
Health Insurance Exchanges -- legislation & jurisprudence
Health Insurance Exchanges -- standards
Health Manpower -- legislation & jurisprudence
Quality Assurance, Health Care
Contract Services
Decision Making
Insurance Coverage -- legislation & jurisprudence
Medicaid
Medicare
State Government
Humans
United States
United States.

3. Program integrity after the enactment of health reform

Publication:
Washington, D.C. : American Hospital Association, [2011]
Subject(s):
Fraud -- prevention & control
Health Care Reform -- organization & administration
Hospitals -- ethics
Insurance Claim Review -- statistics & numerical data
Insurance Claim Review -- trends
Medicaid -- ethics
Medicare -- ethics
Contract Services
Disclosure
Economics, Hospital
Fee-for-Service Plans -- ethics
Financial Audit
Forecasting
Government Regulation
Interinstitutional Relations
Humans
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

5. Monitoring and assessing the use of external quality review organizations to improve services for young children: a toolkit for state Medicaid agencies

Author(s):
Krissik, Tara, author
Ireys, Henry T., author
Markus, Anne, author
Rosenbaum, Sara, author
Publication:
[New York, N.Y.] : Commonwealth Fund, July 2008
Subject(s):
Child Health Services
Managed Care Programs
Medicaid
Preventive Health Services
Professional Review Organizations -- statistics & numerical data
Quality Assurance, Health Care
Child
Child Development
Child, Preschool
Contract Services
Guideline Adherence
State Government
Humans
United States