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Managed Care
This overview discusses articles published in this issue of the Health Care Financing Review, entitled ''Managed Care: Advances in Financing." Articles cover the cutting edge developments in payment methods for managed care organizations and their providers; new approaches to financing managed health care services for Medicare and Medicaid beneficiaries and special subpopulations; and the financing challenges presented by new managed care delivery models and industry consolidation.
Reshaping National Intelligence for an Age of Information
In this bold and penetrating study, Gregory Treverton, former Vice Chair of the National Intelligence Council and Senate investigator, offers his insider's views on how intelligence gathering and analysis must change. He suggests why intelligence needs to be both contrarian, leaning against the conventional wisdom, and attentive to the longer term, leaning against the growing shorter time horizons of Washington policy makers. He urges that the solving of intelligence puzzles tap expertise outside government--in the academy, think tanks, and Wall Street--to make these parties colleagues and co-consumers of intelligence, befitting the changed role of government from doer to convener, mediator, and coalition-builder.
Development of Supplemental Quality Improvement Items for the Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Using a structured consensus process, RAND worked with health plans to identify the specific issues of concern to them regarding the usability of CAHPS results for quality-improvement actions. Results of interviews with health plans confirmed their desire to have supplemental items available that they could use to collect more action-oriented data for quality improvement. In response to this issue, priority domains-coordination of care, access to care, information and materials, and customer service-and topic areas for item development were identified, and items for those areas were developed and field-tested.
Evaluation of the Patient Safety Improvement Corps
The Patient Safety Improvement Corps (PSIC), part of the Agency for Healthcare Research and Quality's (AHRQ's) patient safety initiative, is a program of three one-week sessions (didactic lessons, homework, and a team project) operated collaboratively by the AHRQ and the Veterans' Affairs (VA) National Center for Patient Safety (NCPS). Its purpose is to improve patient safety in the nation by increasing the number and capacity of health care professionals with patient safety knowledge and skills, achieved through training teams from all 50 U.S. states over three years. This report presents findings from RAND's evaluation of the first two years of the PSIC. Data were collected through in-pers...
Research Colloquium on Workers' Compensation Medical Benefit Delivery and Return to Work
These proceedings are the product of a May 2003 colloquium on the workers' compensation medical benefit delivery system, with a focus on the access, cost, and quality issues facing the system and mechanisms to improve its quality and efficiency.
