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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 21 through 31 (31 total).

U.S. Medicaid Bureau; U.S. Bureau of Primary Health Care, U.S. Maternal and Child Health Bureau; and National Academy for State Health Policy. 1993. National Conference on Managed Care Systems for Mothers and Young Children: Summary of conference proceedings. Portland, ME: National Academy for State Health Policy, 72 pp.

Annotation: These proceedings summarize the sessions of the National Conference on Managed Care Systems for Mothers and Young Children held in April, 1992. Topics covered were caring for children, quality assurance of health care, caring for pregnant women, the future of Medicaid managed care, the consumer perspective in health care, ongoing outreach, and linkages among programs serving low-income populations. Appendices include descriptions of programs featured during the conference, and a list of conference speakers.

Contact: National Academy for State Health Policy, 10 Free Street, Second Floor, Portland, ME 04101, Telephone: (207) 874-6524 Secondary Telephone: (202) 903-0101 Fax: (207) 874-6527 E-mail: [email protected] Contact E-mail: 73512.316.compuserve.com Web Site: http://www.nashp.org Available from the website.

Keywords: Child health promotion, Conferences, Health care financing, Health maintenance organizations, MCH programs, MCH services, Managed care, Model programs, Socioeconomic factors

Fox HB, Wicks LB. 1993. State implementation of OBRA '89 EPSDT amendments within Medicaid managed care arrangements. Washington, DC: Fox Health Policy Consultants, 68 pp.

Annotation: This report examines how states are implementing the Omnibus Budget Reconciliation Act of 1989 (OBRA) '89 EPSDT provisions within the three most common types of Medicaid managed care programs—capitated health maintenance organization, prepaid health plan, and fee-for-service primary care case management programs. Data is presented from a telephone survey of Medicaid agency staff in all fifty states and the District of Columbia. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Policy Research Center, 750 17th Street, N.W., Suite 1100, Washington, DC 20006-4607, Telephone: (202) 223-1500 Fax: (202) 496-9067 Price unknown.

Keywords: EPSDT, Fees and charges, Health maintenance organizations, Medicaid, Medicaid managed care, Omnibus Budget Reconciliation Act of 1989, Prepaid health plans, Reports, Surveys

Karlson TA with Sumi MD, Braucht SA. 1990. The impact of health maintenance organizations on accessibility, satisfaction and cost of health care for children with special needs. Madison, WI: Center for Health Systems Research and Analysis, 119 pp.

Annotation: This report describes a study of five health maintenance organizations in Dane and Milwaukee Counties, Wisconsin. The report examined what the plans did and did not cover, costs to families and family satisfaction, for the following three diagnoses: acute lymphocytic leukemia, cystic fibrosis, and developmental delay. Implications and recommendations are also reported. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Children with special health care needs, Consumer satisfaction, Health care costs, Health maintenance organizations

U.S. General Accounting Office. 1990. Medicaid: Oversight of health maintenance organizations in the Chicago area. Washington, DC: U.S. General Accounting Office, 81 pp.

Annotation: This report evaluates the adequacy of federal and state oversight of the Chicago, Illinois area health maintenance organizations. Particular factors discussed include insufficient enrollment of eligible beneficiaries, ineffective quality assurance programs, and financial incentives for physicians to underserve clients. Evaluators' recommendations for methods of improvement are included.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 E-mail: [email protected] Web Site: http://www.gao.gov Available from the website. Document Number: GAO/HRD-90-81.

Keywords: Evaluation, Health care financing, Health maintenance organizations, Illinois, Medicaid managed care, State programs

Lewis-Idema D. 1989. A summary of the proceedings related to perinatal and child health care at the Academy's First Annual Policy Conference, "Affording Access to Quality Care" together with implications for the Health Resources and Services Administration. Portland, ME: National Academy for State Health Policy, 34 pp.

Annotation: This report describes a conference held on August 3-5, 1988, in Denver, Colorado, on access issues in perinatal and child health care. Topics include insurance coverage issues and implications for perinatal and child health, barriers and solutions to Medicaid eligibility, perinatal epidemiology and its role in state health policy, perinatal care in rural areas, increasing physician participation in perinatal care, and managing perinatal care in health maintenance organizations. The two parts of the report include a summary of the proceedings and an exploration of the implications for the Health Resources and Services Administration and its programs.

Contact: National Academy for State Health Policy, 10 Free Street, Second Floor, Portland, ME 04101, Telephone: (207) 874-6524 Secondary Telephone: (202) 903-0101 Fax: (207) 874-6527 E-mail: [email protected] Web Site: http://www.nashp.org Available from the website.

Keywords: Access to health care, Child health, Colorado, Conferences, Health maintenance organizations, Medicaid, Perinatal services, Provider participation, Rural populations, Women', barriers, s health

Greenstein RM, Gardiner GB. 1987. Reimbursement for medical genetics services: A selected bibliography. Washington, DC: National Center for Education in Maternal and Child Health, 44 pp.

Annotation: This bibliography represents a selected listing of articles related to direct genetic services billings (professional fees, procedures and laboratory tests). Some collaborative services are included, such as contributing departments of pathology, radiology, and obstetrics-gynecology. The objective of the bibliography was to investigate the issue of accessibility to genetic services through the reimbursement process. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available for loan; also available from the ERIC Document Reproduction Service, 7420 Fullerton Road, Suite 110, Springfield, VA 22153-2852. Telephone: (800) 443-ERIC / e-mail: [email protected] / website: http://edrs.com/; gopher://edrs.com. Document Number: HRSA Info. Ctr. MCHB307; ERIC ED 323 699.

Keywords: Genetics, Health care financing, Health insurance, Health maintenance organizations, Medicaid, Medicare

Brazner K, Gaylord CL. 1986. Medicaid, HMO's and maternal and child health: An assessment of Wisconsin's mandatory HMO enrollment program for AFDC families. Madison, WI: Center for Public Representation, Community Based Maternal and Child Health Project, 149 pp.

Annotation: This research paper is a report on a Medicaid cost containment program in Wisconsin under which recipients of Aid to Families with Dependent Children are required to enroll in health maintenance organizations (HMO) to receive Medicaid health care services. The paper assesses the effect of this Preferred Enrollment Initiative (PEI) on access to quality health care for low-income mothers and children. A review of the positive developments and the problems with the program are covered.

Keywords: Aid to Families with Dependent Children, Evaluation, Health maintenance organizations, Mandatory enrollment, Medicaid managed care, State MCH programs

Mullen PD, Zapka JG. 1982. Guidelines for health promotion and education services in HMOs. Washington, DC: U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, and Office of Health Information, Health Promotion, and Physical Fitness and Sports Medicine, 142 pp.

Annotation: This document was designed to provide guidelines for HMO administrators, medical directors, and boards of trustees on the topic of health education and promotion. The goals of HMO health promotion programs should include the following: promote appropriate use of services, including early response to warning signals; encourage member participation and involvement in advisory, policymaking, and other voluntary service roles; improve self-care skills for the treatment of minor acute problems and; prevent disease and promote well-being.

Contact: U.S. Government Publishing Office, 732 North Capitol Street, N.W., Washington, DC 20401, Telephone: (202) 512-1800 Secondary Telephone: (866) 512-1800 Fax: (202) 512-2104 E-mail: [email protected] Web Site: http://www.gpo.gov Available in libraries.

Keywords: Guidelines, Health maintenance organizations, Public health programs, Public health services

U.S. Congress, Office of Technology Assessment. 1980. The implications of cost-effectiveness analysis of medical technology. Washington, DC: U.S. Congress, Office of Technology Assessment, 219 pp., summ. (27 pp.).

Annotation: This assessment report analyzes the feasibility, implications, and usefulness of cost-effectiveness and cost-benefit analysis in health care decisionmaking. In preparing this report, the Office of Technology Assessment consulted with experts in economics, medicine, ethics, and health policy.

Contact: U.S. Government Publishing Office, 732 North Capitol Street, N.W., Washington, DC 20401, Telephone: (202) 512-1800 Secondary Telephone: (866) 512-1800 Fax: (202) 512-2104 E-mail: [email protected] Web Site: http://www.gpo.gov Available from the website.

Keywords: Cost effectiveness, Health care financing, Health maintenance organizations, Medical technology, Public health programs, Public health services, Reimbursement, Standards

Johns Hopkins Medical Institutions, Health Services Research and Development Center. 1975. Survey of quality assurance and utilization review mechanisms in prepaid group practice plans and medical care foundations. Baltimore, MD: Johns Hopkins Medical Institutions, Health Services Research and Development Center, ca. 200 pp.

Annotation: This study was planned as a means for determining the extent to which health maintenance organizations (HMOs) had established internal review mechanisms for utilization and quality of care, the nature of standards that had been adopted, and the potential for modifying or expanding them. The report describes the study methodology and the findings of mail surveys and site visits of selected prepaid group practice plans and foundations for medical care. Appendices include the mail survey questionnaires and responses. The study was conducted under contract to the Bureau of Community Health Services, U.S. Department of Health, Education, and Welfare.

Keywords: Health care delivery, Health care utilization, Health maintenance organizations, Patient care management, Quality assessment, Quality assurance

Northrop BA, ed. 1974. Public and private responsibility for health care under age 21: Where are we? Where do we want to be? How do we get there?—Report of the 1974 National Health Forum, Boston, Massachusetts, March 12-13, 1974 and background information for the 1974 Southern Regional Health Forum, Atlanta , Georgia, September 8-10, 1974 . New York, NY: National Health Council, 130 pp.

Annotation: This report presents the 1974 National Health Council forum on Public and Private Responsibility for Health Care Under Age 21. There were addresses and discussions on health care of children and youth in America, national health care priorities for children and youth, child health services under Medicaid, changing public/private sector roles, developing a health strategy for children and youth, health manpower, government policy, and future challenges. Four appendices at the end list forum participants, National Health Council staff, 1974 forum evaluation, and Declaration of Rights of Child.

Keywords: Adolescent health, Child health, Education, Health maintenance organizations, Health personnel, Health services, Medicaid, Preventative medicine, Private sector, Public health services
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The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.