+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Does managed care make a difference? Physicians' length of stay decisions under managed and non-managed care



Does managed care make a difference? Physicians' length of stay decisions under managed and non-managed care



Bmc Health Services Research 4(1): 3



In this study we examined the influence of type of insurance and the influence of managed care in particular, on the length of stay decisions physicians make and on variation in medical practice. We studied lengths of stay for comparable patients who are insured under managed or non-managed care plans. Seven Diagnosis Related Groups were chosen, two medical (COPD and CHF), one surgical (hip replacement) and four obstetrical (hysterectomy with and without complications and Cesarean section with and without complications). The 1999, 2000 and 2001--data from hospitals in New York State were used and analyzed with multilevel analysis. Average length of stay does not differ between managed and non-managed care patients. Less variation was found for managed care patients. In both groups, the variation was smaller for DRGs that are easy to standardize than for other DRGs. Type of insurance does not affect length of stay. An explanation might be that hospitals have a general policy concerning length of stay, independent of the type of insurance of the patient.

(PDF emailed within 0-6 h: $19.90)

Accession: 048822779

Download citation: RISBibTeXText

PMID: 15028122

DOI: 10.1186/1472-6963-4-3


Related references

Managed care versus managed "carelessly" the nurse case manager's role in the managed care arena. Kentucky Nurse 54(4): 21, 2006

Difference in length of stay with care managed by clinical nurse specialists or physician assistants. Clinical Nurse Specialist Cns 8(5): 253-260, 1994

Chronic kidney disease: stating the managed care case for early treatment. Discussion and consensus of presentations of economic analyses, managed care organization case studies, and opportunities for intervention in a managed care setting. May 3-5, 2001 Chicago, Illinois. American Journal of Managed Care 8(4 Suppl): S114-S120, 2002

Managed care, managed dollars, managed providers: ethical dilemmas in mental healthcare. Hec Forum 14(2): 99-118, 2002

Managed care in New Zealand: managed competition or managed collaboration?. New Zealand Health and Hospital 47(6): 4-7, 1995

The provision of primary care: does managed care make a difference?. Health Affairs 16(6): 89-98, 1998

Are managed care organizations in the United States impeding the delivery of primary care by nurse practitioners? A 2012 update on managed care organization credentialing and reimbursement practices. Population Health Management 16(5): 306-309, 2014

Medicare managed care. How physicians can make it better. Gastroenterology Clinics of North America 26(4): 763-771, 1998

Managed care can make a difference: the need for care at the end of life. American Journal of Managed Care 7(8): 831-833, 2001

Keeping the "care" in managed care: the importance of the therapeutic relationship and psychosocial factors in the managed care setting. Physician Executive 21(11): 22-25, 1995

The managed care/Medicare advantage challenge: interface between home care and managed care fraught with tensions. Caring 26(4): 41-43, 2007

Managed care: public-sector managed behavioral health care: IV. Integrated versus "carve-out" care. Psychiatric Services 50(10): 1267-8, 1280, 1999

Use cost data to make 'go/no-go' managed care contract decisions. Data Strategies & Benchmarks 1(6): 84-87, 1999

Improving satisfaction with care and reducing length of stay in an obstetric triage unit using a nurse-midwife-managed model of care. Journal of Midwifery and Women's Health 58(2): 175-181, 2013

Managed care ethics committees make a difference. Family Practice Management 4(2): 50-2, 55-6, 1997