Contents
Part 1. Understanding the Big Picture
1. Managing the Managers: An Introduction to the Challenge of Overseeing Managed Care / Gail B. Agrawal
2. A National Overview / George Anders
3. The Stages of Managed-Care Regulation: Developing Better Rules / Alice A. Noble and Troyen A. Brennan
Part 2. Views from the Trenches: Patients and Providers
4. A Physician’s View from the Trenches / Clifton R. Cleaveland
5. A Consumer Advocate’s View from the Trenches / Cathy L. Hurwit
6. Oversight of Managed Care: An Academic Health Center Perspective / John E. Billi and Jeanne M. Kin
Part 3. Purchasers and Market Oversight
7. Markets for Medicine? / Keith J. Crocker and John R. Moran
8. General Motors as Purchaser / Bruce E. Bradley, James C. Cubbin, James F. Ball, and Deborah Salerno
9. Medicaid: The Prudent Purchaser / Bruce Bullen
10. NCQA: Using Market Pressure to Promote Quality in Managed Care / Margaret E. O'Kane
11. The American Association of Health Plans: Representing the Industry / American Association of Health Plans
Part 4. The Role of Regulation and Litigation
12. The Role of State Insurance Regulators / Frances Wallace
13. The Role of Private Litigation in Monitoring Managed Care / Peter D. Jacobson
Appendix A: Glossary of Terms and Acronyms
Appendix B: Managed Care On-line Resources
List of Contributors
Index