Disability and Managed Care: Problems and Opportunities at the End of the Century

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Greenwood Publishing Group, 1999 - Health & Fitness - 178 pages
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Since the passage in 1990 of the Americans with Disabilities Act, society has made considerable strides in improving the quality of life and the productivity of individuals with disabilities. At the same time, however, the American health care system has undergone considerable change, with some unforeseen consequences for those with disabilities.

Birenbaum analyzes all of the disability and health policy issues that have emerged from our reliance upon managed care. First, he examines how disability has been defined and redefined in social science and in government regulations. Then, he discusses the major changes in health care over the last decade-in particular, the financial and organizational principles behind managed care. After reviewing the structural advantages and disadvantages of managed care for people with disabilities, he concludes with observations on the future of health care for people with disabilities, particularly in the context of the quality of life and the possible functional outcomes following medical interventions.

 

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Contents

Disability American Society and Health Care
1
Medical Care Financing and Utilization for People with Disabilities
21
FullBlown Managed Care
39
A CostDriven Delivery System and People with Disabilities
59
Contested Terrain Access to Specialists and Hospital Stays
77
Disability the Quality of Life and the Quality of Managed Care
93
Managed Care and Centers of Excellence
113
Public Health Partnerships Work in Progress
129
Protecting the Rights of Consumers
141
Some Unresolved Issues
153
Further Reading
169
Index
171
Copyright

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About the author (1999)

ARNOLD BIRENBAUM is Associate Director, University Affiliated Program, Department of Pediatrics, Albert Einstein College of Medicine. Professor Birenbaum has written extensively on health and public policy issues, including Putting Health Care on the National Agenda (Greenwood, 1995) and Managed Care: Made in America (Greenwood, 1997).

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