| A preferred provider organization (PPO) case study for mental health and substance abuse. | |
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MedLine Citation:
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PMID: 10318237 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Preferred Provider Organization concept is quickly becoming more popular because of its relative cost-effectiveness and recent successes. Managed care through means of this mental health and substance abuse PPO may well serve as the prototype for the general health care cost containment efforts of the future for the self-insured insurance plans for Alabama state employees and teachers. The first year also revealed several problems in the original proposal especially with respect to the unintended attractiveness of inpatient/residential care. Consequently, copayment plans were added to dissuade unnecessary lengthy stays (see Table 2). Second, a new quality assurance mechanism has been added to further evaluate the need for admissions to facilities, as well as for the need for continued inpatient treatment. The Alabama Quality Assurance Foundation (AQAF) began on January 1, 1988, conducting the preadmission certification on all admissions based upon criteria established jointly by AQAF and the PPO providers. In addition, AQAF will conduct continuing stay reviews at predetermined time periods to ensure that continued treatment in an inpatient setting is indeed necessary. |
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Authors:
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I Gomillion; D R Self |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health marketing quarterly Volume: 6 ISSN: 0735-9683 ISO Abbreviation: Health Mark Q Publication Date: 1988 |
Date Detail:
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Created Date: 1989-07-07 Completed Date: 1989-07-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8306485 Medline TA: Health Mark Q Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 187-94 Citation Subset: H |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Alabama Cost Control Delivery of Health Care / economics* Humans Insurance, Health / organization & administration* Managed Care Programs / economics* Mental Health Services / economics* Preferred Provider Organizations / organization & administration* Substance-Related Disorders / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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