[lemma=manage] [lemma=care] □
[lemma=manage] [lemma=care] □?
[lemma=manage] [lemma=care] □ □
One final note , I am challenging insurance companies , manage care organizations , and public policy leaders to find ways to finance clinical trials . Other issues that further complicate HCFA 's Year 2000 challenge are the known and unknown contractor transitions that are to take place before January 1 , 2000 , and the unknown status of the managed care organizations serving Medicare beneficiaries . Patient access to in-office lab testing and the physician 's ability to make quick and accurate diagnoses are jeopardized when managed care organizations demand that testing previously done in-office be sent out to reference labs . Consumer Reports surveyed customers of 54 of the nation 's largest HMOs and found a similar quality split between " non-profit plans with years of experience managing care " and " for-profit HMOs . A managed care organization is a health care plan designed to provide medical services through groups of doctors , hospitals , and specialty providers . Author Myrna Watanabe quoted manage care organizations as claiming that " clinical trial expenses are not part of their responsibility to provide cost-effective care . Providing that the Mayor and City Council of Baltimore City , after condemning property that is subject to an irredeemable ground rent , shall become the tenant of the ground rent and authorizing the City to apply as tenant to the State Department of Assessments and Taxation to extinguish the ground rent ; requiring a tenant seeking to extinguish a ground rent to give notice to the landlord and to make an application and pay specified fees to the Department ; providing that a landlord is entitled to receive a specified amount on appeal ; etc. Requiring a child discharged from a committed residential placement to receive step - - down aftercare for a period to be determined by the Department of Juvenile Services ; requiring a child in a step - - down aftercare program to receive specified services ; requiring step - - down aftercare staff to keep specified records and file reports ; etc. Establishing the crimes of counterfeiting a check , letter of credit , or other negotiable instrument , or possessing a counterfeit check , endorsement or assignment of a check , letter of credit , or other negotiable instrument under specified circumstances ; establishing penalties for violation of the Act ; etc. Exempting from specified policies and procedures of the State procurement law the procurement by the University System of Maryland of services relating to the investment and management of gift and endowment assets of the University System of Maryland ; requiring the University System of Maryland Board of Regents to submit a specified annual report to the Governor , the Comptroller , the Treasurer , and the General Assembly ; etc. Clarifying the circumstances under which insurers , nonprofit health service plans , health maintenance organizations , and managed care organizations must provide coverage for the surgical treatment of morbid obesity ; establishing a Task Force to Study Utilization Review of the Surgical Treatment of Morbid Obesity ; etc. Requiring the Public Service Commission to establish renewable energy portfolio standards for retail electricity sales during specified years ; requiring the standards to be met by accumulating renewable energy credits ; providing for the eligibility of energy from specified sources ; providing limited additional credit for energy from specified sources ; providing that a customer who surrenders specified credits retains all rights and title to specified attributes ; requiring electricity suppliers to submit an annual report ; etc. Altering the definition of " actual income " under the child support guidelines to include specified third party payments to or for a minor child ; requiring specified third party payments to or for a child to be set off against the child support obligation under the guidelines ; requiring specified third party payments to or for a child that exceed the current support obligation to be credited toward existing child support arrearage ; etc. Authorizing the Department of Natural Resources to designate by regulation an area as a harvest reserve area for oysters ; authorizing the Department to establish requirements for natural oyster bars and harvest reserve areas by public notice ; requiring the use of specified biological criteria in determining the opening and closing of harvest reserve areas ; requiring a specified notice and effective date of notice of harvest reserve areas ; requiring notice to the Joint Committee on Administrative , Executive , and Legislative Review ; etc. Services to submit an annual report to the General Assembly , rather than the Joint Audit Committee , on the forms management activities of each Executive Branch department or independent unit during the previous fiscal year . While California leads the nation with 92 percent of its insured , non-elderly population enrolled in managed care organizations , there is a nationwide trend towards increased managed care . Health care professionals , clinicians and managers need new knowledge and information in order to provide and manage care . Modern physicians are hassled enough by the forms and precertification issues imposed by manage care to begin to negotiate for every patient eligible to receive an experimental therapy . While individuals in rural areas have access to services through manage care organizations and community mental health providers , access to some services , notably psychiatric evaluation , extended care and acute care , requires travelling long distances to reach the nearest provider . Employers and Congress thought managed care organizations such as HMOs would curb escalating premium costs . As practiced , some managed care programs have built-in incentives to prevent access to costlier care . That 's the positive benefit of integration , a better way to manage care that works . There are various sorts of managed care organizations , including two types of health maintenance organizations ( HMOs ) : the traditional staff or group model and the independent practice association ( IPA ) . Over 20 members of the public , cancer survivors , researchers , insurance and manage care representatives , hospital staff , and community advocates are here to testify today . It will temper the risk of significant financial loss when plans enroll beneficiaries who have expensive care needs , and focus competition more on managing care than on avoiding risk . In addition to the reinsurance component , the managed care program also includes a stop loss provision for mental health and chemical dependence services , based on numbers of visits / days , and are part of all MCO contracts . Plans that choose to participate with this benefit package would be required to demonstrate experience in providing services and managing care for frail elderly and disabled individuals .