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- W1969043357 abstract "The traditional delivery model of care, based on the theory of cost cutting, is being replaced by a broader focus on the overall of covered members. This new era of managed health features novel ways of operating and competing as a plan. The shift to a new medical management paradigm results not only in better outcomes but also in increased provider and member satisfaction. Key to this model is the integration of partnerships and technology. In order to move to the next generation of medical management, Foundation Health, a Florida Health Plan, had to reallocate resources and think beyond the traditional assignment of responsibilities. This concept of medical management obligates the organization to shift its thinking from managing by hospital or doctor to managing by diagnosis, which can more effectively influence care outcomes and expenditures. Traditionally, plans controlled costs by implementing barriers to treatment, such as preauthorizations and second opinions. Howeve..." @default.
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- W1969043357 date "1998-11-01" @default.
- W1969043357 modified "2023-09-27" @default.
- W1969043357 title "The Next Generation of Medical Management" @default.
- W1969043357 doi "https://doi.org/10.1089/dis.1998.1.277" @default.
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