How managed care is reinventing medicaid and other public health-care bureaucracies

• 成果类型: Article
• 署名作者: Portz, JH; Reidy, M; Rochefort, DA
• 署名单位: Northeastern University
• 刊物名称: PUBLIC ADMINISTRATION REVIEW
• ISSN/ISSBN: 0033-3352
• DOI: 10.2307/977423
• 发表日期: 1999
• 页码: 400-409
• 关键词: government performance; results act

摘要

The spread of managed rare is rapidly transforming the nation's health rare system. Less well noted, however, is the way this transformation is also reshaping Medicaid-and other public health-care bureaucracies-across administration internal operations, and policymaking areas. In this article, we examine how managed care has contributed to reinventing government in such bureaucracies, paying particular attention to shifts in organisational mission, competitive contracting, performance measurement; and government regulation. At the same time, we raise questions about the challenges of capacity and accountability that arise as public bureaucracies both participate in and respond to the managed rare revolution.