000			01495naa a2200181uu 4500
001			6112711490421
003			OSt
005			20190211161427.0
008			061127s1997 xx ||||gr |0|| 0 eng d
100	1		_aSWOBODA, Dale P. _928431
245	1	0	_aMedicaid and managed care : _bthe cost-effectiveness of Arizona's approach to mandated organ transplantations
260			_aThousand Oaks : _bSAGE, _cMarch 1997
520	3		_aFor states, the budget burdens precipitated by Medicaid call for innovative measures that result in true economic savings. Nearly all states are engaged in reforming their Medicaid organizations to meet the costs of increased financial responsibility. This article considers the issue of health care reform through one state organization's response to a particular mandate. The case shows how a state Medicaid agency attempted to alleviate the financial burdens of that mandate by extending its philosophy of managed competition through the use of negotiated and competitive managed care contracts for organ transplantations. The agency expected to achieve significant cost savings. The results suggest that managed competition and negotiation hold promise to states as a means for meeting the high costs of technology in the Medicaid environment
773	0	8	_tAdministration & Society _g29, 1, p. 42-62 _dThousand Oaks : SAGE, March 1997 _xISSN 00953997 _w
942			_cS
998			_a20061127 _b1149^b _cNatália
998			_a20100805 _b1540^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c19990 _d19990
041			_aeng