Importing employer-based managed care initiatives to rural areas: The experience of the South Dakota state employees group

Jon B. Christianson, J. Patrick Hart

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

In urban areas, employers are frequently in the forefront of efforts to implement managed care initiatives at the community level, either individually or through coalitions. While employer-driven managed care initiatives also exist in rural areas, they are less common and much less is known about them. This article describes and analyzes the early experience of a large rural employer-the state of South Dakota-in its attempt to develop and implement a managed care initiative. Several aspects of that experience suggest that employer-driven managed care models in urban sites may require reexamination and redefinition for implementation in rural areas.

Original languageEnglish (US)
Pages (from-to)145-151
Number of pages7
JournalJournal of Rural Health
Volume13
Issue number2
DOIs
StatePublished - Jan 1 1997

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