Strategies for Managing Service Delivery in HMOs: An Application to Mental Health Care

Jon B. Christianson, Douglas R Wholey, Maureen Shadle Peterson

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

This article examines the general problem of how health maintenance organizations (HMOs) manage service delivery, with specific application to mental health care. The empirical analysis consists of two parts. The first part explores relationships among HMO payment mechanisms and other approaches available to HMO managers to influence the delivery of care. This exploratory analysis identifies four distinct strategies for the management of mental health care delivery. The second part of the empirical analysis relates the adoption of a particular strategy to HMO and market characteristics. One finding from this analysis is that group model HMOs in more competitive markets are more likely to adopt mental health management strategies directed at providers.

Original languageEnglish (US)
Pages (from-to)200-222
Number of pages23
JournalMedical Care Research and Review
Volume54
Issue number2
DOIs
StatePublished - Jun 1997

Bibliographical note

Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.

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