Emerging Challenges in State Regulation of Managed Care
Report on a Survey of Agency Regulation of Prepaid Managed Care Entities
Consumer protection for citizens enrolled in managed care is an important role for state governments. As managed care rapidly evolves, how are states keeping up with oversight of these new types of entities? This report contains the results of a survey developed by the National Academy for State Health Policy and sent to the Insurance, Medicaid, and Public Health agencies in all 50 states. The goal of the survey was to learn more about:
1. which agencies regulate prepaid, risk-bearing managed care entities;
2. what types of entities are being regulated and under what authority these entities are regulated;
3. the scope of authority of different state agencies in the regulation of these entities; and
4. the existence of any overlap or gaps in state oversight that may affect the consumer.
| 1996.Aug_.emerging.challenges.regulation.managed.care_.pdf | 26.2 MB |
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
