Robinson J, Clay T
J Health Hum Serv Adm. 2000 Winter;23(3):306-23.
In recent years, state governments have begun contracting out behavioral health care to large managed for-profit organizations. This approach to mental health service delivery has resulted in realignment in roles for both state agencies and the managed care organizations. Overnight, state agencies have been transformed into contract managers of multi-million dollar capitated health plans. Managed care companies, in turn, moving into the public-sector market must adjust their service delivery to include key concepts of public interest involvement such as consumer input, public comment, and outreach. This article analyzes three public-sector transitions. Common issues in these transformations are used as a springboard for identifying key concerns which states need to monitor when developing managed care contracts.
近年来，州政府已开始将行为健康护理外包给大型营利性管理型组织。这种精神健康服务提供方式导致了州机构和管理型医疗组织角色的重新调整。一夜之间，州机构已转变为价值数百万美元的按人头付费健康计划的合同管理者。反过来，进入公共部门市场的管理型医疗公司必须调整其服务提供方式，以纳入诸如消费者参与、公众意见和外展等公共利益参与的关键概念。本文分析了三个公共部门的转变。这些转变中的常见问题被用作一个跳板，以识别各州在制定管理型医疗合同时需要监测的关键问题。
