| In 1998, approximately 85% of employees with health coverage were
in enrolled in some form of managed health care. A growing proportion of Medicaid and
Medicare sponsored health care is being provided through managed care. Enrollment levels
in the largest managed care plans have now reached 15 to 20 million. The American
Association of Health Plans (AAHP) recently announced that under "an agreement signed
between the National Institutes of Health (NIH) and the AAHP Board of Directors in
December 1998, AAHP and its member plans will work with the NIH to design and implement
procedures that would increase the participation of health plans and their enrollees in
NIH-sponsored clinical trials." It is in this climate of
change that we present this updated inventory of CDC’s managed care-related
activities. Our mission is to promote health and quality of life for all Americans
by preventing and controlling disease, injury and disability. We accomplish this by
working with partners throughout the United States and the world; and we continue to enjoy
strong and productive ties with our traditional partners in prevention. As an increasing
number of our citizens receive their health care through managed care, we have worked to
develop new partnerships with the managed care industry to advance the science and
practice of health promotion and disease and injury prevention. The managed care-related
projects that follow, while an expansion from the 1996 Inventory, are just the beginning
of what we expect will be a long and productive collaboration.
This Inventory includes 107 projects funded primarily in Fiscal Years
1996-98, listed in the Table of Contents by Center, Institute or Office (CIO) and
organized beginning on page 103 in one or more of the following categories:
- Research
- 52 projects
- Prevention Effectiveness Guidelines - 13 projects
- Medicaid and Managed Care - 14 projects
- Quality - 20 projects
- Partnerships - 20 projects
- Capacity Building - 13 projects
- Case Management - one project
- Surveillance - seven projects
- Information Systems - 12 projects
This compilation is intended as a reference for parties interested in
the growing collaboration between the managed care and public health sectors. Phone
numbers of the principal participants are generally included in each project description.
A key to acronyms and alphabetized address listings of contacts are included in the
appendices. While we have made every effort to be inclusive; we have undoubtedly missed
some activities. We will be happy to learn about them or answer any questions. Please
contact Kenneth Schachter, MD, MBA; Medical Director, Office of HealthCare Partnerships;
Centers for Disease Control and Prevention; 4770 Buford Highway, M/S K73; Atlanta, GA
30341, Phone (770) 488-8186, Fax (770) 488-8462
Kuttner, Robert, The New England Journal of Medicine, January 21, 1999,
pp 248-9.
Reuters Health Information Services, "AAHP, NIH form collaboration
to increase HMO coverage of clinical trials costs." Ed Winnick. 2/10/99. |
