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 Mental Health and Social Policy: The Emergence of Managed Care by David Mechanic, Just a few years ago there was much optimism that the American health care system would be reformed and that we would have a system of universal insurance entitlement with few people uninsured. The realization that full mental health benefits would only be financially acceptable within a managed care framework suggests the importance of managed care as an instrument for achieving broader coverage at an acceptable cost. Yet, it remains to be seen to what extent the marketplace will direct the future development of managed care and what role professional agencies, government, and consumer organizations will have in making managed care organizations accountable to the public. This book takes a multidisciplinary approach to mental health and social policy. It covers mental health issues such as definitions of mental disorders, the epidemiology of mental illness, case management, community treatment, mental health research, and questions of policy. It also includes the definitions of disability and the links to federal programs and housing and employment services that will be of special interest to social workers. Mental health care providers, social workers, and therapists.
 America's Children: Health Insurance and Access to Care by Margaret Edmunds, Today, more than 11 million American children lack health insurance and the number increases every year. America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? Topics explored include: -- The changing role of Medicaid under managed care. -- State-initiated and private sector children's insurance programs. -- Specific effects of insurance status on the care children receive. -- The impact of chronic medical conditions and special health care needs. -- The status of "safety net" health providers: community health centers, children's hospitals, school-based health centers, and others. -- Private-sector, employer-based health insurance: the changing patterns of coverage and tax policy options to increase coverage.
Comprehensive health insurance (Maine) - In June of 2003, the Maine, USA Legislature passed a comprehensive health insurance plan, granting low-cost coverage available to all state residents by 2009. Through a semi-private agency, the state will provide coverage to uninsured residents, small businesses and municipalities and the self-employed. Ontario Health Insurance Plan - The Ontario Hospital Insurance Plan (OHIP) is the government-run health plan for the Canadian province of Ontario. More recently it has been referred to as the Ontario Health Insurance Plan, but the official name uses the term Hospital rather than Health due to legal questions related to the coverage of prescription drugs. Health maintenance organization - A Health Maintenance Organization (HMO) is a type of Managed Care Organization (MCO) that provides a form of health insurance coverage in the United States that is fulfilled through hospitals, doctors, and other providers with which the HMO has a contract. Unlike traditional indemnity insurance, care provided in an HMO generally follows a set of care guidelines provided through the HMO's network of providers. Canada Health Act - The Canada Health Act is a piece of Canadian federal legislation, adopted in 1984, that lists the conditions and criteria to which the provinces and territories must conform in order to receive the full amount of negotiated transfer payments relating to health care. The legislation encourages the provinces to maintain public health insurance plans for their residents and discourages the use of extra-billing and user fees in health care delivery.
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