Managed care and reproductive health

Sally Cohen, Deanne R. Williams

Research output: Contribution to journalArticle

Abstract

Managed care poses special challenges to midwives providing reproductive health care. This is owing to the sensitive nature of issues surrounding reproductive health and aspects of managed care that may impede a woman's ability to obtain continuous, confidential, and comprehensive care from the provider of her choice. Variations across payers (ie, Medicare, Medicaid, and commercial insurers) regarding covered benefits and reimbursement of midwifery services also may create obstacles. Furthermore, some physicians and managed care organizations are embracing policies that threaten the ability of midwives to function as primary health care providers for women. Despite these hurdles, midwives have the potential to remain competitive in the new marketplace. This article underscores the importance of being knowledgeable about legislation and policy issues surrounding the financing of midwifery services, quality performance measurement for HMOs as they pertain to reproductive health, and discussions regarding which clinicians should be defined as primary care providers.

Original languageEnglish (US)
Pages (from-to)150-161
Number of pages12
JournalJournal of Nurse-Midwifery
Volume43
Issue number3
StatePublished - 1998

Fingerprint

Reproductive Health
Midwifery
Managed Care Programs
Primary Health Care
Insurance Carriers
Health Maintenance Organizations
Medicaid
Medicare
Legislation
Health Personnel
Organizations
Delivery of Health Care
Physicians

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Cohen, S., & Williams, D. R. (1998). Managed care and reproductive health. Journal of Nurse-Midwifery, 43(3), 150-161.

Managed care and reproductive health. / Cohen, Sally; Williams, Deanne R.

In: Journal of Nurse-Midwifery, Vol. 43, No. 3, 1998, p. 150-161.

Research output: Contribution to journalArticle

Cohen, S & Williams, DR 1998, 'Managed care and reproductive health', Journal of Nurse-Midwifery, vol. 43, no. 3, pp. 150-161.
Cohen, Sally ; Williams, Deanne R. / Managed care and reproductive health. In: Journal of Nurse-Midwifery. 1998 ; Vol. 43, No. 3. pp. 150-161.
@article{046a32045278416dbc8cbb1dcaccfa79,
title = "Managed care and reproductive health",
abstract = "Managed care poses special challenges to midwives providing reproductive health care. This is owing to the sensitive nature of issues surrounding reproductive health and aspects of managed care that may impede a woman's ability to obtain continuous, confidential, and comprehensive care from the provider of her choice. Variations across payers (ie, Medicare, Medicaid, and commercial insurers) regarding covered benefits and reimbursement of midwifery services also may create obstacles. Furthermore, some physicians and managed care organizations are embracing policies that threaten the ability of midwives to function as primary health care providers for women. Despite these hurdles, midwives have the potential to remain competitive in the new marketplace. This article underscores the importance of being knowledgeable about legislation and policy issues surrounding the financing of midwifery services, quality performance measurement for HMOs as they pertain to reproductive health, and discussions regarding which clinicians should be defined as primary care providers.",
author = "Sally Cohen and Williams, {Deanne R.}",
year = "1998",
language = "English (US)",
volume = "43",
pages = "150--161",
journal = "Journal of Midwifery and Women's Health",
issn = "1526-9523",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Managed care and reproductive health

AU - Cohen, Sally

AU - Williams, Deanne R.

PY - 1998

Y1 - 1998

N2 - Managed care poses special challenges to midwives providing reproductive health care. This is owing to the sensitive nature of issues surrounding reproductive health and aspects of managed care that may impede a woman's ability to obtain continuous, confidential, and comprehensive care from the provider of her choice. Variations across payers (ie, Medicare, Medicaid, and commercial insurers) regarding covered benefits and reimbursement of midwifery services also may create obstacles. Furthermore, some physicians and managed care organizations are embracing policies that threaten the ability of midwives to function as primary health care providers for women. Despite these hurdles, midwives have the potential to remain competitive in the new marketplace. This article underscores the importance of being knowledgeable about legislation and policy issues surrounding the financing of midwifery services, quality performance measurement for HMOs as they pertain to reproductive health, and discussions regarding which clinicians should be defined as primary care providers.

AB - Managed care poses special challenges to midwives providing reproductive health care. This is owing to the sensitive nature of issues surrounding reproductive health and aspects of managed care that may impede a woman's ability to obtain continuous, confidential, and comprehensive care from the provider of her choice. Variations across payers (ie, Medicare, Medicaid, and commercial insurers) regarding covered benefits and reimbursement of midwifery services also may create obstacles. Furthermore, some physicians and managed care organizations are embracing policies that threaten the ability of midwives to function as primary health care providers for women. Despite these hurdles, midwives have the potential to remain competitive in the new marketplace. This article underscores the importance of being knowledgeable about legislation and policy issues surrounding the financing of midwifery services, quality performance measurement for HMOs as they pertain to reproductive health, and discussions regarding which clinicians should be defined as primary care providers.

UR - http://www.scopus.com/inward/record.url?scp=0032061757&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032061757&partnerID=8YFLogxK

M3 - Article

VL - 43

SP - 150

EP - 161

JO - Journal of Midwifery and Women's Health

JF - Journal of Midwifery and Women's Health

SN - 1526-9523

IS - 3

ER -