Concepedia

Managed Care Coverage Denials

Managed Care Coverage Denials is a scholarly construct within health services research that refers to the formal refusal by managed care organizations to authorize or reimburse specific medical services, treatments, or procedures based on predetermined clinical guidelines, coverage policies, or cost-containment criteria.

4

Publications

137

Citations

18

Authors

4

Institutions

Publications per year

2017–2026

0

Parents

Publications

4

Ethical Guidelines for Physician Compensation Based on Capitation

Steven D. Pearson, James E. Sabin, Ezekiel J. Emanuel · New England Journal of Medicine · 1998 · 57 citations

, , +17

What do managed care plans do to affect care? Results from a survey of physicians.

D K Remler, Karen Donelan, Robert J. Blendon et al. · PubMed · 1997 · 50 citations

, , +17

Family Reports of Care Denials for Children Enrolled in TennCare

Robert S. Valet, Diane F. Kutny, Gerald B. Hickson et al. · PEDIATRICS · 2004 · 16 citations

, , +8

Managing Care: Utilization Review In Action At Two Capitated Medical Groups

Kanika Kapur, Carole Roan Gresenz, David M. Studdert · Health Affairs · 2003 · 14 citations

, , +17

1–4 of 4

Authors

18

  1. DF
    Diane F. Kutny

    Vanderbilt University, United States

    1 publications · 16 citations

    1

    h-index

  2. EJ
    Ezekiel J. Emanuel

    National Institutes of Health Clinical Center, United States

    1 publications · 57 citations

    1

    h-index

  3. DK
    D K Remler

    Tulane University, United States

    1 publications · 50 citations

    1

    h-index

  4. RS
    Robert S. Valet

    Vanderbilt University, United States

    1 publications · 16 citations

    1

    h-index

  5. DM
    David M. Studdert

    The University of Melbourne, Australia

    1 publications · 14 citations

    1

    h-index

1–5 of 18

Institutions

4

  1. Vanderbilt University

    Nashville, United States

    1 h-index

    4 publications

    64 citations

  2. Tulane University

    New Orleans, United States

    1 h-index

    1 publications

    50 citations

  3. RAND Corporation

    Santa Monica, United States

    1 h-index

    3 publications

    42 citations

  4. Harvard University

    Cambridge, United States

    1 h-index

    1 publications

    57 citations

1–4 of 4

Venues

  1. Health Affairs

    1 publications · 14 citations

    1

    h-index

  2. PEDIATRICS

    1 publications · 16 citations

    1

    h-index

  3. New England Journal of Medicine

    NEJM · 1 publications · 57 citations

    1

    h-index

  4. PubMed

    Repository · 1 publications · 50 citations

    1

    h-index

1–4