Executive Summary for MCIC's:
"Managed Care Plan Benefits Coverage Analysis"
Methodology:
The data used to compiled "Managed Care Plan Benefits Coverage Analysis" was gathered by MCIC's researcher staff for its "National Directory of Managed Care Organizations," (First and Second Editions).
The database includes: HMOs, PPOs, specialty HMOs and PPOs, point-of-service plans, exclusive provider organizations, peer review organizations, third party administrators, utilization review organizations, pharmacy benefit management companies, pharmacy networks and provider sponsored organizations.
Key Findings:
Results showed 53 percent of the nation's MCOs reported covering psychiatric benefits -- the highest of rate of the benefits analyzed in the study (see chart below).
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National Trends in MCO Benefit Coverage
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| Benefit
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% Nation's MCOs Offering Coverage
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| Psychiatric
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53.0%
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| Chiropractic
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46.9%
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| Home Health
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44.8%
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| Wellness
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43.4%
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| Vision
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41.9%
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| Dental
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36.8%
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| Workers' Comp
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20.1%
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| Long-Term Care
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16.6%
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The Complete report, "Managed Care Plan Benefits Coverage Analysis" offers nationwide and regional benefit coverage analysis for: chiropractic, vision, dental, long-term care, wellness, psychiatric, workers' compensation and home health benefits.
"Managed Care Plan Benefits Coverage Analysis" also offers the top 25 states ranked by:
- the greatest percent of MCOs that offered coverage for each benefit
- the greatest year-over-year change (1996 to 1997) in the percent of MCOs that offered coverage for each benefit.
Ordering the Report:
The report (product code MCBA) cost $45 and can be ordered by calling MCIC Customer Service toll-free at: (888) 843-6242.
Or place your order for "Managed Care Plan Benefits Coverage Analysis at Health Resources Online.
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