Page 142

account for this acceptance: the relatively personalized and intensive assessment of patient situations; the explicit attention to the cost-effectiveness of alternative care; the potential for patients to receive extra benefits; and the emphasis on consensus in arranging alternative treatment. During the committee's deliberations, few concerns were raised about high-cost case management specifically. In the concluding chapter, the committee's concerns focus less on case management and more on issues involving the less individualized methods of prior review.


Alexandre, Leslie M., "Who Are the High Cost Cases in a Health Benefits Plan?," Medical Benefits, September 15, 1988, p. 7.

Berk, Marc L, Monheit, Alan C., and Hagen, Michael H., "How the U.S. Spent its Health Care Dollar, 1929-80," Health Affairs, Fall 1988, pp. 46-60.

Blum, John D., "An Analysis of Legal Liability in Healthcare: Utilization Review and Case Management," Houston Law Review, January 1989, pp. 191-228.

Corporate Health Strategies, The Health Poll, Fall 1988, p. 1.

DiBlase, Donna, "AIDS Claims Hard to Track for Insurers," Business Insurance, September 7, 1987, p. 22.

Equitable Life Assurance Society of the United States, The Equitable Health Care Survey: Options for Controlling Costs, conducted by Lou Harris and Associates, Inc., New York, August 1983.

Health Insurance Association of America, AIDS Case Management: What Health Insurance Companies Are Doing, Washington, DC, 1988.

Henderson, Mary, and Collard, Anne, "Measuring Quality in Medical Case Management Programs," Quality Review Bulletin, February 1988, pp. 33-39.

Henderson, Mary, and Wallack, Stanley, "Evaluating Case Management for Catastrophic Illness," Business and Health, January 1987, pp. 7-11.

Henderson, Mary G., Souder, Barbara A., and Bergman, Andrew, "Measuring Efficiencies of Managed Care," Business and Health, October 1987, pp. 43-46.

Independence Blue Cross and Pennsylvania Blue Shield, Independence and Leadership in Health Care: Community Health Care Report 1988, Philadelphia, June 1988.

Mazoway, Jackie M., "Early Intervention in High Cost Care," Business and Health, January 1987, pp. 12-16.

Merrill, Jeffrey C., "Defining Case Management," Business and Health, July/August 1985, pp. 5-9.

Monroe County Long Term Care Program, Inc., "Direct Assessment vs. Brokerage: A Comparison of Case Management Models," Final Report for Robert Wood Johnson Foundation, East Rochester, NY, October 1986.

Ricklefs, Roger, "Firms Turn to 'Case Management' To Bring Down Health-Care Costs," Wall Street Journal, February 7, 1988, p. D1.

Rosenbloom, David, and Gertman, Paul M., "An Intervention Strategy for Controlling Costly Care," Business and Health, July/Angust 1984, pp. 17-21.

Saue, Jacqueline M., "Legal Issues Related to Case Management," Quality Review Bulletin, August 1988, pp. 239-244.

Service Employees International Union, "Utilization Review and Case Management in Employee Benefit Plans," Washington, DC, July 1988.

Taravella, Steve, "Coping with AIDS," Business Insurance, September 7, 1987, pp. 1, 20-22.

Tonsfeldt, Lynne, "Using Medical Case Management to Reduce Catastrophic Injury and Chronic Illness Coverage Costs," FORUM, 1986.

The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement