Healthy Communities New Partnerships for the Future of Public Health (1996) / Chapter Skim
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Executive Summary
Executive Summary
Pages 1-6
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Committee on Public Health, the current report addresses two critical public health issues that can greatly influence the opportunity for our public to be healthy as the United States enters a new cenblry~l) the relationship between public health agencies and managed care organizations, and (2)
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The committee's view, as developed in this section, is that if the proper kinds of partnerships between managed care organizations and governmental public health departments are developed, managed care can indeed malce an important contribution to improving He health of the public. The proliferation of organized health care delivery systems, which continue to provide care for an increasing number of Americans, has made it possible in some locales for governmental public health agencies to assure the provision of personal health services (which involve a one-to-one interaction between patient and provider)
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State Medicaid agencies, usually separate from public health departments, also typically focus on fiscal rather than medical accountability dimensions, except in states that have a quality initiative. Recognizing the clear need for financial oversight, governmental public health agencies should increase their ability to oversee health care providers, with the goal of becoming coequal partners with insurance regulators and state Medicaid agencies, to ensure that the public's health is addressed in the regulation of public and private health care delivery systems.
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Thus, the committee reasserts the critical findings of The Future of Public Health that governmental public health agencies have a unique function in the community: "to see to it that vital elements are in place and that the [public health] mission is adequately addressed." These elements include assessment, policy development, and assurance.
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The partnerships that are the focus of this report between governmental public health agencies and managed care organizations, and between public health and the community-can provide both political support and a vehicle for this reinvestment.
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