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Women and Managed Care in California: An Examination of Selected Services

Abstract

Managed care is becoming the dominant system of health care coverage and delivery throughout the United States and particularly in California, for both private and public sector health care. This report examines the availability and structure of health care for women in managed care settings, focusing on selected areas. The report presents findings from a written questionnaire survey of commercial managed care plans in California and in Medi-Cal managed care systems (local initiatives and county organized health systems). This study provides a description of how selected services for women within managed care in California are organized and what services for women are emphasized. In both commercial and Medi-Cal managed care plans, health promotion, disease prevention, and well women services were examined. Examination of mental health and substance abuse services was primarily directed toward the commercial plans, because Medi-Cal managed care typically uses a different system of care to cover those services.

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