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Local Health Departments in a Managed Care Environment
Integrating Multiple Responsibilities
With Respect to Managed Care
Lloyd F. Novick, M.D., M.P.H., County Health Officer, Onondaga County Health Department, Syracuse, NY.
One of the challenges faced by local health departments (LHDs) in a managed care environment is to find the appropriate
ways to interact with managed care organizations in carrying out their core public health
responsibilities, which may include both service delivery and oversight activities.
Novick described the
approach he pursued to establish an appropriate set of relationships between his LHD and the
Medicaid managed care organizations (MCOs). operating in his county. In particular, he discussed the Public Health-Managed
Care Partnership Agreement that he developed that spells out the LHDs' and the MCOs'
responsibilities in a number of key areas.
Dr. Novick also discussed key issues associated with
the development of quality indicators for assessing plan performance in a number of important
Public Health—Managed Care Partnership Agreement Between Onondaga County Health Department and
Managed Care Plan, Revised September 4, 1996.
Rosenbaum S, Richards T. Medicaid Managed Care and Public Health Policy. Journal of Public Health
Management Practice 1996;2(3):76-82.
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