The stages of managed care regulation: developing better rules

The managed care industry is at a crossroads. Belief in the ability of market forces alone to create an environment fostering quality health care at lower cost is eroding. Regulators across the country are confronted with a growing consumer backlash against managed care. As a result, states have passed managed care reform legislation at unprecedented rates. In doing so, states are confronted with a patchwork of federal intervention and preemption. We examine the stages of these recent state and federal developments and evaluate them in terms of the traditional objectives of a reasonably functioning health care system: quality care, access, and cost containment.     

Reviews

The Enforcement of Morals. By Patrick Devlin. Legal Systems and Lawyers' Reasonings. By Julius Stone. Law in Society. By Geoffrey Sawer. [London: Oxford University Press. Clarendon Law Series: edited by H. L. A. Hart. Advocacy in Our Time. By O. C. Mazengarb, C.B.E., Q.C., M.A., LL.D. Salmond on the Law of Torts. Fourteenth edition. By R. F. V. Heuston, M. A., LL. B., Professor of Law in the University of Southampton, of Gray's Inn and King's Inn, Dublin, Barrister-at-Law. Jurisdiction and Illegality. By Amnon Rubinstein. Die Erforschung des Sachverhalts im Prozess. By Erich Döhring, Professor at the University of Kiel. A Casebook of Administrative Law. By J. A. G. Griffith and H. Street. Tribunals and Inquiries―A Guide to Procedure. By Neville D. Vandyk. Capital Gains Tax. By G. S. A. Wheatcroft, assisted by A. E. W. Park and John E. Talbot. Corporation Tax. By Peter M. B. Rowland and John E. Talbot with Annotations to Finance Act 1965 by S. Michael Young and John Silberrad. Disarmament and International Law. By Allan Gotlieb. United Nations Forces. By D. W. Bowett with the assistance and collaboration of Dr. G. P. Barton, H. C. Carnegic, Wing-Commander A. E. Cobus, J. G. Collier, M. Hardy, Dr. Rosalyn Higgins and Professor L. B. Sohn. The Theory of Nationalisation. By Konstantin Katzarov. Criminal on the Road. A Study of Serious Motoring Offences and those who commit them. By T. C. Willett. Curtis and Ruoff on The Law and Practice of Registered Conveyancing. Second edition. By Theodore B. F. Ruoff, C.B.E., Chief Land Registrar. Banking Law for Trustee Savings Banks. By C. L. Lawton, Barrister-at-Law. The Practitioner's Guide to Hire-Purchase Cases. By Harold Brown, Q.C. The Mercantile and Industrial Law of Scotland. By J. J. Gow. The Quantum of Damages in Bodily and Fatal Injury Cases. Second edition. By M. M. Corbett and J. L. Buchanan. Law Relating to Hospitals and Kindred Institutions. Fourth edition. By S. R. Speller, O.B.E., LL.B. Introduction to Modern Hindu Law. By J. Duncan M. Derrett, M.A., PH.D., of Gray's Inn, Barrister-at-Law, Professor in Oriental Laws in the University of London, Tagore Professor of Law for 1953, University of Calcutta. Le Droit de Visits des Parents Séparés de leurs Enfants en Suisse, en France et en Allemagne. By Maurice Marthaler. A Deliktuális Felelösség a Társadalom és a Jog Fejlödésének Történetében (Delictual Liability in the History of the Evolution of Society and Law). By Ferenc Mádl. Das Deutsche Seerecht. First edited by Georg Schaps and others. Third edition. By Hans Jürgen Abraham. Criminal Law in Nigeria (excluding the North). By C. O. Okonkwo and M. E. Naish.     

Criminal justice plannimg: Case for a comprehensive approach

All too often the task accomplishment of one actor in the criminal justice system is frustrated by the actions of other components of the system. Decisions within the components of the criminal justice system often are not made from a stystemic perspective, therefore frustrating the objective of reducing crime. While there may be an abundance of people concerned with a plethora of small problems and roles, what is lacking is a group of officials viewing the system in its totality. By failing to develop a holistic approach within which to analyze the problems each component of the criminal justice has, these problems will not be successfully resolved.The use of comprehensive planning as a mechanism which will coordinate all of the diverse activities within the criminal justice system and direct these activities to clearly articulated systemic goals has the potential to overcome the problems each component of the criminal system generates internal to the system itself. This paper seeks to explain and evaluate the potential of comprehensive planning.     

Community prosecution tenets and practices: The relative mix of “community” and “prosecution”

Community prosecution encourage prosecutors to collaborate with constituents to mutually determine solutions to community problems. However, the potential exists for prosecutors to continue seeking their traditional goals of maximizing convictions while nominally working within a community-prosecution framework. A random survey of 261 Georgia prosecutors helps to determine whether community-based prosecutors spend more time in community outreach and law enforcement coordination activities. The results show that attorney caseload measures correlate with time spent on community outreach and law enforcement. Being assigned to community prosecution or a specialized crime unit is not consistently related either of these activities. In short, consistent differences do not emerge between community-based and traditional prosecutors.