Table 3.
Six state laws passed during 1995-2002 impacting managed care practices in states (1=YES, 0=NO), and Timing of CCC Plan Implementation in states
| Law | Description | CA | CT | GA | IA | KY | LA | MI | NJ | NM | UT | WA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Any Willing1 Provider | Requirement that managed care organizations contract with any provider (from physicians and hospitals to pharmacists and chiropractors) that is willing to meet the terms of the contract. | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 |
| Continuity2 of Care | Requirement that managed care plans to provide current and new enrollees the opportunity to continue to receive care and services for a period of time with a provider that has been terminated or disenrolled from the plan. | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 |
| Direct Access to OB/GYN | Requirement that women be allowed to see an obstetrician or gynecologist without first getting permission or a referral from a primary care provider. | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 1 |
| Freedom of Choice | Mandates that managed care organizations cannot discount the price for their enrollees by reducing the selection of providers. | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 |
| Report2 Cards | In an effort to assist consumers in choosing a plan, several states now require publication of an evaluation booklet or, “report card” to report on the performance of a managed care organization. | 1 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 |
| Inpatient1 Care after Mastectomy | Mandates coverage for a minimum number of hours in an inpatient hospital is mandated after a mastectomy or lymph node dissection. | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 |
| Years (since 1998) that elapsed before a CCC plan was implemented in the state | 6 | 3 | 3 | 5 | 3 | 6 | 0 | 5 | 4 | 3 | 6 | |
1
This law produced a statistically significant interaction effect in the late-stage BC model.
2
This law produced a statistically significant interaction effect in the late-stage CRC model.