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Importing Employer-based Managed Care Initiatives to Rural Areas: The Experience of the South Dakota State Employees Group

Publication Date: March 7th, 1997
Publication Type(s): Peer-reviewed Journal Publications
Topic(s):
Author(s): Christianson, J. and Hart, J.

The Journal of Rural Health 13:145-151, 1997.

In urban areas, employers are frequently in the forefront of efforts to implement managed care initiatives at the community level, either individually or through coalitions. While employer-driven managed care initiatives also exist in rural areas, they are less common and much less is known about them. This article describes and analyzes the early experience of a large rural employer–the state of South Dakota–in its attempt to develop and implement a managed care initiative. Several aspects of that experience suggest that employer-driven managed care models in urban sites may require reexamination and redefinition for implementation in rural areas.

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