Journal of Community Health

, Volume 4, Issue 4, pp 302–311 | Cite as

A proposed network to improve access to high-quality health care for medicaid-eligible families

  • Samuel J. Bosch
  • Rolando Merino
  • Marionette S. Daniels
  • Ellen P. Fischer
  • Murray Rosenthal


There is today both a need and an opportunity to develop and test a variety of models—organizational and financial—for improving the delivery of health care services. This article describes the structure and functioning of one such model and highlights the organizational problems expected to arise during its implemèntation. The proposed health plan is intended to facilitate the access of Medicaideligible, inner-city families to already available health services. The central hypothesis is that in low-income urban areas the elementary schools offer an organizational focus for the development of a health plan. As a prepaid, community-based model, this plan is designed to address the issues of accessibility, equity, accountability, continuity of care, and consumer participation, primarily through the development of a coordinating agency, the health plan office (HPO), which assures the linking of consumers and providers of health care. Adapted from the Kaiser-Permanente model, the HPO also assumes responsibility for marketing, enrollment, coordination of services, consumer advocacy, and quality surveillance.


Health Care Health Service Urban Area Health Promotion Care Service 
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  1. 1.
    Aday LA: The impact of health policy on access to medical care.Milbank Mem Fund Q 54:215–233, 1976.Google Scholar
  2. 2.
    Bosch SJ, Deuschle KW: The role of a medical school in the organization of health care services.Bull NY Acad Med 53:449–464, 1977.Google Scholar
  3. 3.
    Daniels MS, Bosch SJ: School health planning: A case for interagency collaboration.Soc Work in Health Care 3:457–467, 1978.Google Scholar
  4. 4.
    Hester J, Sussman E: Medicaid prepayment: Concept and implementation.Milbank Mem Fund Q 52:415–444, 1974.Google Scholar
  5. 5.
    State-sponsored prepaid care: The noble experiment that failed.Medical Economics, November 10, 1975. Pp 71–72.Google Scholar
  6. 6.
    Williams G:Kaiser-Permanente Health Plan: Why It Works. Oakland, Calif, Henry J. Kaiser Foundation, 1971.Google Scholar

Copyright information

© Human Sciences Press 1979

Authors and Affiliations

  • Samuel J. Bosch
  • Rolando Merino
  • Marionette S. Daniels
  • Ellen P. Fischer
  • Murray Rosenthal

There are no affiliations available

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