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Managed Care June 2002	Calif. Blues Plan Says No Tiers For Hospitals Blue Cross of California has abandoned its plan to separate hospitals by copayment tiers.
Managed Care May 2003	Employer Coalition Leaps at Challenge of Grappling With Misaligned Incentives The executive director of the Leapfrog Group says that the organization pleads guilty to trying to create 'aspirational' standards for health care.
Managed Care January 2002 Patrick Mullen	Interview: Peter Lee The head of the Pacific Business Group on Health says the coming trend in care will be patients making informed decisions before they get sick...
Managed Care June 2001 Jack McCain	Leapfrog Group Actions Will Be Felt Throughout the Health Care System Thanks to a Business Roundtable-sponsored group calling for better outcomes at hospitals, health plans' lobbying efforts may pay off...
Managed Care November 2007 Lola Butcher	Blues Build on CMS Program To Boost Hospital Quality The insurer throws support behind a pay-for-performance program that promises "stunning" advances in cost-effectiveness.
Managed Care October 2003 Ed Silverman	Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate!
The Motley Fool July 17, 2006 Querna & Fischman	Good Medical Help Close to Home Your local hospital might be just as good as any glittery big-name center. Finding out if your local hospital is up to snuff requires some homework. Here are the major factors in judging the quality of care, courtesy of U.S. News & World Report's annual "America's Best Hospitals" issue.
Managed Care January 2007	Headlines on Deadline ... State budgets got an unexpected gift last year... Mortality rates for hospitals ranked high... It looks likely that Massachusetts Gov. Mitt Romney will run for president... etc.
Managed Care March 2002	6 Large California Plans Link Doc Bonuses, Quality In what's being touted as an unprecedented effort, doctors and hospitals in California will be rewarded with bonuses of at least 5 percent for quality under a common set of standards adopted by six HMOs...
Managed Care January 2004 Martin Sipkoff	Cardiologists Call Collaboration Heart of Effort To Improve Care Surgeons in nine hospitals formed a study group and then hit the road to learn from peers. Outcomes improved dramatically.
Insurance & Technology November 25, 2003 Greg MacSweeney	Calif. BC Moves to E-Pay/EOB Blue Cross of California and Bank of America have co-developed a system that expedites the delivery of both payments and paperwork to healthcare providers via the Internet.
Managed Care September 2005 Ed Silverman	No Easy Fit For Specialty Hospitals Insurers worry that specialty hospitals will ultimately increase costs at nearby community hospitals
Managed Care May 2002 John Carroll	Hospital Copayments: At What Cost? High daily copayments for high-priced hospitals are coming into fashion. It's all about shifting costs, but what about quality of care?
CRM August 1, 2009 Lauren McKay	Patience for Patients Improved surveying techniques improve a hospital's patient-centricity.
Nursing Management June 2011 LaRocco & Pinchera	The emerging trend of medical tourism Although it's difficult to find accurate data, there's general agreement that the number of Americans seeking medical care abroad is growing.
Managed Care May 2007 MargaretAnn Cross	Following the Leaders Top pay-for-performance programs point to increased focus on hospital incentives, efficiency measures, coordination, and standardization.
Managed Care February 2001	Biz Group Warns Hospitals To Move Quickly on Quality Value-based purchasing, a concept that generates lofty discussion but is not always practiced by employers, took a leap forward with the endorsement of a bloc of some of the nation's largest companies...
Managed Care July 2007 Martin Sipkoff	Hospitals Asked To Account For Errors on Their Watch Centers for Medicare & Medicaid Services and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit?
Managed Care February 2008	Headlines on Deadline... Blue Cross & Blue Shield wants to stop paying doctors and hospitals for each patient visit or treatment, and instead wants to pay a flat sum per patient each year.
Managed Care July 2003	Tiering Hospitals Pays Off For Calif. Blues Plan Blue Shield of California members are changing utilization patterns as a result of hospital tiering, say company officials. The company is making further changes in its Network Choice program.
InternetNews April 1, 2005 Susan Kuchinskas	Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices.
Managed Care September 2007 Martin Sipkoff	Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences.
HBS Working Knowledge June 13, 2005 Sara Grant	From Turf Wars to Learning Curves: How Hospitals Adopt New Technology Turf wars and learning curves influence how new technology is adopted in hospitals. Harvard professors discuss the implications of their research for your organization.
Nursing Management April 2009 Sharon H. Pappas	Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome.
InternetNews June 14, 2010	Lax Data Security Results in Heavy Fines Five California hospitals got an expensive reminder of just how serious the state is about protecting patients' sensitive data. Expect more of the same in the near future.
Managed Care December 2006 John Marcille	Hidden Tax Takes a Toll, Distorting Health Care Financing Maybe it's time the health insurance industry joins the lobbying effort to have the government pay what it actually costs to provide services to patients in hospitals.
CIO June 9, 2009 Kim S. Nash	How to Make IT More Cost Effective In a tight economy, it's more important than ever for IT to know where it's spending money. Blue Cross Blue Shield of Kansas City brought in a financial analyst to help its staff build fiscal knowledge.
Managed Care December 2007 Lola Butcher	Insurers Get Involved in Campaign Against Hospital-Acquired Infections Health plans prod hospitals to do a better job of addressing problems that kill nearly 100,000 Americans a year.
Managed Care November 2003 Martin Sipkoff	9 Ways To Reduce Unwarranted Variation Unwarranted variation in medical practice is costly -- and deadly. When the approach in one town is major surgery and in another, it's watchful waiting, you know there's a problem.
Managed Care November 2007	Underwriting Earnings Slow, But Investment Gains Soar First-quarter underwriting gains for the health insurance industry declined in 2007, while investment gains were up nearly 42% compared with the same period last year.
BusinessWeek September 9, 2010 Bruce Einhorn	In Asia, Public Health Care Gets Less Public Health-care policymakers in Asia are encouraging more affluent Asians to use private hospitals and their own funds.
Managed Care April 2007	Consumers Upset By High Cost of Administration When it comes to health care administrations, there is a wide gap between what executives of hospitals and insurance companies believe it costs and what consumers believe.
Managed Care June 2003 John Carroll	Specialty Hospitals' Success Sows Seeds of Lobbying Fight Some in government question the propriety of physicians steering patients into facilities that the doctors partly own.
Managed Care December 2006 MargaretAnn Cross	Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs.
Pharmaceutical Executive November 1, 2006	Alternative Media: Time to Change the Channel Upgraded hospital television and Internet systems equal new marketing opportunities.
BusinessWeek January 7, 2010 Catherine Arnst	Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists.
Managed Care November 2001	Hospitals scramble for cutting-edge personnel Aging baby boomers, fewer people choosing the medical field, and early retirements are all helping to shift hospital demand from primary care physicians to specialists, pharmacists and nurses...
Inc. September 2007 Cara Cannella	How I Did It: Todd Johnson, President and CEO, Hospital Partners of America Cost pressures may be straining health care providers, but there is money in the hospital business.
Managed Care August 2001	In Calif., Bonuses Based on Quality, Not Cost Savings Blue Cross of California has decided to move away from the traditional managed care incentive of rewarding physicians for controlling medical costs, and instead will implement a program in which physicians receive bonuses for quality of care and patient satisfaction...
Managed Care December 2005 John Carroll	Consumers Don't Know What They Don't Know Experts have been taking a close look at health literacy in America and have concluded that this is one area where even relatively well-educated people will have trouble finding their way.
Managed Care May 2005 Frank Diamond	Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes.
CFO February 1, 2007 Karen M. Kroll	Pin the Tail on the Doctor A dearth of information leaves health-care consumers in the dark. As health-care information becomes more accessible, will employees use it to purchase health-care services more intelligently?
Managed Care February 2002 Alan M. Muney	Evidence-Based Medicine Needs To Be Promoted More Vigorously This means using a carrot-and-stick approach with physicians. Those who respect the evidence should be rewarded; others should face penalties...
InternetNews June 27, 2006 Michael Hickins	Hospital, HMO Ratings 'Open' to Public New York State adopts online scorecards allowing employers and consumers to review local hospitals and HMOs.
Managed Care December 2004 Adler & Schukman	The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue.
CFO October 1, 2010 Alix Stuart	Have Illness, Will Travel? What with health-care costs climbing an estimated 10% on average this year, and health-care reform showing no signs yet of stopping that trend, companies -- particularly those that self-insure -- are becoming more willing to consider medical tourism.
BusinessWeek May 29, 2006 Howard Gleckman	Medicine's Industrial Revolution Medical treatments that are proven to work reach only about half of the Americans who need them, according to a series of studies by RAND Corp. And in hospitals, simple measures that protect patients' lives are often hard to implement.
BusinessWeek February 20, 2006 Arlene Weintraub	Should Doctors Own Hospitals? Controversy builds over a fast-growing, profit-driven business in which specialty hospitals are partly owned and run by doctors.
BusinessWeek March 28, 2005 Mullaney & Weintraub	The Digital Hospital Information technology saves lives and money at one medical center, perhaps becoming the future of health care.
Managed Care January 2008 Michael L. Millenson	Geisinger CABG Warranty: A Worthwhile Experiment As an idea, Geisinger's ProvenCare program is a winner. What happens in the marketplace remains to be seen.