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Managed Care
April 2002
MargaretAnn Cross |
Where Do No Harm Meets The Right Thing To Do Managed care's spread parallels the growth of the study of ethics in medical care. Ethicists help plans focus on essentials when making policy decisions...   |
Managed Care
December 2005
MargaretAnn Cross |
The Ethical Way In a Season of Change Advancing technologies and new coverage designs are creating opportunities -- and obligations -- for health plan medical directors. |
Managed Care
July 2005
Tony Berberabe |
Change in Thinking For Pharmacy Benefits in CDHP The difference between the pharmacy benefit in a consumer-directed health plan and a traditional health plan is greater generic drug utilization. |
Managed Care
May 2005
MargaretAnn Cross |
Are Consumers Really Directing Their Own Care? In theory, consumer-directed health plans put the reins of decision making into the hands of their members. But medical management departments are alive and well inside CDHPs -- and may even expand under these plan designs. |
Managed Care
September 2003
MargaretAnn Cross |
Consumer-Directed Health Care: Too Good To Be True? People talk about it as the sure way to control costs and give consumers the choice they seem to want. Are we being realistic? |
Managed Care
August 2001 |
Four Views of Managed Care Ethics The evolution of managed care has posed ethical problems for physicians, plan administrators, and even patients. Four ethicists find that questions are many, while satisfactory answers are in short supply... |
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
March 2006
MargaretAnn Cross |
Deciding Factor: How Much Health Care is Discretionary? Defining discretionary health care is no easy task, but it may be imperative for 'consumer' health plans seeking to get patients more involved. |
Insurance & Technology
September 16, 2005
Katherine Burger |
Educating Consumers A truly technology-enabled offering, the idea behind consumer-directed healthcare is that everyone benefits when consumers have more information. |
Managed Care
December 2005 |
Pharmacy Cost Increases Below Medical for the First Time in Four Years According to a survey of 70 health care insurers, prescription costs are expected to increase at a lower rate than medical costs during the next 12 months. |
Managed Care
September 2003
Tony Berberabe |
Pharmacy Benefit Starts To Reflect Push for Consumer-Directed Care Health insurance plans looking for a low-risk way to experiment with new benefit designs might start with the pharmacy benefit. |
Managed Care
June 2006
Amanda Brower |
Retail Medical Clinics Draw Patients & Payers A growing number of health plans are adding retail health clinics to their networks and are realizing savings. But physicians voice concern over the quality of care provided to patients. |
Managed Care
October 2005
MargaretAnn Cross |
Just How Will CDHC Change Your Job? Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans. |
Managed Care
July 2005
Thomas Morrow |
Can CDHPs Resolve Issues Raised by Age of Biologics? While the potential of consumer-directed health plans is promising, this design still leaves many questions about coverage unanswered. |
Managed Care
July 2005
John A. Marcille |
Talk About Consumer Plans Rapidly Becoming Reality After years of expectation and debate, consumer-directed health plans are all over the place. |
Managed Care
November 2007
MargaretAnn Cross |
The Evolving Health Plan The consumer-directed health care model isn't taking the country by storm, but its innovations are influencing other coverage designs. |
Managed Care
October 2004 |
Consumer-Directed Insurance Plans Problematic for Patients, Docs, HMOs New studies are finding wide variations of cost and quality across hospitals and physicians, yet few private insurers, managed care plans, or public programs reward superior quality or efficiency. |
Managed Care
April 2006
Patrick Mullen |
A Conversation with Paul Fronstin, PhD: Current Crop of Consumer-Directed Plans More 'Lite' Than 'Heavy' Paul Fronstin, a senior research associate at the Employee Benefit Research Institute, speaks about Medicare, health benefit trends, and managed care. |
Managed Care
September 2003
John A. Marcille |
How Should We Evaluate The New Insurance Models? Business people have to come up with new products, and in our part of the economy, the hot product is consumer-directed health care. Yet we all know that a product that is well promoted and superficially attractive is not necessarily good for us all, individually or collectively. |
Managed Care
November 2004
MargaretAnn Cross |
Accrediting Agencies Turn Attention To Consumer-Directed Health Plans If employers make decisions based on United Regional Health Care Foundation's and National Committee for Quality Assurance's rating of traditional managed care plans, shouldn't they want similar ratings of consumer-directed health plans? |
