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Managed Care December 2003 Frank Diamond |
Dr. Do-Good and Mr. Bottom-Line How medical directors reconcile the contradictory demands of physician and executive roles. |
Managed Care April 2000 |
With AMAP Gone, Quality Judgments In Hands of Others When the American Medical Association shut down its physician accreditation program, AMAP, last month, several physician leaders expressed concern that the profession had lost its best chance to demonstrate efficient, high-quality care.... |
Managed Care June 2005 Martin Sipkoff |
The Re-Emergence of the Primary Care Physician A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery. |
Managed Care July 2003 Arthur Lazarus |
Physician Executives Don't Have To Go It Alone Mentors and support groups can help you avoid being fired. And if the worst does happen, they can facilitate your comeback. |
Managed Care March 2000 |
Tracking the Tracker of Health Care's Trends The president of the Medical Group Management Association encourages changes that would bring physician practice and medical record-keeping in step with the times, and decries the lack of medical standards across plans. |
Managed Care September 2004 Tony Berberabe |
Can Physician and Health Plan Get Together Over Guidelines? Physicians are not the only problem. Health plans too often view guidelines as rigid routines rather than flexible aids to good practice. |
Managed Care August 2000 David Classen, M.D. |
He Puts Patient Safety First By Bucking Conventional Wisdom This versatile physician holds the view that the Institute of Medicine actually understated the number of medical errors. He also doubts that the usual prescriptions for reducing errors will be effective. |
AskMen.com April 15, 2001 Joshua Levine |
Choosing The Right Doctor Choosing a doctor is one of the most important decisions you can make. It's probably best made when you are healthy and have some time to think about a number of possibilities. If you don't have a doctor or are thinking about changing doctors, now may be the best time to look... |
Managed Care December 2000 Patrick Mullen |
Employer Demands Will Change Healthcare The CEO of a large Florida employer coalition insists that the information that companies are beginning to demand will force the industry to change... |
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... |
Pharmaceutical Executive March 1, 2011 Jerry Coamey |
Engage the Physician! New research shows that gauging the mind of the clinician is crucial to timely uptake of the new diagnostic tools offered by the genomic revolution |
Managed Care January 2002 Ed Rabinowitz |
When Physicians' Skills Fail, Collaboration Beats Punishment New programs hold promise for rehabilitating sound physicians who have, for any number of reasons, lost some of the skills they started with... |
Managed Care October 2005 Bob Carlson |
What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often. |
Managed Care July 2007 |
Managed Care Outlook The future holds too few docs. |
Pharmaceutical Executive October 1, 2005 Mike Iafolla & Steve Greco |
Under the Influence The number of influences that affect physicians' prescribing has increased and rep saturation has reached the tipping point, resulting in "customer fatigue." Companies must now take into account a plethora of influences when planning their sales and marketing efforts. |
Managed Care November 2005 Frank Diamond |
Physicians and Plans Can Get Along Hill Physicians Medical Group, one of the largest IPAs in the country, has learned to deliver what managed care plans want |
Managed Care March 2006 |
Standard Measures In Works For P4P Push Uncle Sam has decided to get behind the pay-for-performance effort in a big way, something some physician associations are less than thrilled about. |
Managed Care November 1999 Peter I. Juhn, M.D. |
An Evidence-Based Approach To Care Depends on All Parties -- Physicians Included ...transforming the delivery of care into a systematic approach that is based on the best medical evidence -- is dependent on more than just laying out the rules... |
Managed Care November 2000 Patrick Mullen |
Don't be fooled Don't be fooled, warns noted health care economist J.D. Kleinke: High-quality care costs more, not less. The Internet will increase demand for the best care... |
Managed Care June 2005 |
Giving More Than a Nod To the Wave of the Future An interview with the director of regional informatics programs through the Vanderbilt Center for Better Health and Accenture professor of biomedical informatics about how his love of medicine and fascination with technology continue to drive his work in the field. |
American Family Physician September 1, 2000 |
AAFP Position Paper Colonoscopy: Procedural Skills for Nonspecialists |
Managed Care March 2005 William F. Jessee |
What Do Physicians Want From Health Plans? Standardizing health plan administrative processes and eliminating duplication of effort would go a long way toward strengthening the doctor-insurer relationship. |
Managed Care July 2001 Harry L. Leider |
HMOs Need To Share Gains of DM Programs Physicians are more likely to buy in if they see better outcomes -- and financial rewards that go with them... |
Managed Care August 2007 Patrick Mullen |
Bringing Guidelines into the Real World An interview with Jim Schibanoff, editor-in-chief of Milliman Care Guidelines, regarding the current state of the art technology behind guidelines, and how their use might evolve over the next several years. |
Managed Care June 2004 Tony Berberabe |
Welcome to the Brave, New (Electronic) World, Doctor WellPoint is providing free handheld or even desktop computers in an effort toward minimizing medication errors. Will docs finally abandon pen and pad? |
Managed Care July 2000 |
Lee N. Newcomer joins Vivius The former senior VP for health policy at UnitedHealth Group joins a company that aims to shift power from HMOs to patients and physicians. |
Managed Care May 2006 |
They Wrote the Book on Fixing the System How could the largely private U.S. health care system, characterized by arguably more competition than any other health care system in the world, be performing so poorly? |
Managed Care September 1999 |
Selling The Electronic Patient Chart: A Conversation With Mark Leavitt, M.D., Ph.D. This physician and his backers are making a $100 million bet that electronic patient records, and widespread access to them through the Internet, are not far away for most practices. |
Managed Care December 2001 Alan G. Adler |
Executive Coach Helps Physician Adjust to Life as Medical Director The skills that had served me so well in my medical practice didn't help me much in the managed care business world... |
American Family Physician August 15, 2000 James Hallenbeck |
Curbside Consultation When should a physician disclose personal information to a patient, and what do we do when a particular case touches on our own suffering? At a deeper level, how do we deal with our own mortality in caring for the seriously ill and dying? |
Managed Care May 2004 |
'Random Gifts of Information' Should Never be Ignored The CMO of Blue Cross and Blue Shield of Minnesota is hopeful that the goal of true population management is near. |
Managed Care November 2006 |
Primed to Take on Challenges to PBM's This CMO of a pharmacy benefits manager wrestles with some of insurance's most taxing issues. Price, of course. And here come biologics! |
HBS Working Knowledge March 26, 2014 Dina Gerdeman |
How Electronic Patient Records Can Slow Doctor Productivity Electronic health records are sweeping through the medical field, but some doctors report a disturbing side effect. Instead of becoming more efficient, some practices are becoming less so. Robert Huckman's research explains why. |
Managed Care July 2006 |
Physicians' Real Income Continues to Fall Adjusted for inflation, physicians' net income from the practice of medicine declined 7% between 1995 and 2003, according to a national study. |
Managed Care December 2002 Patrick Mullen |
Placing Faith in Technology To Improve Members' Choices Not many companies' organizational charts list a 'chief innovation officer.' At Humana, it brings visibility to a high-tech strategy for reducing care fragmentation. |
Managed Care April 2007 |
A Conversation With Emad Rizk, MD: Disease Management Beyond the Call Center The man who heads McKesson Health Solutions, the third largest disease management program in the country, says it's time to roll out a new model. |
Managed Care December 2001 MargaretAnn Cross |
Increased Pressures Change P&T Committee Makeup Formulary committees once were stocked with academics and administrators. Today, primary care physicians, specialists, and retail pharmacists play a bigger role, and tomorrow's membership will be even more diverse... |
Pharmaceutical Executive June 1, 2006 Anne Goodrich |
Marketing to Professionals: Doctors Get Jump on Continuing Education Doctors turn to multiple CME channels for more than just credits. |
American Family Physician July 1, 2000 Jennifer Devoe, M.D., M.Phil. |
Resident and Student Voice My Experiences at an 'Orphan' School: The Importance of Finding 'Parents' |
Managed Care May 2001 Patrick Mullen |
Jeff Goldsmith Deny the increasing importance of the Internet at your peril, says the noted health care futurist. Faster connections, smarter applications are needed... |
Managed Care June 2007 MargaretAnn Cross |
What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists. |
Pharmaceutical Executive January 1, 2013 Al Topin |
The Doctor-Patient Disconnect Doctor-patient conversations aren't always what we think; this basic interaction represents both a problem and an opportunity for today's drug marketers, says the author. |
Managed Care December 2006 |
A Conversation With Michael L. Millenson: Health Care Reform Movement Has Only Scratched Surface Michael L. Millenson has long been frustrated by the pace of change says that - ready or not - health care reform is finally on the way. |
Managed Care June 2002 |
'We Changed The Way Kaiser Makes Decisions, Views Itself' Lawrence's tenure as Kaiser CEO came at a tumultuous time for the country's largest classic HMO. An interview with David M. Lawrence. |
Managed Care October 2007 John Carroll |
Early Tiered Networks Encounter Many Obstacles From dodgy data to uncooperative doctors, difficulties confront health plans that are trying to stratify providers by cost and quality. |
Managed Care September 2000 |
Interview: Peter Boland Will the electronic revolution overthrow managed care? Not necessarily, but it may help define a new role for MCOs not far in the future... |
Managed Care January 2006 |
Compensation Monitor A recent poll reveals that doctors distrust pay for performance programs. |
Fast Company April 2006 |
"MD" Doesn't Mean "Mostly Digital" How technologically backward are U.S. doctors? Here are some statistics. |
Managed Care April 2007 Daniel Y. Patterson |
HMO - 21st Century Model The history of HMOs has been one of conflict between plans and physicians. Could global specialty capitation be a better way? |
Managed Care June 2007 |
A Conversation with Jonathan Weiner, DrPH: Mixing Population-Based Care With Market Controls The United States' health care system needs consumer and market controls to succeed, but it can't rely on only those two factors. |