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Managed Care
January 2005
Ed Silverman |
The Comeback Kid: Harvard Pilgrim Health Care The health plan was listing badly when Charles Baker boarded it in 2000. Since then, the ship has been righted and the way is clear.   |
Managed Care
March 2008
Frank Diamond |
What Makes Harvard Pilgrim So Good? It's the nation's leader in member satisfaction and quality of care, according to NCQA. Dynamic leadership and dominance of a region where excellent docs and plans abound are part of the formula. |
Managed Care
January 2005
Maureen Glabman |
Health Plans Strain To Contain Rapidly Rising Cost of Imaging PET, CT, MRI -- these and other imaging technologies are valuable but costly. Aetna, Cigna, and a few other plans lead in clamping down on unnecessary use. |
Managed Care
March 2005
John Carroll |
Going on the Offensive Against Defensive Medicine The $60 billion to $108 billion that could be saved through tort reform would help 2.4 million to 4.3 million uninsured get coverage, the government claims. |
Managed Care
November 2003
John Carroll |
"Concierge Care" by Any Name Raises Ethical Concerns Medical directors at managed care organizations have been hard-pressed to come to a consensus on just how -- or whether -- this new wrinkle in the managed care business fits in. |
CIO
June 15, 2001
Angela Genusa |
Blood, Sweat and Systems Integration When Harvard Pilgrim Health Care's new CIO came on board, the HMO was fading fast. It's out of ICU now, but it's going to be a long time to full recovery. |
Managed Care
March 2000 |
Aetna Chief Quits Amid Share Price, Quality Concerns Aetna U.S. Healthcare CEO Richard Huber quits... Fate of Harvard Pilgrim Health Care unknown... |
BusinessWeek
September 16, 2009
Catherine Arnst |
The Truth About Malpractice Lawsuits President Barack Obama tapped into a large vein of public support when he suggested recently that he is open to reforming medical malpractice laws. |
Managed Care
November 2007
Tom Reinke |
New Imaging Controls Strict, But May Be Easier on Doctors Preauthorization procedures for costly new imaging technologies aim to help doctors learn the rules to avoid denials. |
Managed Care
January 2006
Martin Sipkoff |
Old Techniques Never Die, Nor Even Fade Away Urged on by employers traumatized by costs, health plans are renewing their interest in prior authorization, but using a lighter hand. |
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
February 2008
John Carroll |
Move to Mandatory Coverage Wouldn't Ensure Universality Compared to the existing state of affairs, there's a lot to like in mandatory coverage, but the Massachusetts experiment is a lesson to not expect miracles. |
CIO
November 15, 2002
Susannah Patton |
Harvard Pilgrim Health Care Finds a Remedy After the HMO's acquisition spree, it was left with systems that weren't integrated. |
Investment Advisor
August 2010
John Sullivan |
Editor's Note: Eating Our Own I want financial reform legislation. We need financial reform legislation. But the sausage-making we've seen is straight from The Jungle. |
BusinessWeek
February 7, 2005
Lorraine Woellert |
A Phony Cure Congress appears to be on the verge of passing legislation that would shift most big class actions out of state court. Is this really reform? Don't believe it. |
Managed Care
April 2000 |
Financial Stability Of HMOs Called A Mixed Bag An HCIA-Sachs survey says the median HMO profit margin in 1998 was -1.7 percent, slightly better than in 1997. Forty-one percent of HMOs made money in 1998.... |
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
December 2006 |
NCQA Rankings Give Edge to Not-For-Profit Insurers No sooner had the quality rankings of health plans in the nation, as measured by the National Committee for Quality Assurance, been released then it was pointed out that most of the top performers were not-for-profit insurers. |
Managed Care
July 2003
Ed Silverman |
A Little Something For the Physicians Health plans know that getting along with physicians is important, and many are trying new initiatives. Here are some successes. |
IndustryWeek
March 1, 2003
John S. McClenahen |
Order In The Torts Despite company plans to settle asbestos claims, business continues to seek federal civil-suit limits. The states, however, may have the final word. |
Managed Care
August 2002
Maureen Glabman |
Lobbyists That the Founders Just Never Dreamed of The "right ... to petition the government" has come a long way in over 200 years, and health care organizations are not shy in exercising it. |
AskMen.com
Tara Weiss |
Reasons Not To Become A Doctor There were once many rewards to being in the medical profession. For decades, doctors earned hefty paychecks, had autonomy and respect. Those benefits are fading, and as a result, so is the number of doctors. |
BusinessWeek
April 23, 2009
Catherine Arnst |
Doctors' Pride: A Hurdle to Digital Medicine A forerunner in New England found that some physicians would sooner cut ties than see their elite status threatened. |
CIO
November 15, 2002
Susannah Patton |
As the Companies Turn Four companies. Four crises. Four IT turnaround strategies. How did they work? How did their CIOs fare? |
Managed Care
December 2007 |
Web Site Helps Track Health Plan Rankings U.S. News & World Report and the National Committee for Quality Assurance have released the third edition of America's Best Health Plans, an annual ranking of health maintenance organizations and point-of-service plans. |
CFO
December 1, 2009
Kate O'Sullivan |
All Eyes on Reform Public support for health-care reform is high, but some CFOs take a different view. |
