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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.   |
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
January 2005
John A. Marcille |
You Don't Need X-Ray Vision To Spot a Job Well Done If the White House indeed takes on tort reform this year, it will be interesting to see if any meaningful legislation results and what effect it might have on health care. |
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... |
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
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. |
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. |
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. |
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.... |
Insurance & Technology
January 25, 2005
Jim Hatfield |
Click to Pay Improvements in operational efficiency can help healthcare organizations keep themselves off the critical list. With that in mind, in 2000, Harvard Pilgrim Health Care turned to online billing to expedite receivables and boost customer service. |
Managed Care
October 2003
MargaretAnn Cross |
Some HMOs See Dividends In Charging Deductibles This may be one way to regain profitability, though getting permission from government regulators may take some doing. |
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. |
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
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. |
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. |
Managed Care
November 2000 |
Health Care Issues Force Prosecutors In Many States To Try New Approaches Virtually every item in the news about health care coverage lately, from HMO horror stories to health plan consolidation, from lawsuits to new legislation, means more work for some state's attorney general... |
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
October 2001 |
Physician Pay Used as Boost For Quality Momentum is building to use physician reimbursement and bonuses not just as utilization controls, but as quality-improvement tools... |
The Motley Fool
September 1, 2009
David Lee Smith |
Will Baker Hughes Jump-Start Oil Patch Acquisitions? The week awakens with a big oilfield service announcement. |
IndustryWeek
October 1, 2001
Tonya Vinas |
Trade Secrets Securities analysts face increasing pressure to disclose investments, compensation ties... |
Insurance & Technology
May 18, 2004
Anthony O'Donnell |
New Contracts Georgia Casualty & Surety selected Insurity's Commercial Intellisys... eAutoClaims/MM Deal... Aegon Chooses CSC... etc. |
