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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 May 2007 |
Self-Referral Persists Despite Stark II Law Loopholes in federal and state laws that curb physician referral to diagnostic imaging providers in which they have a financial stake (self-referral) are allowing physicians to stretch how they are paid and for what. |
Managed Care July 2006 Michael Levin-Epstein |
High-Tech Imaging Full of Kickback Dangers Health plans and their members could save billions of dollars a year if radiology costs could be contained. Some managed care companies begin to take a hard look at what's behind the explosion in costs for radiological services. |
AskMen.com |
Your Routine Radiation Dose The radiation risk from a single CT, or computed tomography, to an individual is small, but some doctors are worried about the buildup over time. |
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. |
IEEE Spectrum April 2013 Neil Savage |
Path Found to a Combined MRI and CT Scanner Omni-tomography could add together the advantages of several medical imaging technologies |
Managed Care July 2006 Lola Butcher |
Oncologic PET Study Seeks Basis for Coverage Decisions The launch of a new registry that will significantly expand Medicare's coverage of positron emission tomography may bring new clarity on appropriate uses for this technology -- and even more pressure on commercial health plans to cover the high-cost scans. |
Managed Care February 2004 John Carroll |
Brave New World, Old-Fashioned Fear Advances are coming at a furious rate. Health plans find it difficult to separate the cost-efficient from the rest. |
Nurse Practitioner November 2010 Dreadin & Mancuso |
Diagnostic breast evaluation: When to refer and what the results really mean Diagnostic breast imaging is an important tool in evaluating abnormal physical examination findings and assessing incomplete screening mammographic results. |
American Family Physician June 1, 2002 S. Craig Humphreys |
Neuroimaging in Low Back Pain Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain. |
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 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. |
Wired Thomas Goetz |
Why Early Detection Is the Best Way to Beat Cancer By getting regular blood tests, doctors may be able to diagnose cancer early, giving the patient a 90 percent chance of survival. |
Managed Care December 2007 John Carroll |
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. |
American Family Physician November 15, 2002 Okuyemi & Tsue |
Radiologic Imaging in the Management of Sinusitis Sinusitis is one of the most common diseases treated by primary care physicians. Uncomplicated sinusitis does not require radiologic imagery. However, when symptoms are recurrent or refractory despite adequate treatment, further diagnostic evaluations may be indicated. |
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 September 2001 Paul Carson |
Peace of Mind Comes With a Price: The Battle Over Full-Body Scans A controversial procedure is rapidly gaining popularity and is marketed directly to boomers: full-body computerized tomography, commonly called full-body scan. However, many in the field decry what they view as selling fear -- a tactic that raises questions of wise resource use... |
Bio-IT World September 2005 Alan Louie |
Molecular Imaging: Smarter and Better The expanding opportunity for molecular imaging (MI) technology to significantly improve drug development has not gone unobserved. Several drug development companies have added imaging capabilities to their arsenal of drug development tools. |
American Family Physician January 1, 2005 Jerry L. Old et al. |
Imaging for Suspected Appendicitis Acute appendicitis is the most common reason for emergency abdominal surgery and must be distinguished from other causes of abdominal pain. Family physicians play a valuable role in the early diagnosis and management of this condition. |
Nurse Practitioner September 2010 Sarah E. Gay |
An inside view of Venous Thromboembolism As the U.S. population ages, the medical and economic impact of VTE is expected to increase. The nurse practitioner plays a key role in providing prevention and intervention. |
American Family Physician April 15, 2002 Amy R. Sparks |
Imaging of Abdominal Aortic Aneurysms Given the high rate of morbidity and mortality associated with abdominal aortic aneurysms, accurate diagnosis and preoperative evaluation are essential for improved patient outcomes... |
Nursing Management May 2010 Urbanowicz & Taylor |
Hybrid OR: Is it in your future? Having the availability of a hybrid suite creates new opportunities to combine endovascular and open surgery into one operative episode. |
IEEE Spectrum March 2010 Neil Savage |
Medical Imagers Lower the Dose Radiation-lowering techniques were in the works even before studies showed a danger from CT scans and exposure to ionizing radiation. |
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 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... |
CIO October 27, 2010 Cindy Waxer |
How Mayo Clinic Doctors Use Smartphones to Diagnose Patients Neurologists diagnose patients remotely using images delivered to smartphones. |
BusinessWeek November 12, 2009 Catherine Arnst |
10 Ways to Cut Health-Care Costs Right Now Employers and hospitals don't have to wait for Congress to address inefficiencies and waste. |
Health April 28, 2008 Curt Pesmen |
X-Rays, Bone Scans...Could That Radiation Be Harmful to Your Health? How much radiation is too much? Scientists are still figuring that out -- and they tend to disagree about the risks. |
Managed Care March 2004 John Carroll |
Narrow Networks' Broader Vision Throughout the late 1990s, the fashion in managed care networks was bigger and bigger. These days, though, health plans around the country have begun sizing up so-called narrow networks once again. |
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. |
IEEE Spectrum March 2011 Samuel K. Moore |
Teaching Machines About Madness Software rivals doctors at distinguishing among different kinds of depression and schizophrenia |
BusinessWeek July 15, 2010 Lopatto & Matsuyama |
The Race for Diagnostic Tests for Alzheimer's GE, Bayer, and Avid are vying to be first to market an early test for Alzheimer's. |
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. |
Managed Care December 2001 Michael S. Victoroff |
Risky Business When Public Plays Doctor With Open-Access MRI As a physician, a health plan medical director, and a citizen, I wonder at medical diagnostic arcades proliferating like sushi bars... |
CIO August 15, 2002 Scott Berinato |
Free of Film Stentor looks to provide easy digital imaging for doctors. |
Health September 2007 Suz Redfearn |
Nine Secrets Health Insurers Don't Want You to Know It's true, they do make it hard to get the money you're entitled to. Here's how to get them to pay up. |
BusinessWeek April 14, 2011 Rachel Layne |
GE and Siemens: Less May Mean More (Profits) The medical gear makers see an opportunity for their information technology units as hospitals are pressured to improve efficiency and curb waste |
Chemistry World June 13, 2007 Victoria Gill |
Europe Running Out of Time to Address 'Threat' to MRI The European Commission has told scientists it is not yet ready to change proposed European physical agents legislation, criticized by scientists for posing a 'serious threat' to legislation on medical imaging. |
BusinessWeek February 12, 2007 Burrows & Saminather |
Precision-Guided Cancer Weapons Innovations in radiation therapy are reducing "collateral damage" and saving lives. |
Financial Planning April 1, 2007 Leif Wellington Haase |
To Our Health With healthcare costs continuing to spiral out of control, it's time for Americans to take a serious look at solutions. |
American Family Physician May 1, 2005 Susan Klein |
Evaluation of Palpable Breast Masses Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy. |
Managed Care June 2005 |
Quick Results, Not Self-Referrals, Fuel Increase in Imaging Tests The researchers say that if self-referral were an important driver of the number of imaging services, they would have seen an acceleration in the growth of imaging services from 2001 to 2003 to offset the reductions in physician income brought about by reductions in the conversion factor. |
Pharmaceutical Executive August 1, 2005 Lena Chow |
Docs of Shanghai They're short on status, pay, and respect, but China's young doctors hold keys to the world's fastest growing pharmaceutical market. |
Financial Advisor June 2010 Andrew Gluck |
Advising Doctors As medical economics change for the worse, both physicians and their financial advisors are getting organized. |
The Motley Fool August 28, 2009 Brian Orelli |
Your Doctor Is Killing You ... Financially What the doctor does has a big effect on how much health care costs. |
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. |
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. |
American Family Physician August 15, 2001 Daisy Arce |
Recognizing Spinal Cord Emergencies Physicians who work in primary care settings and emergency departments frequently evaluate patients with neck and back pain. Spinal cord emergencies are uncommon, but injury must be recognized early so that the diagnosis can be quickly confirmed... |
Pharmaceutical Executive September 1, 2012 Al Topin |
Doctors' Words No Longer Gospel In the digital age, physicians don't call the shots when it comes to healthcare guidance. Marketers must appeal to multiple sources in seeking ways to garner patient adherence and loyalty. |