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Managed Care August 2000 Carey Lee Straetz |
Managing Medicaid Rolls Often State-by-State Affair Despite the strong economy, Medicaid enrollment may be slowly rising after a three-year decline. The challenges for serving this population are huge. |
Managed Care February 2007 |
Employer-Sponsored Insurance Coverage Rates Falling A new report says that that 61 percent of non-elderly Americans had employer-sponsored insurance in 2004, compared to 66 percent in 2000. |
American Family Physician February 15, 2003 |
Newsletter House Bill May Reclaim Title VII Family Practice Training Funds... Health Care Spending in the United States Increased by 8.7 Percent in 2001... Two Surveys Demonstrate Negative Economic Impact of Medicaid Reductions... AHRQ Releases Fact Book on Women's Health Care in U.S. Hospitals... FDA Establishes Task Force on Consumer Nutrition Health Information... |
American Family Physician November 1, 2000 Rosemarie Sweeney & Toni Lapp |
Newsletter AAFP Urges Response to Violent Video Games... New Grants to Help Enroll Rural Children in SCHIP, Medicaid... AAFP Announces New Staff Members at Policy Center... Lupus Research Group Sets 10-Year Goal to Find Cure... Hospitals Challenged to Take Action on Patient Safety... |
Managed Care August 2002 |
Patients' unpaid bills come from physicians, hospitals With health care costs rising and the number of uninsured Americans close to 40 million, physicians and hospitals are feeling the pinch. |
Managed Care September 1999 Frank Diamond Senior Editor |
Florida Medicaid Moves Toward Direct Contracting Florida will soon test a program that could provide competition for HMOs serving the Medicaid population. Other states are watching. |
Managed Care January 2001 Bob Carlson |
Ohio Struggles To Rescue Managed Medicaid Program Health plans and providers in Ohio's beleaguered Medicaid managed care program, OhioCare, welcomed its per-member, per-month payment increases of more than 25 percent over the last two years... |
Managed Care July 2004 Martin Sipkoff |
Managed Medicaid Business Might Be Worth the Difficulties Financial, regulatory, and access problems continue. Still, this remains a growth industry and some have found a way to profit. |
Managed Care September 1999 |
Headlines on Deadline... Healthcare industry news briefs. |
Nursing Management April 2009 Sharon H. Pappas |
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. |
Salon.com October 21, 1999 Scott Harris |
Waiting room For the great numbers of uninsured, the care may not be bad -- but the wait is. |
Managed Care December 2000 Bob Carlson |
3 New England States Prescribe Innovative Ways To Cut Drug Prices It's too soon to tell whether Maine's prescription drug price control law will survive a legal challenge by drug makers. But private efforts and another innovative strategy -- a plan by Maine, Vermont, and New Hampshire to purchase prescription drugs jointly -- are moving ahead... |
Registered Rep. September 18, 2013 Kevin McKinley |
Having Money and Getting Medicaid Clients who want to have both their money and Medicaid may want to purchase a specific type of long-term care insurance known as a "partnership" policy, currently available to residents in 31 states. |
Pharmaceutical Executive June 1, 2014 Ben Comer |
Take as Directed: From Force to Finesse in Promoting Adherence Healthcare players tout patient education and engagement as the keys to better drug adherence rates. Patients agree, as long as that translates to convenient and affordable access to therapy. |
Managed Care May 2000 |
Physicians Fudge Insurance Forms To Help Patients A study confirms what has long been considered common but is rarely discussed: Physicians often lie about patients' conditions to gain or improve coverage for their treatment. |
Managed Care June 2001 Jack McCain |
Leapfrog Group Actions Will Be Felt Throughout the Health Care System Thanks to a Business Roundtable-sponsored group calling for better outcomes at hospitals, health plans' lobbying efforts may pay off... |
Managed Care December 2006 MargaretAnn Cross |
Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs. |
The Motley Fool July 25, 2005 Stephen D. Simpson |
Triad Hospitals Looking Healthy The rural hospital operator is in good shape. All the same, the current P/E looks a little robust for a company that will most likely grow in the mid-teens for the next few years. |
Managed Care July 2001 Maureen Glabman |
Provider Shortage Puts HMOs In Bind Increasing demand for physicians and physician extenders is starting to strain the system. To a large extent, this is unexpected bitter fruit of managed care's labor... |
Managed Care June 2003 Maureen Glabman |
Managed Care Makes It Tough For Some Hospitals To Stay Afloat True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history? |
InternetNews April 1, 2005 Susan Kuchinskas |
Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices. |
CIO November 1, 2000 Susannah Patton |
The Rx Files Hospitals are prescribing healthy doses of IT to divert costly and sometimes fatal medication errors... |
Salon.com October 21, 1999 Dena Bunis |
Uninsured children A new report says there are still too many kids without health coverage. |
American Family Physician August 15, 2000 Rosemarie Sweeney & Toni Lapp |
Newsletter Major Insurers Announce Health Plan Changes... NIAID Will Fund HIV Vaccine Trials Network... Safeguards Needed to Protect Children from Dosing Errors... Study Finds Increase in Physicians' Use of E-mail... ISMP to Publish Dosing Corrections on Its Web Site... Prescription Drug Spending Increased 17.4 Percent in 1999 |
Managed Care April 2002 |
More Than Just 'Chipping' Away at Problem of Uninsured Children CHIP (the Children's Health Insurance Program) continues to grow by leaps and bounds. About 4.6 million children in the U.S. received coverage through CHIP in fiscal year 2001. That's an increase of 38 percent from fiscal year 2000... |
Managed Care August 2004 |
Medicaid Fees Rise, But Still Below Medicare A recent study reports that 30 states raised their Medicaid fees at or above the rate of inflation, including 10 that raised physician fees by more than 35%. |
Managed Care May 2005 Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes. |
BusinessWeek March 4, 2010 Frederik Balfour |
The Ka-Ching in China Luring Medical Giants GE, Siemens, and others are angling for a piece of the $125 billion Beijing plans to spend on health care. |
Managed Care February 2007 |
Managed Care Outlook Coverage for children leads policy debate. |
Pharmaceutical Executive November 1, 2006 |
Alternative Media: Time to Change the Channel Upgraded hospital television and Internet systems equal new marketing opportunities. |
BusinessWeek January 7, 2010 Catherine Arnst |
Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists. |
Managed Care January 2007 |
Headlines on Deadline ... State budgets got an unexpected gift last year... Mortality rates for hospitals ranked high... It looks likely that Massachusetts Gov. Mitt Romney will run for president... etc. |
American Family Physician March 15, 2001 Rosemarie Sweeney & Toni Lapp |
Newsletter AAFP Seeks Physicians to be Key Legislative Contacts... Online Site Offers Latest Health News... HRSA Awards $42.3 Million for Early HIV Treatment... President's Prescription Drug Proposal at Issue... NRHA Issues Legislative Agenda for 2001... U.S. Registry Created for Alopecia Areata... AHRQ Awards $5.5 Million for Domestic Violence Research... |
Managed Care December 2007 |
Privately Insured Use Emergency Room Less A recently issued brief from the Henry J. Kaiser Family Foundation seeks to characterize and analyze persons who frequently, or infrequently, use hospital emergency department. |
Managed Care September 2000 Frank Diamond |
'New' Aetna and Kaiser Face Future The biggest for-profit and not-for-profit MCOs have been through rough times recently. How have their corporate cultures changed? |
HBS Working Knowledge July 14, 2006 Regina E. Herzlinger |
The Case for Consumer-Driven Medicaid The Medicaid program is a health insurance safety net for 52 million Americans, but the price tag threatens the financial stability of the states. South Carolina provides a model in consumer-driven healthcare. |
Commercial Investment Real Estate Sep/Oct 2009 Andrew Dick |
Understanding Federal Healthcare Laws Commercial real estate professionals who work with medical office development must be aware of the federal healthcare fraud and abuse laws. |
Managed Care January 2002 Michael Levin-Epstein |
HHS Seems To Soften Hard Line on Kickbacks Do two recent advisory opinions from the Health and Human Services Office of the Inspector General signal some moderation in federal policy on what constitutes a kickback? Maybe. Or then again, maybe not... |
Salon.com December 7, 1999 Dena Bunis |
Medical mistakes are killing us Health plans covering federal workers will be the first to improve the quality of care. |
American Family Physician July 1, 2000 |
Policy Center One-Pager The Effect of Accredited Rural Training Tracks on Physician Placement |
American Family Physician July 1, 2000 Monica Preboth |
Clinical Briefs ISMP Warning on Heparin/Hespan Mix-ups... Increase in Vaccination Coverage Levels... Therapies for the Prevention of Breast Cancer... Online Service to Provide Hospital Statistics... Office Spirometry for the Detection of COPD... AAFP Annual Scientific Assembly... etc. |
BusinessWeek October 1, 2009 Sasseen & Arnst |
Why Business Fears the Public Option Executives contend that it will lead health-care providers to charge patients in private plans higher rates. |
Managed Care November 2007 Lola Butcher |
Blues Build on CMS Program To Boost Hospital Quality The insurer throws support behind a pay-for-performance program that promises "stunning" advances in cost-effectiveness. |
BusinessWeek February 20, 2006 Arlene Weintraub |
Should Doctors Own Hospitals? Controversy builds over a fast-growing, profit-driven business in which specialty hospitals are partly owned and run by doctors. |
Managed Care October 2003 Ed Silverman |
Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate! |
Managed Care April 2005 John Carroll |
Can Managed Care Programs Rein in Medicaid's Runaway Budgets? Cadillac or Yugo care for the poor? Fee-for-service or managed care? The states have a lot on their minds as the Medicaid monster grows and grows. |
American Family Physician September 15, 2000 Rosemarie Sweeney & Toni Lapp |
Newsletter Foundation Releases Data on Prescription Drug Trends... ISMP Pushing for Passage of Bills Dealing with Medical Errors... Officials Discuss Potential of Studying Agent Orange in Vietnam... WONCA Holds Rural Health Conference in Calgary... AMA's Tobacco Prevention Program Announces Expansion... |
American Family Physician March 15, 2004 |
Medicine and Society According to figures released by the U.S. Census Bureau in September 2003, 1 43.6 million Americans did not have health insurance in 2002, a figure that represents an increase of 2.4 million persons from 2001 |
Managed Care March 2005 |
'This Country Cannot Continue With the System We Now Have' As a vice president of Pfizer Health Solutions, a major disease management company, John Sory knows how difficult it is to bring systematic care to the chronically ill. He discusses Pfizer's work with Florida's Medicaid program. |
Salon.com December 1, 1999 James B. Stewart |
Who's watching the docs? The code of silence in hospitals allows deadly mistakes to happen, but some simple reforms could help... |