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Managed Care
July 2006 |
Education Concerns Push Back Florida's Medicaid Experiment The greatly anticipated meeting between Medicaid and managed care that's expected to take place in Florida has been delayed.   |
Managed Care
February 2005
John Carroll |
Just What Can We Expect From New Head of HHS? How much will plans have to "be like Mike" -- Leavitt, that is. The influence of the secretary of health and human services reaches beyond the public sector. |
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. |
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. |
Reason
August 2002
Brian Doherty |
Following the Scrip Medical privacy in Florida: The Florida legislature has declined to go along with Gov. Jeb Bush's attempt to turn a family problem into a problem for the whole state. |
BusinessWeek
August 8, 2005
Howard Gleckman |
Radical Surgery For Medicaid? South Carolina Governor Sanford has a plan to slash costs - but a political battle looms. |
InternetNews
September 8, 2005
Roy Mark |
Big Iron Vs. Medicaid Fraud Tapping into an IBM supercomputer running software developed for the private sector, Erie County in New York aims to curb up to $80 million a year in dubious Medicaid claims. |
Managed Care
December 2001 |
CMS Medicaid Managed Care Proposal Under Close Scrutiny Bioterrorism. Medicaid managed care plans. No link between them? Guess again. It all has to do with how proposed Medicaid regulations would affect patients' rights and funding for Medicaid programs ranging from nursing home care to emergency rooms... |
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. |
Managed Care
March 2002
Michael Levin-Epstein |
Illinois's Medicare Drug Program Called 1st Stab at National Reform The Illinois demonstration program gives the state permission to use federal and state Medicaid dollars to provide prescription drug coverage for 365,000 low-income, elderly Medicare beneficiaries... |
Managed Care
February 2006 |
Managed Care Offered to More Medicaid Enrollees A chart illustrates the percentage of medicaid enrollees in managed care, for the years 1996 to 2004. |
Inc.
November 1, 2009
Darren Dahl |
How to Fix Health Care Inc. 500 CEO John Baackes of Senior Whole Health has the answer to fixing the broken health care system and how this could aid small business. |
Managed Care
January 2001
John Carroll |
Florida Leads the Way in Attempting Disease Management for Medicaid Officials across the country are watching to see whether the Sunshine State's innovation can save money... |
Managed Care
February 2002 |
Computer Glitch Blocks Too Many Prescriptions Pharmacists in Massachusetts were hopping mad when a new computer system designed to help process prescriptions for Medicaid enrollees malfunctioned during its launch... |
Managed Care
October 2001
Bob Carlson |
Trying To Get Control of Drug Costs, Florida Earns Kudos -- and a Lawsuit Pharmaceutical Research and Manufacturers of America (PhRMA) filed suit against Florida's Agency for Health Care Administration, challenging a new Medicaid formulary that requires manufacturers to pay supplemental rebates to have their drugs included... |
Managed Care
August 2002 |
24 States Hope Pharmacy Plus Helps Medicaid Twenty-four states may gamble that providing a prescription drug program to low-income elderly who do not qualify for Medicaid could save them money in the long run. |
Managed Care
April 2004 |
Medicaid DM To Get Boost From CMS The federal government plans to give Medicaid disease management a lift by matching the money states pay to run such programs. |
Managed Care
June 2003 |
HMO, Medicaid formularies exhibit surprisingly small differences When you compare HMO and Medicaid formularies for coverage in major therapeutic areas, you find that the differences are relatively small, with Medicaid plans being somewhat less stringent. |
Managed Care
April 2005 |
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation. |
Managed Care
August 2002
Madeleine A. Estabrook |
Regulators Take More Interest In Role of PBMs in Health Care In a highly regulated industry such as health care, it is just a matter of time before every component of the industry comes under scrutiny and review. Pharmacy benefit managers are taking center stage now. |
Managed Care
September 2004
John Carroll |
Pfizer: DM Did Not Fizzle In Florida Medicaid Ruckus Medicaid officials close the books on a program the pharmaceutical giant contends that soon-to-be-released data will verify its disease management program's effectiveness. |
Salon.com
November 16, 2000 |
Florida court: Keep counting State Supreme Court says counties can proceed with hand count -- regardless of what secretary of state says... |
Salon.com
November 16, 2000
Eric Boehlert |
Al's ballot blues Florida relaxed its standards two years ago and the resulting flood of presidential candidates may have cost Gore the election... |
Managed Care
October 2001 |
CMS Defends Plan To Let States Tailor Medicaid Benefits Centers for Medicare and Medicaid Services Administrator Thomas Scully has defended the Bush administration's plan to allow states to opt out of mandatory Medicaid-coverage requirements... |
Managed Care
December 2006 |
Medicaid Plans Too Successful For Own Good? The Wall Street Journal reports that Medicaid costs appear to be stabilizing, but health plans are raking in huge profits. |
