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Managed Care September 2007 John Carroll |
Do Out-of-Pocket Payments Put Preventive Care on Hold? Studies by Cigna and Humana challenge some long-held assumptions about high-deductible plans. |
CFO February 1, 2007 Karen M. Kroll |
Pin the Tail on the Doctor A dearth of information leaves health-care consumers in the dark. As health-care information becomes more accessible, will employees use it to purchase health-care services more intelligently? |
Nursing Management September 2011 Sally Austin |
What does EMTALA mean for you? When a patient enters your hospital, do you know what your obligations are under the Emergency Medical Treatment and Active Labor Act? |
BusinessWeek June 23, 2011 Drew Armstrong |
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. |
Commercial Investment Real Estate Sep/Oct 2009 Andrew Dick |
Deal Diagnosis Healthcare real estate transactions not only are driven by economic factors, but also by compliance with federal and state healthcare laws. |
The Motley Fool July 17, 2006 Querna & Fischman |
Good Medical Help Close to Home Your local hospital might be just as good as any glittery big-name center. Finding out if your local hospital is up to snuff requires some homework. Here are the major factors in judging the quality of care, courtesy of U.S. News & World Report's annual "America's Best Hospitals" issue. |
CIO June 15, 2002 Scott Berinato |
CIOs at the Heart of Health-Care Change For good or ill, CIOs are reshaping the way health care is delivered in America. Learn why CIOs are involved in fixing health care, find out how technology is helping to replace managed care with new kinds of insurance, and understand the ethical dilemmas these CIOs must deal with. |
Managed Care March 2004 Martin Sipkoff |
Can Transparency Save Health Care? If everyone can see what everyone is doing, we'll have better care at lower costs. First task: Create common standards. |
Insurance & Technology September 16, 2005 Katherine Burger |
Educating Consumers A truly technology-enabled offering, the idea behind consumer-directed healthcare is that everyone benefits when consumers have more information. |
Managed Care June 2006 Amanda Brower |
Retail Medical Clinics Draw Patients & Payers A growing number of health plans are adding retail health clinics to their networks and are realizing savings. But physicians voice concern over the quality of care provided to patients. |
The Motley Fool February 2, 2009 Brian Orelli |
Humana's Humming a Happy Tune 2009 sure looks a lot brighter than last year for the health insurance company. |
Nursing Management June 2011 LaRocco & Pinchera |
The emerging trend of medical tourism Although it's difficult to find accurate data, there's general agreement that the number of Americans seeking medical care abroad is growing. |
Managed Care March 2008 John Carroll |
Aetna and Hannaford Make a Singapore Connection Some insurers are taking tentative steps toward developing global provider networks for corporate clients looking to reduce costs by having medical procedures performed in less expensive countries. |
BusinessWeek March 31, 2011 Peter Waldman |
Aetna's Rx for High Doctor Fees: Lawsuits Aetna's legal campaign against expensive out-of-network charges is just the latest attempt by insurers to restrain soaring health costs. |
Managed Care August 2002 Joyce Ochs |
Managed Care's Use of Web Not Just for Marketing Anymore Virtually all MCOs today have Web sites as a matter of course. The challenge is to have a site useful enough to make people come back, while the operating challenge is to transfer selected company functions entirely or partially to the Internet to increase efficiency and reduce expenses. |
Managed Care January 2006 MargaretAnn Cross |
Case Management Meets Home Care Aetna incorporates a program developed at the University of Pennsylvania to deliver services where members live. |
The Motley Fool August 4, 2009 Brian Orelli |
Shockingly Cheap and Destined to Stay That Way? Humana has a nice quarter, but it's priced based on the uncertain future. |
Managed Care December 2007 Tom Reinke |
U.S. Health Insurers Find Opportunities Overseas The United Kingdom is proving hospitable to UnitedHealth Group and Aetna, and there is business to be had elsewhere in Europe and on other continents |
The Motley Fool August 5, 2008 Brian Orelli |
Humana Not Hurting ... as Much Humana's stock jumped because the company had guided for an even bigger drop in the bottom line than it posted. |
Insurance & Technology May 3, 2006 Maria Woehr |
Give 'Em What They Want To stay ahead of the competition in the volatile health insurance marketplace, CIGNA is turning to the Web to strengthen its appeal to consumers. |
The Motley Fool May 29, 2009 Brian Orelli |
The "Naughty List" You Want Your Company On Athenahealth is out with its annual review of how quickly health insurers are paying the claims that doctors make for services. |
Managed Care October 2005 John Carroll |
Plans Ready To Go All Out For Part D Some of the biggest insurers in the country will do whatever it takes to promote their offerings under Medicare's new prescription drug benefit. |
The Motley Fool September 23, 2009 Brian Orelli |
Witch Hunt, Round 2? Humana mails Medicare Advantage members about health-care reform, and not everyone approves. |
Managed Care May 2006 |
Headlines On Deadline . . . Health plans appear to be having some trouble fulfilling a federal mandate that 80 percent of questions from Medicare beneficiaries about pharmacy coverage be answered within 30 seconds. |
Managed Care March 2002 Mildred Beam-Rucker |
'Team Approach' to Contract Talks Means That Nobody Feels Cheated Managed care is a business. Both parties want a profitable relationship, and while profitability is important, providers and managed care organizations seem to have more success when they identify a joint mission for the relationship and take a team approach to contracting... |
Managed Care September 2007 Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
The Motley Fool February 9, 2006 Stephen D. Simpson |
Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching. |
The Motley Fool June 8, 2007 Brian Lawler |
This Stupid Mistake Cost Me More Than $20,000 Going without health-care coverage can spell disaster for your finances. Even if you only intend to be without insurance for a few months, weeks, or days, it could end up costing you a lifetime of financial pain. |
Managed Care December 2007 |
Strong Support for Transparency, But Small Effect Expected on Costs Three quarters of health care leaders believe increased transparency -- the public reporting of quality and pricing by name of hospital, physician practice, or health care provider -- is essential to improve the performance of the United States' health care system, according to a survey. |
Managed Care September 2003 MargaretAnn Cross |
Consumer-Directed Health Care: Too Good To Be True? People talk about it as the sure way to control costs and give consumers the choice they seem to want. Are we being realistic? |
The Motley Fool August 20, 2009 Brian Orelli |
The Health Reform Witch Hunt Congress warms up the tar and feathers for health-insurance execs. |
The Motley Fool February 6, 2009 Brian Orelli |
Stocks Doubling? In This Market? Cigna, like other health insurers, lowered guidance for next year, but if it can hit the new targets it'll still be a wild improvement from last year. |
Managed Care March 2006 Lola Butcher |
Major Companies Behind Push for Quality Measures Health plans and employers are convinced that improving quality will save money. This time, they think they've got the data. |
Managed Care August 2001 Steve Perlstein |
Four-Tier Approach Injects Consumerism Into Drug Benefit In tying copayments closely to the actual cost of medications, Humana takes a step toward promoting awareness of resource use... |
The Motley Fool October 13, 2009 Brian Orelli |
Health-Care Reform: You Can't Have It Both Ways Requiring insurers to cover pre-existing conditions needs to go hand-in-hand with requiring healthy people to purchase insurance. |
BusinessWeek February 20, 2006 Arlene Weintraub |
How Good Is Your Online Nurse? Here is a checkup of insurer sites that offer personalized advice to plan members: WellPoint... UnitedHealth Group... Aetna... |
Managed Care August 2007 Lola Butcher |
What Attracts Workers to Consumer-Directed Plans? High-deductible insurance hasn't been a big draw, but plan sponsors have found a few ways to make it attractive. |
Managed Care May 2000 Frank Diamond Senior Editor |
Medical Director: A Typical Day Requires Both Strength and Tact Ruling on queries from phone banks, working to end hospital errors, meeting with disgruntled physicians: Does any of this sound familiar? |
BusinessWeek July 12, 2004 Dean Foust |
Vital Signs At Humana Its CEO has revived the insurer, but can he sell a bold health plan to clients? |
Managed Care December 2002 Patrick Mullen |
Placing Faith in Technology To Improve Members' Choices Not many companies' organizational charts list a 'chief innovation officer.' At Humana, it brings visibility to a high-tech strategy for reducing care fragmentation. |
Insurance & Technology February 7, 2004 Julie Gallagher |
Taking a New Look at HSAs Self-service tools support newly authorized health savings accounts |
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. |
Insurance & Technology December 6, 2007 Nathan Conz |
Aetna, CIGNA, Empire BlueCross Establish Standards With New York State AG The health insurers have reached an agreement with the New York State Attorney General on standards for physician-rating programs. |
Insurance & Technology October 29, 2003 Anthony O'Donnell |
Aetna Offers Solution to Suit The carrier's settlement with the American Dental Association aims at communications clarity. |
BusinessWeek January 30, 2006 Howard Gleckman |
Plan A: Hook Them With Part D Humana's low-cost Medicare drug plan is a way to lure seniors into its managed care. |
Insurance & Technology August 18, 2010 Nathan Golia |
Insurers Take Lead in EHR Implementation With guidelines for meaningful use of electronic health records established, health carriers expect IT improvements on the provider side to lower healthcare costs by reducing care redundancies and readmissions. |
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 March 2004 MargaretAnn Cross |
Consumer-Directed Plans Begin Measuring Patient Satisfaction Initial results are promising. Employees turn toward preventive medicine and away from expensive drug therapies. |
BusinessWeek October 22, 2009 Arlene Weintraub |
Tough Love, Lower Health Costs A UnitedHealthcare plan offers incentives to employees who strictly control their diabetes. |
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. |