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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. mark for My Articles similar articles
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? mark for My Articles similar articles
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? mark for My Articles similar articles
BusinessWeek
June 23, 2011
Drew Armstrong
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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 mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
February 9, 2006
Stephen D. Simpson
Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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? mark for My Articles similar articles
The Motley Fool
August 20, 2009
Brian Orelli
The Health Reform Witch Hunt Congress warms up the tar and feathers for health-insurance execs. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
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. mark for My Articles similar articles
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? mark for My Articles similar articles
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? mark for My Articles similar articles
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. mark for My Articles similar articles
Insurance & Technology
February 7, 2004
Julie Gallagher
Taking a New Look at HSAs Self-service tools support newly authorized health savings accounts mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
BusinessWeek
October 22, 2009
Arlene Weintraub
Tough Love, Lower Health Costs A UnitedHealthcare plan offers incentives to employees who strictly control their diabetes. mark for My Articles similar articles
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. mark for My Articles similar articles