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Managed Care
December 2006 |
NCQA Rankings Give Edge to Not-For-Profit Insurers No sooner had the quality rankings of health plans in the nation, as measured by the National Committee for Quality Assurance, been released then it was pointed out that most of the top performers were not-for-profit insurers.   |
Managed Care
January 2005 |
NCQA Hopes 10-Best Lists Spur Consumer Interest Medicaid Top 10: BlueCross BlueShield of Western New York... HealthPlus of Michigan... UPMC Health Plan... Medicare Top 10: Blue Cross and Blue Shield of Massachusetts... Capital Health Plan... HealthPartners... etc. |
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
March 2002 |
NCQA To Help CMS Monitor Quality of M+C Plans The National Committee for Quality Assurance has been tapped to help the Centers for Medicare and Medicaid Services (formerly HCFA) monitor plans that participate in Medicare+Choice... |
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. |
Insurance & Technology
September 9, 2009
Nathan Conz |
Anthem Embraces Social Networking In Wisconsin, Anthem Blue Cross and Blue Shield is leveraging a variety of social networking tools to interact with its members. |
Managed Care
November 2005 |
Quality Improves at Nation's Health Plans The National Committee for Quality Assurance's annual report states the quality of health plans that report have improved quality, but there is also a rise of consumer-directed health plans which do not report on quality. |
Managed Care
April 2007 |
Headlines On Deadline ... Members of Blue Cross and Blue Shield companies and privately-held health plans tend to rate their overall service experience notably higher than enrollees of non-Blue plans owned by publicly-traded companies...More employers are offering consumer-directed health plans... etc. |
Managed Care
April 2000 |
NCQA To Put Report Cards On the Web The National Committee for Quality Assurance hopes to elevate the degree to which quality of care factors into people's choice of health plans. NCQA is placing health plan report cards on its web site... |
Managed Care
December 2004 |
Headlines On Deadline ... Preferred Provider Organizations participating in Medicare Advantage can satisfy federal oversight requirements if they've already received accreditation from the National Committee for Quality Assurance. |
Managed Care
October 2000 |
HEDIS Performance: Routine reporting drives improvement Results published in NCQA's State of Managed Care Quality 2000 put a stake in the ground in terms of how well health plans care for members with costly chronic conditions -- and established how much room exists for improvement. |
Managed Care
March 2000 |
NCQA Unveils New PPO Accreditation Program, HEDIS '01 |
Managed Care
September 2007 |
NCQA Standards Focus on PPO Performance Preferred provider organizations that are seeking National Committee for Quality Assurance accreditation will now be required to report clinical quality results through HEDIS. |
Managed Care
May 2003 |
Program Rewards Physicians For Delivering High-Quality Care Bonuses for delivering high quality care will be the focus of a three-market program spearheaded by the National Committee for Quality Assurance and supported by a coalition of physicians, health plans, large employers, and the Centers for Medicare and Medicaid Services. |
Managed Care
September 1999 |
Physicians Seen As Next in Line For NCQA Review The National Committee for Quality Assurance says it will begin an accreditation program for medical groups two years from now.... |
CIO
June 15, 2001
Angela Genusa |
Blood, Sweat and Systems Integration When Harvard Pilgrim Health Care's new CIO came on board, the HMO was fading fast. It's out of ICU now, but it's going to be a long time to full recovery. |
Managed Care
November 2007 |
Underwriting Earnings Slow, But Investment Gains Soar First-quarter underwriting gains for the health insurance industry declined in 2007, while investment gains were up nearly 42% compared with the same period last year. |
Managed Care
June 2002 |
Anthem's Bid Latest in Blues Consolidation Anthem's $4 billion purchase of Trigon Health Care would make Anthem the largest owner of Blue Cross plans. |
Managed Care
October 2004 |
Quality at Accredited Health Plans Takes Big Step Forward The quality of care delivered by health plans that report performance data to the National Committee for Quality Assurance improved markedly in 2003. |
BusinessWeek
October 22, 2009 |
Two Ways to Fund Reform Separate House and Senate health-care bills cover costs differently. |
Managed Care
March 2000 |
Aetna Chief Quits Amid Share Price, Quality Concerns Aetna U.S. Healthcare CEO Richard Huber quits... Fate of Harvard Pilgrim Health Care unknown... |
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. |
Managed Care
February 2008
John Carroll |
Move to Mandatory Coverage Wouldn't Ensure Universality Compared to the existing state of affairs, there's a lot to like in mandatory coverage, but the Massachusetts experiment is a lesson to not expect miracles. |
Managed Care
July 2003
MargaretAnn Cross |
Money Pit: Is Accreditation Always Worth the Cost? Some plans swear by the benefits of obtaining an "excellent." Others say that customers care much more about cost. |
Global Services
May 27, 2008 |
U.S. Health-care Market Awards Maximum Outsourcing Deals The list of the 10 biggest outsourcing and IT outsourcing deals signed in April 2008 is dominated by activity in the U.S. health-care market. |
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. |
Insurance & Technology
May 18, 2004 |
Cyber News It Pays to Webvisit... DST Vision Enhanced... Myanthem Announced... etc. |
Managed Care
April 2002 |
NCQA To Judge Plans on Drug Monitoring Health plans could soon be required to develop systems to prevent drug interactions, as well as systems to monitor drug recalls and FDA alerts, under proposed accreditation standards issued recently by the National Committee for Quality Assurance... |
Managed Care
April 2000 |
Financial Stability Of HMOs Called A Mixed Bag An HCIA-Sachs survey says the median HMO profit margin in 1998 was -1.7 percent, slightly better than in 1997. Forty-one percent of HMOs made money in 1998.... |
Managed Care
September 2003 |
Anthem Blocked In Bid To Buy BCBS of Kansas The consolidation of member plans in the Blue Cross and Blue Shield Association has hit yet another snag. The Kansas Supreme Court on Aug. 6 upheld an order blocking the $190 million sale of the not-for-profit Blue Cross and Blue Shield of Kansas to Anthem, a for-profit operation. |
Managed Care
November 2005 |
NCQA Wonders: Who Keeps Tab On Consumer Plans? National Committee for Quality Assurance is worried about the increase of consumer-directed health plans which tend not to measure or report on their performance. |
Insurance & Technology
November 26, 2003
George V. Hulme |
Integration Key to Competition While leveraging the value of legacy systems, insurers are turning to Web services and document management to increase efficiencies. |
