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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.
Managed Care December 2007	Web Site Helps Track Health Plan Rankings U.S. News & World Report and the National Committee for Quality Assurance have released the third edition of America's Best Health Plans, an annual ranking of health maintenance organizations and point-of-service plans.
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 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 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.
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 December 2005 John Carroll	Consumers Don't Know What They Don't Know Experts have been taking a close look at health literacy in America and have concluded that this is one area where even relatively well-educated people will have trouble finding their way.
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 October 2007 John Carroll	Early Tiered Networks Encounter Many Obstacles From dodgy data to uncooperative doctors, difficulties confront health plans that are trying to stratify providers by cost and quality.
Insurance & Technology January 25, 2005 Jim Hatfield	Click to Pay Improvements in operational efficiency can help healthcare organizations keep themselves off the critical list. With that in mind, in 2000, Harvard Pilgrim Health Care turned to online billing to expedite receivables and boost customer service.
Managed Care June 2001 Frank Diamond	HMO/Physician Strain Creates Invisible Costs Perhaps goodwill is too much to ask for. However, peaceful coexistence can certainly help all players reach their mutual goal -- a smooth relationship that helps to get the job done...
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.
The Motley Fool March 23, 2007 Dan Caplinger	Who's the Best Health Insurer? A recent survey shows that public companies aren't making the grade. Investors, it's important to remember that these companies are at a competitive disadvantage to some of their counterparts.
Managed Care June 2007 MargaretAnn Cross	What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists.
Managed Care January 2005 Maureen Glabman	Health Plans Strain To Contain Rapidly Rising Cost of Imaging PET, CT, MRI -- these and other imaging technologies are valuable but costly. Aetna, Cigna, and a few other plans lead in clamping down on unnecessary use.
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.
CIO November 15, 2002 Susannah Patton	Harvard Pilgrim Health Care Finds a Remedy After the HMO's acquisition spree, it was left with systems that weren't integrated.
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 October 2001	Physician Pay Used as Boost For Quality Momentum is building to use physician reimbursement and bonuses not just as utilization controls, but as quality-improvement tools...
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 October 2003 MargaretAnn Cross	Some HMOs See Dividends In Charging Deductibles This may be one way to regain profitability, though getting permission from government regulators may take some doing.
Managed Care August 2001	In Calif., Bonuses Based on Quality, Not Cost Savings Blue Cross of California has decided to move away from the traditional managed care incentive of rewarding physicians for controlling medical costs, and instead will implement a program in which physicians receive bonuses for quality of care and patient satisfaction...
Managed Care December 2001 MargaretAnn Cross	Increased Pressures Change P&T Committee Makeup Formulary committees once were stocked with academics and administrators. Today, primary care physicians, specialists, and retail pharmacists play a bigger role, and tomorrow's membership will be even more diverse...
Managed Care August 2006 Frank Diamond	Return to Jackson Hole? The Push for a Standard Benefit A nationwide discussion about making health care available to all Americans gives new life to an old idea.
Managed Care November 2000	Health Care Issues Force Prosecutors In Many States To Try New Approaches Virtually every item in the news about health care coverage lately, from HMO horror stories to health plan consolidation, from lawsuits to new legislation, means more work for some state's attorney general...
BusinessWeek March 10, 2011 Gillian Wee	Ex-Harvard Managers Thrive on the Outside Phillip Gross, Lawrence Golub, and other former Harvard endowment managers are beating the Ivy's returns at their own firms.
HBS Working Knowledge August 18, 2014 Carmen Nobel	Have a Better Idea To Improve Health Care? A collaboration between Harvard Business School and Harvard Medical School seeks to promote already proven innovations that could increase the quality and lower the cost of health care.
BusinessWeek March 5, 2007	What It Takes To Be A Winner How the winners of Customer Service Champs were determined.
CIO November 15, 2002 Susannah Patton	As the Companies Turn Four companies. Four crises. Four IT turnaround strategies. How did they work? How did their CIOs fare?