Similar Articles

Browse Main Topics:

Business
Computers & Electronics
Education & Reference
Entertainment & Leisure
Family & Home
Finance & Investment
Health
Internet
Pets & Animals
Science & Technology
Society, Politics & Culture
Sports & Recreation

Similar Articles

Managed Care February 2001	Denver Docs Bolt Aetna Before It Ends 'All-Products' Some 8,000 Denver-area residents were left to find new doctors when 240 physicians affiliated with MedWest Medical Group dropped Aetna U.S. Healthcare in a dispute over contract terms. The doctors did not renew their Aetna contract when it expired Jan. 31...
Managed Care May 2000	Texas-Aetna Incentives Settlement Worries Some Capitated Physicians If the Texas deal ignites a trend away from the use of incentives to keep utilization down, then some capitated physicians worry it will put them in a tight spot.
Managed Care April 2000	Cigna Colorado Ends Capitation For Most Primary Care Physicians In a strategic move aimed at retaining and recruiting top physicians, Cigna HealthCare of Colorado has dumped capitation. In late February, the insurer began paying most of its physicians in the state on a discounted fee-for-service basis....
Managed Care November 2000	Aetna Opens Gate With Several New No-Referral Plans Aetna U.S. Healthcare will launch a series of products Jan. 1 that will drop the gatekeeper function. In most cases, the new plans, called Aetna Open Access, will allow members to receive care from specialists without a referral from their primary care physicians...
Managed Care August 2000 Bob Carlson	'All Products' Clauses Fade From Physician Contracts All-products provisions in health plan provider contracts are slowly being negotiated, legislated, and regulated out of existence. They are now illegal in at least four states; legislation is pending in several others.
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 September 2000 John A. Marcille	Kaiser, Aetna Keep Eyes On Health Care Consumer Sometimes breaking old ground can be just as satisfying as breaking new. What these two plans are looking at, experts believe, is a health care system moving toward defined contributions...
Managed Care September 2000 Frank Diamond	'New' Aetna and Kaiser Face Future The biggest for-profit and not-for-profit MCOs have been through rough times recently. How have their corporate cultures changed?
Insurance & Technology May 29, 2008 Nathan Conz	Aetna to Electronically Deliver Care Alerts To increase the quality of care for its members, Hartford-based Aetna has launched an electronic version of its Care Considerations initiative, which delivers analytics-driven care alerts to healthcare providers.
Managed Care August 2001	Interest in capitation backs off More than half of provider organizations surveyed by Evergreen Re, a national reinsurance consultant and broker, had at least one capitation contract last year -- but use of capitation fell dramatically from 1999 to 2000..
Managed Care May 2007	The Formulary Files The American Academy of Pediatrics predicts that the increasing costs of vaccines, combined with low payments from insurance companies, will lead to under-immunization.
Managed Care September 2000	Capitation: How well is your back covered? Make no mistake: Capitation--despite the beating its reputation has taken of late---isn't out of fashion. In fact, its prevalence is increasing, with 14 percent more physician groups having some involvement in capitation last year than in 1998...
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 October 2000	How you fare under capitation Warren Surveys talked to about 50 HMOs and community based health plans in 1999 to tally what they were paying physicians in capitation and risk-arrangement contracts...
Managed Care May 2000	The latest blow to managed care? The Texas attorney general's decision in the Aetna case is the latest in a long string of events that has gutted the fundamentals of managed care. Many in health care think that some or all of these developments have stripped health plans of their ability to manage care effectively....
Managed Care January 2008 Martin Sipkoff	Should Pharmacists Be Allowed To Vaccinate Their Patients? Although federal health agencies support the idea of having pharmacists administer vaccines to their patients, the roadblock continues to be a question of payment.
Managed Care July 2007	Managed Care Outlook The future holds too few docs.
Managed Care May 2006	Physician Disclosure Strengthens Patients' Trust Patients who received a disclosure felt more competent to judge the effect of their physician's compensation on their health care, and nearly a quarter of patients who remembered receiving a disclosure reported that it had increased their trust in their primary care physician.
Managed Care December 2000	Capitation rates see large boost While many physicians argue that HMOs are stingy about passing along revenue from premium increases, a new study suggests otherwise...
Insurance & Technology September 14, 2004	Cyber News Aetna offers tools, Vision Insurance expands deal with eAutoClaims... Cigna adds toolkit... etc.
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.
CRM December 2005 Alexandra DeFelice	A Healthy Dose of CRM Healthcare organizations are striving to improve customer relationships in three critical ways.
Managed Care November 1999	U.S. Supreme Court To Hear Suit Against HMOs Over Incentives Can HMOs be sued for the practice of offering bonuses to physicians who help them keep the cost of care down?...
Managed Care November 2004	Abandonment of Capitation May Inflate MCO's Costs Medical groups and IPAs in strong managed care markets are significantly less likely to use fee-for-service methods to pay their physician members than are organizations in markets with less managed care presence.
Managed Care December 2003	Electronic prescribing has no effect on formulary compliance A retrospective analysis of claims data from Aetna indicates that systems that allow physicians to enter prescriptions electronically on a handheld device that also provides drug information and formulary status have no significant effect on compliance with formularies and utilization of generics.
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.
Managed Care November 2001 Bob Carlson	CMA Balks as Calif. Eyes Mexico To Recruit Docs To Serve Latinos A task force subcommittee studied the feasibility of a three-year project to bring 50 Mexican physicians and 20 dentists to underserved areas of California, to practice in not-for-profit community clinics...
Insurance & Technology December 13, 2006 Anthony O'Donnell	New World Record Built on the CareEngine technology platform developed by Aetna subsidiary ActiveHealth Management, PHR gives members online access to personal health information.
Managed Care May 2000	Arizona Nixes Doc Incentives, OKs Plan Liability The publicity given to the Texas attorney general's agreement with Aetna overshadowed a more sweeping edict in Arizona regarding financial incentives to physicians....
Insurance & Technology November 15, 2006 Maria Woehr	Portal for E-Claims Triad Healthcare, an allied specialty healthcare solutions provider, selected MD On-Line to facilitate provider submission of electronic claims for Triad's Aetna members in select areas of New Jersey.
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...
American Family Physician September 1, 2000 Rosemarie Sweeney & Toni Lapp	Newsletter Conference Committee Reaches Funding Decisions on Key Health Programs... Foundation Urges Enrollment of Children in Insurance Programs... A National Summit on Medical Errors Is Announced... Thimerosal-Free Vaccines for Infants Are Recommended...
The Motley Fool September 24, 2008 Brian Orelli	Health Insurer Lets Outsiders Decide Aetna announces that it'll allow customers with individual health plans to ask for an independent external review before Aetna cancels their policy.
Managed Care July 2002 John A. Marcille	Capitation as Whipping Boy: Court Takes on Touchy Issue If plans are to keep coverage decisions reasonable and fair, they'll need tools that involve physicians and patients in the decision-making process. Capitation is one of those.
BusinessWeek January 16, 2006 Jessi Hempel	Aetna: Succession At Full Speed Can incoming Aetna CEO Ron Williams keep the health insurer on its hot streak?
Insurance & Technology October 12, 2004 Johannah Rodgers	Broadening Vision Michael Connolly fosters a creative and ambitious approach to the possibilities of technology at Aetna to improve the quality and cost of healthcare.
Managed Care July 2002 Michael D. Dalzell	Has Capitation Weathered the Storm? More difficult than ever to pull off, health care on a fixed, per-capita budget has gone out of style in a number of areas. But many things are cyclical - and this trend may be, too.
Insurance & Technology May 12, 2006 Katherine Burger	Information Is Power CEO and president Ronald Williams champions technology to support the creation of a high-performance culture as Aetna innovates consumer-directed healthcare.
Managed Care December 2002	Providers turn to fee-for-service charges to make up revenue lost under capitation If there's any doubt whether capitation has left a bit of a sour taste in the mouths of physicians and hospitals, a survey issued earlier this year would seem to confirm it.
Insurance & Technology October 6, 2008 Peggy Bresnick Kendler	At Aetna, McCarthy Introduces New Techonologies to Empower Customers Aetna CIO and SVP Meg McCarthy focuses on driving process discipline and improved productivity throughout the Aetna Information Services organization.
Managed Care June 2005 Martin Sipkoff	The Re-Emergence of the Primary Care Physician A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery.
Managed Care October 2005 Bob Carlson	What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.
Managed Care May 2006 Michael Levin-Epstein	Looking for a Better Way To Manage Care Can primary care physicians persuade health plans and Medicare to accept their version of the chronic care model?
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?
American Family Physician September 15, 2003 Matthew Neff	Newsletter AAFP Launches Initiative to Strengthen Patients' Voices in Congress... New Guide Available Online to Help Physicians Counsel Older Drivers... Fact Sheet Outlines Health Issues for Patients to Address with Physicians... etc.
Knowledge@Wharton August 27, 2003	Code Blue: Combating Rising Healthcare Costs Calls for Strong Medicine It's been said many times over that the U.S. healthcare industry is a sick patient in search of a cure. The metaphor is a grim reflection of how the country is coping with an aging population, rising costs and an inefficient healthcare delivery system.
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.
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 December 2000 Maureen Glabman	Downstream Without a Paddle State legislatures that tackle medical group insolvencies have come up with strategies that sometimes shift accountability to HMOs...
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.