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Managed Care
May 2002
Marlene Piturro |
Wearing Black Hats ... Again Simplistic, for sure. But a movie pitting a man with modest income against the big bad managed care plan has drawn attention to the enormous cost of transplants and the difficulty of matching organs and recipients   |
Managed Care
February 2002
Mick L. Diede & Richard Liliedahl |
Getting on the Right Track Converging forces are an economic train wreck waiting to happen. Avoiding a disaster requires an understanding of the interconnection of health care's stakeholders and the global consequences of their actions... |
Managed Care
December 2006
MargaretAnn Cross |
Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs. |
Managed Care
January 2008
Peter Kongstvedt |
The Managed Care Forecast Here are some of the challenges that health insurers face this year. |
Managed Care
January 2004
Bob Carlson |
Reinsurers Offer Services To Keep Client Costs Down Coverage may now come with built-in access to a level of case management that some HMOs find useful. |
Managed Care
August 2001
Frank Diamond |
Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged... |
Pharmaceutical Executive
November 1, 2013 |
Roundtable on Market Access Market Access is a window on what matters in the real world of soaring patient expectations and crimped payer budgets for innovation. |
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 2007
John Carroll |
Erosion of Employer-Sponsored Health Care: Bad for Everyone More companies are offering less coverage - or none at all. Even those that offer coverage find that more of their workers choose not to sign up. |
Managed Care
April 2007
John Carroll |
Mergers: Is Bigger Better? Health plan consolidation has its upside, but some who contract with insurers see only the downside. |
Managed Care
July 2001
Maureen Glabman |
Provider Shortage Puts HMOs In Bind Increasing demand for physicians and physician extenders is starting to strain the system. To a large extent, this is unexpected bitter fruit of managed care's labor... |
Managed Care
November 1999
Steve Wetzell |
To Cure Risk Aversion, Employers Eye Risk Adjustment ...The more employers can get consumers involved in the game, the more providers will become directly accountable to consumers. Under traditional managed care, employers -- without realizing it -- have put themselves in the middle of the relationship between physicians and their patients... |
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... |
AskMen.com
Brantley Oakey |
Best Health Insurance Plans While health-care costs won't stop rising, we can curb our spending. Here is a list of the five best health insurance plans for single men based on best value. |
BusinessWeek
October 20, 2003
William C. Symonds |
Get Used To The Pain Another round of double-digit hikes in health-care costs is in the mail. |
The Motley Fool
December 11, 2007
Dayana Yochim |
PPO? HMO? HSA? OMG! Ready or not, for many employees, this is the only chance for the next 12 months to modify their health coverage. Here's how to pick the right employee health-care plan, whether you're single, married, in a family way, or feathering an empty nest. |
Managed Care
February 2007
Maggie Mahar |
Why Market Competition Will Not Mend Our Health Care System Doctors have a saying: 'Half of what we know is wrong.' In which half is the conventional wisdom that competition is society's best hope for improving quality and controlling costs? |
Salon.com
October 14, 1999
Dawn MacKeen |
Woe is HMO Proponents of liability legislation argue that the only way to change managed care's behavior is to threaten it with lawsuits. |
Popular Mechanics
January 28, 2010
Cassie Rodenberg |
Next-Gen Transplant Techniques Can Stop Organ Rejection About 77 organ transplants are performed each day in the U.S., and more than 101,000 people are on a wait list for body parts such as hearts, skin and veins, according to the Mayo Clinic. |
Managed Care
May 2003
MargaretAnn Cross |
Rising Costs Strike Unions As Being Cause for Unrest Many labor organizations have been isolated from inflationary realities. Can health plans and employers make them see the light? |
Insurance & Technology
June 16, 2009
Anthony O'Donnell |
Highmark Rolls Out Real-Time Claims Tools Pilot begun last November shows high rates of satisfaction among providers who use the real-time claims processing and member liability estimation tools via the Highmark's NaviNet provider portal. |
Managed Care
April 2004
MargaretAnn Cross |
Medical Directors Find Themselves Working More Closely With Payers As large companies become more demanding of health plans, clinical executives are increasingly being relied on to provide advice and expertise. |
Managed Care
November 1999
Uwe Reinhardt, Ph.D. |
Defined Contributions Will Point Employees Toward 'Health Marts' Companies will want to distance themselves from insurance entanglements, giving employees little option but to become more involved.... |
Managed Care
March 2008
Lola Butcher |
Health Plans Come Together for Better Outcomes Research Companies that participate in large research cooperatives such as the HMO Research Network are helping the whole medical system |
Salon.com
December 8, 2000
Jenna Glatzer |
A genetic death sentence Doctors routinely deny heart transplants to the mentally retarded... |
Managed Care
August 2006
Emad Rizk |
Finding Opportunity Where Business Models Meet The next stage of payer-provider collaboration will add true value. |
