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Managed Care September 1999 Bruce J. Goldstein, J.D. & Mark D. Abruzzo, J.D. |
Health Plans That Decredential Docs Must Do It Correctly and Expect a Fight |
Managed Care November 1999 Allen Briskin & Gerry Hinkley |
HMO Liability Battleground Moving to Courts, Statehouse The adage "all politics is local" may, in the end, become the motto that sinks ERISA. HMO executives should assume protection will evaporate. |
Managed Care April 2000 Mark Abernathy |
Avoid Common Problems In Risk-Sharing Contracts These arrangements too often become a hindrance instead of a help. Simple precautions today can help prevent major headaches later on. |
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... |
InternetNews June 18, 2010 |
Solid Growth Seen for Health Care IT Sector Key contributor to revenue growth will be the government's push to electronically store patients' medical records. |
Managed Care June 2003 Maureen Glabman |
Managed Care Makes It Tough For Some Hospitals To Stay Afloat True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history? |
Managed Care September 2001 Jack McCain |
Minnesota Buyers Coalition Back On Feet, Plans Expansion An employer group called Minnesota's Buyers Health Care Action Group (BHCAG) tries to contract directly with local groups of health care providers. After setbacks, they're still at it... |
Commercial Investment Real Estate Jul/Aug 2012 Andrew Dick |
Healthcare Headaches Various issues delay medical real estate construction. |
Managed Care May 2001 Jack McCain |
Use of Hospitalists: Another Case of 'May' vs. 'Must' Despite a movement to ban mandatory use of these physicians, their numbers and influence are rising as their roles become better understood... |
InternetNews June 14, 2010 |
Lax Data Security Results in Heavy Fines Five California hospitals got an expensive reminder of just how serious the state is about protecting patients' sensitive data. Expect more of the same in the near future. |
Managed Care December 2004 Adler & Schukman |
The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue. |
Commercial Investment Real Estate May/Jun 2013 Mauldin & Maddron |
Medical Office Momentum The Affordable Care Act takes some risk out of healthcare property investment. |
Managed Care April 2002 Jeffrey J. Denning |
Does Quality of Care Matter? You Bet! Determine and demonstrate your quality as a physician. Sure, it's unscientific to define quality and then measure it in your own practice. But this isn't the academy, this is business... |
Managed Care July 2000 John Carroll |
Physicians Reconsider Taking On Pharmacy Risk They've been burned here in the past, but physicians - and the HMOs that they contract with - may have learned some lessons. |
Fast Company April 2012 Lindsey Kratochwill |
How Jay Want Prescribes A Change In The Business Of Paying For Health Care This year, the U.S. government started a program for health-care innovators. One innovator, Jay Want sees a more efficient and cost-effective future for healthcare payments. |
Managed Care February 2002 Joyce Ochs |
E-Prescribing Gets More Enticing Physicians today are writing prescriptions for patients on palm-held devices that seem eerily akin to medical practice on the Starship Enterprise... |
Managed Care September 2001 Bob Carlson |
Plan-Provider Posturing Draws State Regulators' Ire Network instability is what happens when providers and health plans part company, or threaten to. Lately, many ugly rifts have been the result of contract disputes, invariably conducted in public... |
Managed Care June 2002 John Carroll |
States May Become Battleground In Push for Collective Bargaining Physicians at a local Texas hospital gained certification as a bargaining unit, and approached a managed care company to negotiate pay, but the effort failed. A new bill would allow physicians to ease toward collective bargaining nationwide. |
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? |
Managed Care October 2007 |
Compensation Monitor How primary care doctors are paid affects quality in Medicaid MCOs. |
Managed Care February 2004 John Carroll |
Brave New World, Old-Fashioned Fear Advances are coming at a furious rate. Health plans find it difficult to separate the cost-efficient from the rest. |
Managed Care August 2001 John Carroll |
Info on Questionable Physicians Languishes in National Data Bank A clearinghouse was created that stores details about malpractice suits and disciplinary actions. So how come HMOs don't use it? |
Managed Care September 1999 Ed Rabinowitz |
Is There a Doctor in the House? The per-visit cost of a house call is high, but used judiciously, this practice can lower overall medical costs -- not to mention provide better care. |
American Family Physician November 15, 2005 Haas et al. |
Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship. |
Managed Care December 2007 John Carroll |
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. |
Managed Care February 2006 Lola Butcher |
Plans Put Provider Prices Out For Their Enrollees to Inspect Aetna, Cigna, Humana, and others are taking a variety of approaches in supplying information to members who are paying more out of pocket. |
Search Engine Watch December 31, 2010 Dean Stephens |
Health Gets Social in 2010 The role of social media in search results is influencing how health organizations attract and treat patients. |
Pharmaceutical Executive January 1, 2013 Al Topin |
The Doctor-Patient Disconnect Doctor-patient conversations aren't always what we think; this basic interaction represents both a problem and an opportunity for today's drug marketers, says the author. |
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. |
Pharmaceutical Executive November 1, 2006 |
Alternative Media: Time to Change the Channel Upgraded hospital television and Internet systems equal new marketing opportunities. |
Managed Care July 2002 Philip H. Lebowitz |
Provider Association Litigation: Better Choice for Dispute Resolution? The U.S. Court of Appeals for the Third Circuit has validated what may be a new avenue for provider-vs.-MCO dispute resolution that is preferable to the risks of traditional individual and class-action litigation. |
Managed Care July 2000 |
New Protections In California Not Helping Docs For all the talk of change in the state of California's ability to govern health care delivery, it appears that one group -- physicians -- is falling through the cracks. |
American Family Physician October 1, 2006 Kavan et al. |
A Practical Guide to Crisis Management Physicians often are required to assist patients in crisis. An estimated 4% of visits to primary care physicians involve psychiatric or social crises. |
Pharmaceutical Executive March 1, 2013 Al Topin |
Less Selling, More Time What can happen when pharmaceutical reps focus on the physician-patient conversation? |
Home Theater October 12, 2009 Mark Fleischmann |
Customers Like TV Services Better Satisfaction scores are up for telco, satellite, and cable providers. |
Pharmaceutical Executive September 1, 2012 Al Topin |
Doctors' Words No Longer Gospel In the digital age, physicians don't call the shots when it comes to healthcare guidance. Marketers must appeal to multiple sources in seeking ways to garner patient adherence and loyalty. |
American Family Physician April 1, 2002 Forrest Lang |
Interviewing When Family Members Are Present The presence of family members at an office visit creates unique opportunities and challenges for the physician while interviewing the patient. The physician must address issues of confidentiality, privacy, and agency... |
American Family Physician August 15, 2000 James Hallenbeck |
Curbside Consultation When should a physician disclose personal information to a patient, and what do we do when a particular case touches on our own suffering? At a deeper level, how do we deal with our own mortality in caring for the seriously ill and dying? |
American Family Physician January 15, 2001 Scott C. Conley |
Deep Waters A physician can actually achieve significant therapeutic benefit for a patient by addressing the manifestations of an illness that no stethoscope or laboratory test can detect. Simply put, there is healing power in words. |
Managed Care December 2005 Ricardo Guggenheim |
Putting EBM To Work (Easier Said Than Done) Through widespread implementation of evidence-based medicine, the United States has its best chance of erasing the variations in care that currently extract such huge costs -- both human and financial -- from the health care system. |
American Family Physician September 1, 2000 Cheryl Winchell, M.D. |
Curbside Consultation What to do when a patient makes inappropriate, seductive advances to you, his/her physician... |
Pharmaceutical Executive July 1, 2011 Cabacungan & Clark |
New Ways to Gain New Brand Insights If you can learn to understand patient and physician behavior, you are well on your way to strengthening the position of your product. |
American Family Physician October 1, 2000 |
AAFP Core Educational Guidelines Recommended Core Educational Guidelines For Family Practice Residents... |
American Family Physician November 1, 2000 Forrest Lang |
Curbside Consultation A Doctor Who Is Blamed for a Patient's Condition... |
Managed Care September 2004 Michael D. Cabana et al. |
Improving Physician Attendance At Educational Seminars Sponsored By Managed Care Organizations Although interactive educational seminars that target physicians require a large investment of resources, they can be cost-effective if medical care is improved as a result. |
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. |
American Family Physician December 15, 2001 Gregg K. VandeKieft |
Breaking Bad News This article presents an overview of issues pertaining to breaking bad news and practical recommendations for clinicians wishing to improve their clinical skills in this area... |
Managed Care July 2006 John Carroll |
Proposal Would Limit Profit of Some California Plans California's insurance commissioner thinks some insurers have the potential to gouge the consumer, and wants to mandate a high medical loss ratio. |
InternetNews August 27, 2010 |
FCC Needs More Wireless Market Data: GAO The Government Accountability Office's latest report advises the FCC seek out more information, particularly about competition and pricing, to better serve wireless consumers. |