Insurance

Magazine articles on HMO's and other insurance companies.

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Managed Care June 2006 John Carroll	When New Drugs Are Costly, How High to Raise Copays? As some pretty costly, yet very useful, drugs are introduced, will new formulary designs deny access to needy patients?
Managed Care June 2006 Amanda Brower	Retail Medical Clinics Draw Patients & Payers A growing number of health plans are adding retail health clinics to their networks and are realizing savings. But physicians voice concern over the quality of care provided to patients.
Managed Care June 2006	Opinions on DM Outcomes Can Be Swayed An exercise in "point-counterpoint" at a recent disease management meeting showed dramatic swings in views. This shows the managed care industry that there is a great need for civil, structured discussion and honest and respectful public debate of the important issues facing DM.
Managed Care June 2006 Tom Pope	Hard to Curb Overuse of Drug-Eluting Stents Health plans find themselves paying for the latest and greatest stent without any control over usage. Even bare-metal stents may be overused.
Managed Care June 2006 John Carroll	Association Health Bill Fails Despite Senators' Support Patient advocacy groups work overtime to kill legislation that businesses felt would have provided less costly coverage for their employees.
Managed Care June 2006	Excessive Use of Screening Tests Costs System Millions Each Year Managed care always couched its emphasis on prevention with the caveat that diagnostic tests should be conducted according to generally accepted national practice guidelines. A new study seems to indicate just how costly preventive medicine can be when not tied to a disciplined approach.
Managed Care June 2006	Medical Directors Cast Wary Eye On Cost of Biologics Given the exploding costs of specialty products and new technologies, MCOs are exercising tighter control over precertification of products and services.
Managed Care June 2006 Martin Sipkoff	Limiting Access to SSRIs Does More Harm Than Good Despite the higher costs of SSRIs, compared to older antidepressants, limiting members' access can lead to undertreated depression.
Managed Care June 2006	Fewer Doctors Contract with Managed Care Although it was stable in the mid-1990s, the proportion of physicians without any managed care contracts rose from 9.2 percent in 2000-2001 to 11.5 percent in 2004-2005, according to a report.
Managed Care June 2006 Lola Butcher	As Employers Step Back, Individual Plans Step In Imagine an America where few businesses purchase health care for employees. Should that come about, the individual market will have new products ready.
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