Insurance

Magazine articles on HMO's and other insurance companies.

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Managed Care August 2004 Alan Lotvin	Specialty Pharmacy Presents Unique Set of Challenges Only a small percent of a typical health plan's population takes medicine for conditions outside the generalist's scope. But it's a big portion of the drug bill.
Managed Care August 2004	Computer Game Simulates Coverage and Outcomes Consumer-directed health care plans can work, say employers in a recent survey, if the right tactics are used to help workers manage their health and benefits better.
Managed Care August 2004	Narrow Path Offered for Specialty Care Aetna plans to expand a program that offers a network of specialists who have shown that they adhere to best-practice guidelines.
Managed Care August 2004	Humana Thinks Premium Cap Sets Plan Apart The health plan hopes to gain a competitive edge by joining two important components of today's insurance -- consumer-directed health plans and information technology -- with a rare cap on premium hikes.
Managed Care August 2004	25% of Provider Calls Now Automated Interactive voice response phone systems are being used increasingly by health plans in their dealings with with providers, but much less so for interactions with members, according to a study.
Managed Care August 2004	Anthem Bids To Help Maine Cover Uninsured The public-private partnership would set premiums based on ability to pay and be available to people living under 300 percent of the federal poverty level.
Managed Care August 2004	MCOs, Drug Manufacturers Have Lots of PR Work to Do Managed care companies, and pharmaceuticals especially, receive disheartening numbers in a consumer satisfaction poll.
Managed Care August 2004 John Carroll	'Healthy Mae' Just Might Be Frist's Biggest Legacy The senate majority leader, a surgeon who owns a large stake in a chain of hospitals, puts forth far-reaching proposals for reforming the health care system.
Managed Care August 2004	State Mandates Promote Contraceptive Coverage A study shows that employer-based health plans are much more likely to cover contraception than they were 10 years ago and that state laws mandating coverage have played a role in that growth.
Managed Care August 2004	Free Database Encourages Wide Sharing of Information on Programs' Outcomes Yes, health care is a business, but altruistic plans would like to cooperate with others. The Leapfrog Group has set up a simple mechanism to do this.
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