Insurance

Magazine articles on HMO's and other insurance companies.

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Managed Care October 2004 Martin Sipkoff	Not So Much of a Reach: Let Sick Pay Less for Drugs The idea is radical and simple: Those who need medication the most should pay the least. There is evidence that this is cost-effective.
Managed Care October 2004 MargaretAnn Cross	Consumer-Directed Care Bets Against Human Nature How many patients have the intelligence and skills to choose on the basis of medical quality?
Managed Care October 2004 Tony Schueth	Formulary Standards Key To E-Prescribing Success Electronic prescribing needs standardization before it's adopted by the masses. Start with the format of formulary databases.
Managed Care October 2004 Frank Diamond	Plan Lets Ombudsman Go To Bat for Members Blue Cross Blue Shield of Montana has hired a third-party patient advocacy company to look into disputes. Looks good for patient satisfaction.
Managed Care October 2004 MargaretAnn Cross	More Plans Discover Value of Health Risk Assessments The Health Risk Assessment is not a new tool, but it is getting new respect. Often prodded by employers, health plans are increasingly identifying at-risk populations.
Managed Care October 2004 Arthur Lazarus	Formulary Restrictions Sometimes Harm Patients Much more research is needed to determine the full effect of drug benefit designs. Quality must be the foremost concern.
Managed Care October 2004 John Carroll	DM Industry Jumps for Joy Over Medicare's Leap of Faith The Center for Medicare and Medicaid Services has implemented 10 pilot programs that may very well be viewed as a make-or-break test for disease management.
Managed Care October 2004	Quality at Accredited Health Plans Takes Big Step Forward The quality of care delivered by health plans that report performance data to the National Committee for Quality Assurance improved markedly in 2003.
Managed Care October 2004	Does Payment Method Drive Procedure Rates? In a study involving three large HMOs, researchers reviewed encounter and claim data for specialty services associated with different rates of performance of invasive procedures.
Managed Care October 2004	Medical, Prescription Drug Cost Rates to Drop in 2005 The 2005 Segal Health Plan Cost Trend Survey predicts that increases for prescription drug coverage will decelerate in 2005, but still remain significantly above general inflation and wage increases.
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