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Managed Care November 2000 |
Aetna Opens Gate With Several New No-Referral Plans Aetna U.S. Healthcare will launch a series of products Jan. 1 that will drop the gatekeeper function. In most cases, the new plans, called Aetna Open Access, will allow members to receive care from specialists without a referral from their primary care physicians...  |
Managed Care November 2000 |
For first time ever, HMO enrollment drops in 1999 National HMO enrollment fell by 400,000 last year, from its all-time high of 81.3 million. For at least two years, a wider array of managed care products and an ever-smaller pool of people still covered under indemnity plans slowed the rate of HMO enrollment growth...  |
Managed Care October 2000 |
How you fare under capitation Warren Surveys talked to about 50 HMOs and community based health plans in 1999 to tally what they were paying physicians in capitation and risk-arrangement contracts...  |
CIO October 15, 2000 Tracy Mayor |
Restoration Hard (and soft)ware How two brand names from generations past, TWA and Allstate, are using IT initiatives to renovate their businesses...  |
Managed Care September 2000 Frank Diamond |
'New' Aetna and Kaiser Face Future The biggest for-profit and not-for-profit MCOs have been through rough times recently. How have their corporate cultures changed?  |
Managed Care September 2000 John Carroll |
Mergers, Acquisitions Afoot In Disease Management Industry Within a few years, there may be only 30 DM companies left, says one expert. HMO customers want vendors to handle more than one condition...  |
Managed Care September 2000 |
Interview: Peter Boland Will the electronic revolution overthrow managed care? Not necessarily, but it may help define a new role for MCOs not far in the future...  |
Managed Care September 2000 John A. Marcille |
Kaiser, Aetna Keep Eyes On Health Care Consumer Sometimes breaking old ground can be just as satisfying as breaking new. What these two plans are looking at, experts believe, is a health care system moving toward defined contributions...  |
Managed Care September 2000 |
WellPoint Product Makes New Bid For Working Poor WellPoint Health Networks is trying to attract an underinsured, price-sensitive market: the working poor. WellPoint hopes its new low-cost plans will lure small employers and uninsured people who earn under 200 percent of poverty...  |
Managed Care September 2000 |
Key Texas Lawsuit Against HMO Now Off Court Docket The first lawsuit against an HMO under Texas's health plan liability statute has been settled...  |
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