Insurance

Magazine articles on HMO's and other insurance companies.

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Managed Care December 2000	2 Federal Courts Differ Concerning External Appeals Almost 40 states have laws giving health plan members the right to seek external review of denials of coverage. Conflicting federal court rulings about states' authority to bind health plans to external review decisions have put their constitutionality in question...
Managed Care December 2000	While Large HMOs' Finances Improve, Small Plans Suffer Several large MCOs, including WellPoint, Cigna, United Healthcare, and Oxford, have reported strong third-quarter earnings. However, 44 percent of HMOs reported losses, a large proportion of those being plans with fewer than 100,000 members...
Managed Care December 2000	Capitation rates see large boost While many physicians argue that HMOs are stingy about passing along revenue from premium increases, a new study suggests otherwise...
Managed Care December 2000 Mark D. Abruzzo	Some States Seek To Close Prompt-Payment Loopholes Many states have laws governing the timeliness of claims payments to physicians, hospitals, and other providers, but few such statutes have any real effect because of lack of enforcement or clarity. Some states are toughening their so-called prompt-payment laws, at the expense of insurers...
Managed Care November 2000 Bob Carlson	E-Health's Greener Pastures The trend is unmistakable: Physician executives are leaving their high-pressure, high-paying jobs at health plans, and are starting from scratch in the nascent e-health industry. The lure? A chance to leave their mark on something...
Managed Care November 2000 John Carroll	Health Plans Demand Proof That DM Saves Them Money Can disease management vendors really show a strong return on a health plan's investment, or are the data just too malleable to be useful?
Managed Care November 2000 Patrick Mullen	Don't be fooled Don't be fooled, warns noted health care economist J.D. Kleinke: High-quality care costs more, not less. The Internet will increase demand for the best care...
Managed Care November 2000	Quality of Care Varies Widely In Fee-for-Service Medicare In what may be the largest known attempt to gauge quality of care in fee-for-service medicine, a Health Care Financing Administration study has found dramatic variance in treatment of Medicare enrollees for six medical conditions...
Managed Care November 2000	Rise in employer-based coverage spurs drop in ranks of uninsured The Census Bureau reports that the number of Americans without health insurance dropped from 44 million in 1998 to 42 million in 1999, thanks in large part to a boost in the share of employers offering job-based coverage...
Managed Care November 2000	Expect Premium Hikes To Top 10 Percent in '01 Health plan premium increases are again cracking double digits, according to two important gauges of benefit costs...
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