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Managed Care April 2005 Mary Ann Clark |
Clinical and Economic Effects of Coronary Restenosis After Percutaneous Coronary Intervention in a Managed Care Population This study is the first to estimate costs and medical resource use associated with restenosis involving bare metal stents in managed care percutaneous coronary intervention patients.  |
Managed Care April 2005 |
Small HMO Takes Big Step: Decides To Launch PBM One small health insurer sees an opportunity in the recent woes that pharmacy benefits managers have experienced.  |
Managed Care April 2005 |
Persistence Key In Blues Battle Against Fraud The health insurer's latest salvo against alleged medical crookedness was splashed across headlines around the country last month when news broke about the notorious rent-a-patient scam.  |
Managed Care April 2005 John Carroll |
Cast Your Bread Upon the Waters?: The Debate Over Enforced Charity More and more health plans are being told that they need to do good if they want to do well. Is this fair? Are other industries forced to make charitable donations?  |
Managed Care April 2005 Martin Sipkoff |
Health Plans, Employers Join Forces To Promote E-Prescribing The e-prescribing movement is getting some new advocates --employers. Can the combined influence of plans, employers, and the government affect physician buy-in?  |
Managed Care April 2005 Thomas Morrow |
Specialty Pharmacy Meets Niche Company Expertise As new specialty pharmacy care becomes more dominant, companies devoted to managing these products and their associated costs are finding a market.  |
Managed Care April 2005 |
Diabetes Costs Rise, But so Does Adherence A typical health plan can expect endocrine and diabetes agents to amount to 6% to 8% of total utilization costs, with spending on these agents to increase between 11% and 15% 2005.  |
Managed Care April 2005 |
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation.  |
CRM May 2, 2005 Coreen Bailor |
Rewriting a Performance Management Formula Electric Insurance is operating more efficiently after revamping its labor intensive processes. The company used CentreVu Supervisor to manage its call volume, IEX's TotalView to manage its schedules, and NICE Universe for quality monitoring.  |
The Motley Fool April 29, 2005 Stephen D. Simpson |
Arch Capital Keeps It Going Despite a tough insurance environment, the company continues to grow. Investors, keep an eye on this one.  |
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