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Managed Care May 2005 MargaretAnn Cross |
Are Consumers Really Directing Their Own Care? In theory, consumer-directed health plans put the reins of decision making into the hands of their members. But medical management departments are alive and well inside CDHPs -- and may even expand under these plan designs.  |
Managed Care May 2005 Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes.  |
Managed Care May 2005 John Carroll |
Evaporation of Retiree Benefits May Be Health Plan Opportunity With big companies steadily reducing coverage for retirees, plans need to devise products for this needy population.  |
Managed Care May 2005 |
Implementing Medicare Part D Could Get Ugly This expert who hopes to help everybody adjust, nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work.  |
Managed Care May 2005 John Carroll |
With More Enthusiasm Than Money, Brailer Pushes Nationwide EMR System David Brailer, MD, PhD, the nation's health information chief, wants the industry, not the government, to devise a system that provides interoperability.  |
Managed Care May 2005 |
Company Offers To Manage Durable Medical Equipment Costs Those with an entrepreneurial flair have taken aim at a problem that seems to have sneaked up on health plans: the cost of durable medical equipment.  |
Managed Care May 2005 |
Medicare PPOs Face Challenge to Funding All the excitement in the industry about Medicare PPOs died in a hurry last month as the Medicare Payment Advisory Committee (MedPAC) moved closer to recommending that the $10 billion fund for the program be eliminated.  |
Managed Care May 2005 |
Health Care Remains a Major Concern Health care ranks fourth on a list of problems that the public thinks the government should tackle, according to a report.  |
Managed Care May 2005 Martin Sipkoff |
Health Plans Undaunted By Medicare Part D Despite the seeming Gordian knot of regulations associated with Medicare Part D, health plans figure the benefit-to-risk ratio is squarely in their favor.  |
Managed Care May 2005 Michael S. Victoroff |
Class Action Suit: Windfall or Just Wind? Is using the tort system and class action lawsuits the best way to solve problems between business professionals? That and $54.37 can go toward the creation of a foundation to bring about meaningful organizational change.  |
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