Medical

Magazine articles on health care providers, pharmaceutical companies, and medical technology.

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Managed Care July 2000	New Protections In California Not Helping Docs For all the talk of change in the state of California's ability to govern health care delivery, it appears that one group -- physicians -- is falling through the cracks.
Managed Care July 2000	NCQA To Accredit DM Programs, HEDIS Software The National Committee for Quality Assurance will soon offer its blessing to disease management programs. NCQA is developing a DM certification program intended to recognize regimens that effectively manage chronic illnesses. The program will go live next year.
Managed Care July 2000	Are Gatekeepers Failing To Control Specialty Costs? The importance of a gatekeeper in keeping costs down has been challenged again -- this time in a study that compares physician utilization for HMOs and point-of-service plans.
Managed Care July 2000	Headlines on Deadline... Maine's new drug price-control law could face legal action from the pharmaceutical industry... Now that Medicare pays HMOs on a risk-adjusted basis, are some plans being penalized for careful management?...
Managed Care July 2000	Bed days higher in smaller markets? Not with commercial plans When it comes to hospitalization, patients in cities have long spent less time in hospital beds than those in smaller markets. New data suggest this is still true for Medicare and Medicaid members -- but where commercial plans are concerned, the mean days-per-thousand figure was lowest in small markets.
Managed Care July 2000 Michael Levin-Epstein	Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen.
Managed Care July 2000 Bob Carlson	What Legislature? Health Care Issues Increasingly Going Straight to Voters Residents of Massachusetts and Washington State may have a chance to opt for universal health care, in the form of physician-led ballot initiatives, this November.
Managed Care July 2000	Salaries Within MCOs: Up, Except for Primary Care Warren Surveys' Spring 2000 Salary Survey concludes that the rise in salaries indicates that health plans are "keeping compensation at market levels, and understand that in a tight labor market a highly trained employee with managed care experience is a valuable resource."
Managed Care July 2000 Michael S. Victoroff, M.D.	HMOs Best Stay Mum Regarding Hospice Care At a recent seminar on end-of-life care, someone asked me, "What can health plans do, to help increase the utilization of hospice services?" Managed care organizations face an ironic dilemma on this issue.
Managed Care July 2000	Changing physicians: Why they do it More than 1 in 8 people changed their personal physician or other primary provider of health care last year. For people enrolled in HMOs, quality of care -- not something related to coverage -- was the number one impetus for switching providers.
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