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Managed Care
February 2001
T. Jeffrey White |
Making Pharmacoeconomics In Formulary Development a Reality Despite what might be commonly believed, pharmacoeconomics is not a widely used tool for formulary development. Here's a model to follow...   |
Managed Care
February 2001
Frank Diamond |
Defined Contribution: Why It Won't Happen Any Time Soon There's a difference between plausibility and wishful thinking that many who predict the advent of this system fail to recognize. Risk adjusting, adverse selection, and the tax code present hurdles... |
Managed Care
February 2001
Debra Gordon |
Billing for Alternative Services: Who Gets Paid for What, and How? While health plans have embraced alternative therapies, there's little agreement on how to bill for them. The ability to demonstrate outcomes may help... |
Managed Care
February 2001
Michael Levin-Epstein |
HIPAA Privacy Rules Create Uncertainty, Compliance Woes When it comes to information-sharing, just when does 'no' mean 'no'? What about conflicting statutes? We have two years to sort it out... |
Managed Care
February 2001
Patrick Mullen |
A Conversation with Rodney G. Hood, M.D. Unintentional bias can be just as damaging as the overt brand, according to the president of the National Medical Association... |
Managed Care
February 2001
Christopher M. Dezii |
Persistence With Drug Therapy A practical approach using administrative claims data... |
Managed Care
February 2001 |
2001 Could Be Good Year For Managed Care Industry Median earnings for managed care organizations are expected to grow 17 percent this year, according to a forecast by Merrill Lynch. The report suggests that while enrollment increases will remain tepid, well-positioned companies will benefit from increased market share... |
Managed Care
February 2001 |
Denver Docs Bolt Aetna Before It Ends 'All-Products' Some 8,000 Denver-area residents were left to find new doctors when 240 physicians affiliated with MedWest Medical Group dropped Aetna U.S. Healthcare in a dispute over contract terms. The doctors did not renew their Aetna contract when it expired Jan. 31... |
Managed Care
February 2001 |
Rate of uninsured falls, but underlying factors remain shaky The percentage of uninsured Americans fell from 1998 to 1999, for the first time in a decade. But, according to a study prepared by the Health Insurance Association of America, the underlying factors affecting coverage have not changed -- and that could mean the decline is just an illusion... |
Managed Care
February 2001 |
In Medicare Bill, HMOs Got What They Wanted When the dust cleared over how $35 billion in Medicare "givebacks" would be divided, the Republicans prevailed -- Medicare HMOs got a bigger cut than Democrats wanted to give them. Now, President Bush may be poised to give Medicare managed care plans more... |
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