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Managed Care
June 2001
John Carroll |
Speaking the Unspeakable: How Plans Can Deal With the Dying Physicians don't like to discuss end-of-life care. Neither do health plans, fearing it makes them look cold. A few plans are finding innovative ways to do it...   |
Managed Care
June 2001
Sue McQuillian |
Inter-Rater Reliability Testing For Utilization Management Staff Recent regulatory pressures and certification requirements have heightened the need for payer organizations to abide by specific standards regarding medical management operations... |
Managed Care
June 2001 |
New Cholesterol Guidelines Could Mean Higher Premiums A jump in sales of cholesterol-reducing drugs could accompany the National Cholesterol Education Program's new practice guidelines on management of hypercholesterolemia -- an expense that health plans are likely to pass on to subscribers... |
Managed Care
June 2001 |
Nobody's perfect, but who has to know? The Department of Health and Human Services has created a task force to develop an Internet-based medical-error clearinghouse. Also, the results of a survey of medical providers on the state of U.S. health care. |
Managed Care
June 2001 |
Physicians Urged To Tell Patients: 'Change Behavior' Some leaders in health care say measurable improvements in public health could occur if physicians would use their bully pulpit a bit more... |
Managed Care
June 2001 |
Few Seem To Use POS Option To Go Out of Network Point-of-service plans, in which members can see an out-of-network provider for higher out-of-pocket cost, are among the options employers offer with increasing frequency... |
Managed Care
June 2001 |
Bush Takes Sides On Patient Rights: Limited Liability President Bush has weighed in on liability, supporting a patients-rights proposal crafted in the Senate by Bill Frist, a Tennessee Republican, and Louisiana Democrat John Breaux... |
Managed Care
June 2001
Michael Levin-Epstein |
Health Plans, Insurers Unsure About Likely Effect of Gramm-Leach-Bliley Insurers and financial institutions are flooding customers' mailboxes about their rights to protect medical and financial information under what's better known as the Gramm-Leach-Bliley Act. But just how GLB will affect health plans isn't totally clear... |
Managed Care
June 2001
Bob Carlson |
Prompt-Payment Laws Don't Get to Heart of Matter "What we've got here is a failure to communicate," says Strother Martin as the captain in Cool Hand Luke. He's talking about the prisoner Luke, played by Paul Newman -- but he could just as well be explaining why it's so hard for physicians to get their claims paid... |
Managed Care
June 2001 |
Incentives make the difference During 2000, favorable incentive policies helped employees of integrated health plans to enjoy larger percentage increases in base pay and total cash compensation than employees of integrated health care providers... |
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