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Managed Care September 2001 |
Wide variation in pharmacy utilization On a per-capita basis, prescription drug use in the U.S. is generally highest in the South and Midwest, and lowest in four states with high managed care penetration -- California, Massachusetts, Colorado, and New York...  |
Entrepreneur October 2001 Mark Henricks |
Sickening, Isn't It? As providers jack up health-care costs, there are options that won't leave your employees out in the cold and flu season...  |
Managed Care August 2001 Frank Diamond |
Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged...  |
Managed Care August 2001 John Carroll |
Info on Questionable Physicians Languishes in National Data Bank A clearinghouse was created that stores details about malpractice suits and disciplinary actions. So how come HMOs don't use it?  |
Managed Care August 2001 Steve Perlstein |
Four-Tier Approach Injects Consumerism Into Drug Benefit In tying copayments closely to the actual cost of medications, Humana takes a step toward promoting awareness of resource use...  |
Managed Care August 2001 |
Four Views of Managed Care Ethics The evolution of managed care has posed ethical problems for physicians, plan administrators, and even patients. Four ethicists find that questions are many, while satisfactory answers are in short supply...  |
Managed Care August 2001 Edward T. Waters |
Administrators Could Be Liable Under Patients' Bill of Rights The Senate version would leave previous state and federal rulings against HMOs intact. Medical directors ignoring external-review boards can be sued...  |
Managed Care August 2001 Patrick Mullen |
The Expanding Role of Pharmacists Lobbying in Washington, monitoring state legislation and generally looking out for the interests of pharmacy programs run by health care plans and pharmacy benefit managers, Judith Cahill leads the Academy of Managed Care Pharmacy at an exciting, critical time...  |
Managed Care August 2001 John A. Marcille |
The Patients' Bill of Rights: Is What They Want What They Need? Passage of the Patients' Bill of Rights, which may be imminent, may not go down as one of the great works of the world, but rather as the fruit of mob judgment: "HMOs -- bad"...  |
Managed Care August 2001 |
GAO: Consultants Point Docs Toward Federal Law Violations The General Accounting Office has found that some health care consultants have been advising physicians to do things that conflict with federal laws and that may be unethical...  |
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