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Managed Care
September 2001
Michael D. Dalzell |
Where Will Health Plans Find The Next Generation of Savings? The industry realizes that it needs to get creative -- or perish, at least in the form it has taken. Employers won't stand long for double-digit premium hikes. With much of the fat already wrung out of care delivery, where will health plans find that next generation of cost savings?   |
Managed Care
September 2001 |
Personal Freedom Called Key to Coverage Tom Miller, the director of health policy studies at the Cato Institute, says choice matters more than antiquated systems... |
Managed Care
September 2001
Paul Carson |
Peace of Mind Comes With a Price: The Battle Over Full-Body Scans A controversial procedure is rapidly gaining popularity and is marketed directly to boomers: full-body computerized tomography, commonly called full-body scan. However, many in the field decry what they view as selling fear -- a tactic that raises questions of wise resource use... |
Managed Care
September 2001
Susan J. Zahner |
Memoranda of Understanding Between Medicaid MCOs and Public Health Departments This evaluation research project was conducted to describe local perspectives on creating and implementing mandated memoranda of understanding between Medicaid managed care organizations and local health departments... |
Managed Care
September 2001 |
30,000 in Calif. Forced To Find New Physicians Health Net, the California insurer, is dropping a large Orange County health system from its provider panel, forcing 30,000 members to find new doctors -- or a new health plan... |
Managed Care
September 2001 |
How well do for-profit plans value their executives? Last year, the highest-paid executives at 10 of the nation's largest for-profit health plans received an average compensation, including salary, bonuses, life insurance, retirement plans, and other compensation -- but not unexercised stock options -- of $11.7 million... |
Managed Care
September 2001
Bob Carlson |
Plan-Provider Posturing Draws State Regulators' Ire Network instability is what happens when providers and health plans part company, or threaten to. Lately, many ugly rifts have been the result of contract disputes, invariably conducted in public... |
Managed Care
September 2001
Michael Levin-Epstein |
Experiment To Help Frail Elderly Not Worth Cost, Detractors Say Social health maintenance organizations (SHMOs) -- a long-running but generally little-known experiment by the federal government to combine social services with expanded Medicare benefits to keep the frail elderly in their homes -- may soon come to an end... |
Managed Care
September 2001
Jack McCain |
Minnesota Buyers Coalition Back On Feet, Plans Expansion An employer group called Minnesota's Buyers Health Care Action Group (BHCAG) tries to contract directly with local groups of health care providers. After setbacks, they're still at it... |
Managed Care
September 2001
Michael S. Victoroff |
'Prevention Doesn't Pay?' Logic Explodes This Myth One fable goes like this: "Health plans have no interest in preventive medicine, since the return on investment takes years, and the tenure of members is too short to see any benefit." This simply isn't so... |
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