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Managed Care March 2002 Michael D. Dalzell |
Defined Contribution: Threat or Fad? Sensing an invasion of their territory, MCOs are jumping into a market forged by a group of upstarts. The development renews a fundamental debate about the juxtaposition of consumer involvement, cost containment, cost shifting, and quality of care...  |
Managed Care March 2002 Charles Downey |
The Department of Managed Care California sets a precedent again, with a bold effort to regulate the HMO industry. While the new Department of Managed Health Care is facing down 50,000 consumer gripes monthly, director Daniel Zingale intends to keep administrative red tape from overwhelming everyone...  |
Managed Care March 2002 Marlene Piturro |
Some Lessons To Be Learned From Canadian Health System Our neighbors to the north deliver care that is cheaper, but there are disputes concerning quality and growing unrest with irrational rationing...  |
Managed Care March 2002 John Carroll |
DM Vendors Start To Address Costs Created by Comorbidities Some vendors are moving from offering just a few programs to embracing systems that try to deal with all the complicated overlaps...  |
Managed Care March 2002 John A. Marcille |
Change Is To Be Expected, But Not Always Welcomed The biggest threat to managed care as now practiced may be this new scheme, defined contribution. Even more than the Patients' Bill of Rights, this is a movement that could shake the industry...  |
Managed Care March 2002 Michael S. Victoroff |
Don't Let Language Be Barrier to Care The admirable intent of the Civil Rights Act exposes some serious gaps in health care that aren't easily remedied. The problems lie in the twilight zone where people try to make themselves truly understood to each other...  |
Managed Care March 2002 |
6 Large California Plans Link Doc Bonuses, Quality In what's being touted as an unprecedented effort, doctors and hospitals in California will be rewarded with bonuses of at least 5 percent for quality under a common set of standards adopted by six HMOs...  |
Managed Care March 2002 |
How Medicare beneficiaries spend money on drugs The Kaiser Family Foundation notes that Medicare beneficiaries account for 14 percent of the U.S. population, but for 43 percent of the nation's spending on prescription drugs. Thirteen percent of beneficiaries had to pay $2,000 or more out of pocket in 2001...  |
Managed Care March 2002 |
M+C Enrollees Bound to Their Choice Until June A lock-in mechanism for Medicare+Choice that kicked in Jan. 1 narrows the period during which enrollees can switch from health plan to health plan...  |
Managed Care March 2002 |
NCQA To Help CMS Monitor Quality of M+C Plans The National Committee for Quality Assurance has been tapped to help the Centers for Medicare and Medicaid Services (formerly HCFA) monitor plans that participate in Medicare+Choice...  |
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