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Managed Care
April 2002
MargaretAnn Cross |
Where Do No Harm Meets The Right Thing To Do Managed care's spread parallels the growth of the study of ethics in medical care. Ethicists help plans focus on essentials when making policy decisions...   |
Managed Care
April 2002
Paula Sirois |
HMOs Should Prepare Now To Get Handle on Injectables With more than 360 biotech products in the pipeline, high-cost injectable drugs are about to flood the market. How will we control the expenditure? |
Managed Care
April 2002
Marlene Piturro |
Cross-Border Traffic Highlights Differences in U.S., Canadian Medical Systems Policy experts see the Canadian system as an example but differ on the significance. Meanwhile, some U.S. providers are cashing in... |
Managed Care
April 2002
John A. Marcille |
Nobody Wants M+C To Die, So Why Can't We Make It Work? Money alone can't solve all of Medicare+Choice's woes, and structural problems will need to be addressed... |
Managed Care
April 2002 |
Third-Party Review Process Called Effective, Underused Health plan enrollees who take their complaints about coverage issues to an independent reviewer have a good chance of getting HMO decisions overturned -- but very few people take advantage of this system.. |
Managed Care
April 2002 |
HHS Applies 'Common Sense' To Privacy Regs In what is being hailed -- or scorned, depending upon the source -- as a major victory for the health care industry, the Bush administration has issued proposed revisions to privacy regulations... |
Managed Care
April 2002 |
Where Employers, Employees Don't See Eye to Eye Hewitt Associates found key differences in employers' and employees' views of health coverage... |
Managed Care
April 2002 |
NCQA To Judge Plans on Drug Monitoring Health plans could soon be required to develop systems to prevent drug interactions, as well as systems to monitor drug recalls and FDA alerts, under proposed accreditation standards issued recently by the National Committee for Quality Assurance... |
Managed Care
April 2002 |
Ruling Makes Class-Action Suit More Plausible The idea of a class-action lawsuit against HMOs was boosted by a recent decision in a federal court in Florida. Meanwhile, the Blue Cross and Blue Shield Association has sounded the alarm that efforts to increase health plan liability may be launched in at least eight states... |
Managed Care
April 2002 |
How Much Of a Discount Do Cards Offer? Pharmaceutical and chain drug store industry insiders say that the Bush administration's push to provide prescription drugs to the low-income elderly lacks important ingredients: details and money... |
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