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Managed Care September 2003 Tony Berberabe |
Pharmacy Benefit Starts To Reflect Push for Consumer-Directed Care Health insurance plans looking for a low-risk way to experiment with new benefit designs might start with the pharmacy benefit.  |
Managed Care September 2003 |
Should Benefit to Individuals Outweigh Good for Groups? Medical ethicists believe the United States needs to have a forthright public debate about how to spend limited health care resources wisely. Can consumer-directed plans, with their emphasis on giving people a stake in health care costs, play a role in forming that public discussion?  |
Managed Care September 2003 Judith A. Shutt |
Balancing the Health Care Scorecard A relatively new concept in strategic management provides a way to balance quality and customer satisfaction with costs and long-range goals.  |
Managed Care September 2003 Michael Chiusano |
Too Early To Write Obituary For Patients' Bill of Rights Back from obscurity, the Patients' Bill of Rights is poised to become an issue in the presidential election -- depending on whom you ask.  |
Managed Care September 2003 John A. Marcille |
How Should We Evaluate The New Insurance Models? Business people have to come up with new products, and in our part of the economy, the hot product is consumer-directed health care. Yet we all know that a product that is well promoted and superficially attractive is not necessarily good for us all, individually or collectively.  |
Managed Care September 2003 |
Blue Cross of Calif. Steers Patients Toward Best Hospitals for CABG California seems to be the place where health plans have decided to crack down on hospital costs by spurring better outcomes.  |
Managed Care September 2003 John Carroll |
Some Lobbying Tactics Have Pols Seeing Red More than 600 groups have lined up against association health plans, lobbying exhaustively against them in Congress. But the manner in which the Blue Cross Blue Shield Association went about it raised some hackles.  |
Managed Care September 2003 |
Primary care pay falls again Primary care physicians' compensation continues to decline, according to the American Medical Group Association's 2003 Medical Group Compensation and Productivity survey.  |
Managed Care September 2003 |
Forecast for injectable agents: more and higher cost Twenty injectable drugs accounted for two-thirds of the total injectable costs, excluding chemotherapy agents and vaccines, at a representative HMO with two million covered lives. And the number of injectable agents and the cost is just beginning to grow.  |
Managed Care September 2003 Thomas Morrow |
Managed Care Strategy: Create Competition In Expanding Biotech Field The biotech field is booming, and insurers are scrambling to find ways to deal with the high costs of new "biologic" treatments. One strategy is to try to create more competition among the producers of biotech drugs.  |
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