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Managed Care July 2007 R. Knight Steel	Incentives Work Against Proper Elder Care The health care system encourages a reaction to episodes that is both costly and inefficient.
Managed Care September 2007 Jaan Sidorov	Does the Chronic Care Model Signal Big Changes for DM? The pros and cons of disease management programs and the Chronic Care Model weigh heavily, but ultimately, a melding may benefit patients and primary care physicians.
Managed Care May 2005	New Model, More Money for Family Docs A new practice-level financial model described in the report "Future of Family Medicine" estimates that a five-physician practice could see a 26 percent increase in compensation if it implemented this model and continued to use the current fee-for-service system of payment.
Managed Care July 2007 Tom Reinke	Better Ways to Pay Providers Paying for coordinating care and for packages of services -- bundling and episodes of care -- may be the best bet for a modification of the unfettered fee-for-service system.
American Family Physician August 15, 2000 James Hallenbeck	Curbside Consultation When should a physician disclose personal information to a patient, and what do we do when a particular case touches on our own suffering? At a deeper level, how do we deal with our own mortality in caring for the seriously ill and dying?
Managed Care June 2005 Martin Sipkoff	The Re-Emergence of the Primary Care Physician A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery.
Managed Care May 2006 Martin Sipkoff	Health Plans Are Ill-Prepared for Looming Diabetes Epidemic The problem is outpacing insurers' resources and perhaps even their commitment. Can the chronic care model help?
Managed Care February 2002 Bob Carlson	Why You Should Care About Improving Clinical Practice Research on quality of care began over 30 years ago. Pages and pages document recent evidence of underuse, overuse, and misuse of resources. Yet only now does change appear imminent, thanks to a growing cadre of passionate reformers who preach clinical practice improvement...
Nurse Practitioner March 2012 Baumann & Dang	Helping Patients with Chronic Conditions Overcome Barriers to Self-Care Here are approaches nurse practitioners can use to reduce or eliminate barriers to self-care in adults with chronic conditions.
Managed Care December 2003 Martin Sipkoff	Health Plans Begin To Address Chronic Care Management As with so much else in health care, observing protocols, analyzing data, and rethinking benefit designs are important.
American Family Physician July 15, 2000	AFP 50 Years Ago This feature, titled "Emotional Problems of the Chronically Ill," is reproduced from the December 1950 issue of GP.
Managed Care October 2000	HEDIS Performance: Routine reporting drives improvement Results published in NCQA's State of Managed Care Quality 2000 put a stake in the ground in terms of how well health plans care for members with costly chronic conditions -- and established how much room exists for improvement.
Managed Care February 2007	Quality is Important, But Productivity Rules Despite a rise in the use of quality incentives to determine physician compensation, productivity remains the predominant determinant.
Insurance & Technology July 19, 2004 Anthony O'Donnell	Highmark Shares Claims Data with Docs Health insurer's SMART Registry targets treatment of chronic conditions.
American Family Physician February 15, 2001 Michael P. McGrail	Disability Prevention Principles in the Primary Care Office Assessment of impairment and subsequent disability is best made on the basis of objective data by use of a biopsychosocial model to ensure that the expression of disability does not mask other unaddressed psychologic or social issues...
On Wall Street November 1, 2010 Lauren Barack	Difficult Conversations In Trying Times Michael Olman has watched clients affected by chronic illness. The senior vice president and wealth management specialist at Raymond James & Associates knows these sensitive times require both a deft touch, and a firm handle on financial matters.
Managed Care August 2005	NCQA Compares Plans On Chronic Disease The National Committee for Quality Assurance plans to offer a snapshot based on its well-known HEDIS report that it hopes will let employers and workers get a quick, but comprehensive, view of how health plans handle four chronic diseases.
Insurance & Technology September 13, 2010 Nathan Golia	Virtual Roundtable: Improving Health Insurance Claims Processing Industry experts discuss potential areas of improvement in the healthcare claims process.
Nursing Management September 2010 Richard Hader	The evidence that isn't... Interpreting research When patients seek a healthcare practitioner for services, they believe that the delivered care is based on proven science. But reality is far from patient perception. In fact, most care is still based on anecdote, not evidence.
American Family Physician December 15, 2000 Timothy F. Jones	Mass Psychogenic Illness: Role of the Individual Physician Mass psychogenic illness is characterized by symptoms, occurring among a group of persons with shared beliefs regarding those symptoms, that suggest organic illness but have no identifiable environmental cause and little clinical or laboratory evidence of disease...
Managed Care March 2007	Achieving Quality Measures Yields High Bonuses for U.K. Physicians General practitioners in the U.K. make an average of about $108,000 each year, but incentives for improved quality, achieving clinical goals, and better services -- including better appointment systems -- can result in bonuses amounting to $92,000.
Managed Care June 2004 Martin Sipkoff	The New Consensus Favoring IOM's Definition of Quality The word "quality" is ubiquitous in health care, but what does it mean to health plan leaders, providers, patients, and payers?
Managed Care May 2004 Martin Sipkoff	Will Pay for Performance Programs Introduce a New Set of Problems? Paying incentives to physicians to practice evidence-based medicine appears to be an idea whose time has come. Such programs -- even if successful -- may create a new set of problems.
Pharmaceutical Executive July 30, 2007 Peter Pitts	Opinion: Fewer Cents, More Sense Our healthcare system may be broken, but playing the blame game is not going to fix it. Remember that disease - not Big Pharma - is the enemy.
Managed Care August 2006	Put Away That Carrot and Stick Researchers interviewed practice managers about how financial incentives are implemented in physician practices and the attitudes and perceptions they had toward P4P programs.
Managed Care December 2001	Tie to Employers Stresses Fragility Of Health Coverage About two thirds of Americans receive health insurance through their employers or families, and many gain or lose coverage when they marry, divorce, or move to new jobs...
Managed Care November 2006 Martin Sipkoff	Rocky Mountain's Success with Chronic Care Model Paying for medical group practice redesign can significantly enhance the quality of care for chronically ill patients, and perhaps lower long-term costs.
Managed Care January 2001	Public's Definition of Quality Focused on Medical Errors A survey jointly sponsored by the U.S. Agency for Research and Quality and the Kaiser Family Foundation has found that information about medical errors and malpractice suits is what people find to be most helpful when determining provider quality...
American Family Physician January 15, 2001 Scott C. Conley	Deep Waters A physician can actually achieve significant therapeutic benefit for a patient by addressing the manifestations of an illness that no stethoscope or laboratory test can detect. Simply put, there is healing power in words.
Managed Care March 2004 Martin Sipkoff	Can Transparency Save Health Care? If everyone can see what everyone is doing, we'll have better care at lower costs. First task: Create common standards.
Managed Care December 2004 Adler & Schukman	The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue.
Nursing Management October 2011 Edna Cadmus	Your role in redesigning healthcare We need to rethink how we provide care and to understand the interconnectedness and the structure of healthcare by looking at it as a whole vs. the sum of its parts. As leaders we need to view the evidence as we rethink healthcare together.
Nursing Management September 2009 Richard Hader	Six Ways to Zero Defects Care delivery that's safe, effective, patient-centered, timely, efficient, and equitable is the challenge set forth by the Institute of Medicine in an effort to reduce medical-related errors
Bio-IT World Dec 2005/Jan 2006 Davies & Withrow	Wal-Mart, Google, and the Future of Medicine Industry leaders at a recent conference were unanimous in their conviction that personalized medicine will change the practice of medicine and drug development but expressed grave concern at the lack of appropriate medical education currently available to bring that paradigm shift to fruition.
American Family Physician January 15, 2003	Health Problems and Your Sex Life People with chronic illnesses can feel tired and depressed a lot of the time. They may have pain, stiffness, or trouble sleeping. They may need medicines or other treatments that affect their sex life.
American Family Physician October 15, 2006 Liz Smith	Newsletter Physician Leaders, Congress Discuss Medicare Physician Payment Cuts... Insurance Data May Build Pressure for Overhaul of Health Care System... IOM Finds Investment of Resources Inadequate to Address Obesity Crisis... etc.
American Journal of Nursing October 2005 Charlotte Thomas-Hawkins	Self-Management of Chronic Kidney Disease Effective management of this disease requires the patient to be the principal illness manager and this skill requires the nurses guidance and support.
Financial Planning August 1, 2010 Martin Shenkman	Not Fade Away Planners must care because the aging population brings with it great incidences of chronic illnesses and every aspect of planning is affected.
Pharmaceutical Executive March 1, 2014 William Looney	The Call to Community: A Conversation with Dr. David Nash Population health is the foundation for much of what is truly new in US health reform. For big Pharma, it represents yet another escalation in expectations.
Pharmaceutical Executive September 1, 2011 Richard Gliklich	The Power of Observation Observational studies present a compelling real-world corollary to the classic randomized clinical trial.
HBS Working Knowledge July 12, 2006 Roger Thompson	Competition the Cure for Healthcare Michael Porter is considered by many the world's foremost authority on competition and strategy. So when he discusses the need for fundamental reform in the way the United States delivers healthcare, people listen.
American Family Physician November 15, 2004	Chronic Kidney Disease An informative bulletin outlining the disease and treatment options.
Managed Care October 2000	For Most States, Medical Error Reporting Is Uncertain Science Other industries have figured out how to collect, analyze, and use error data to prevent catastrophes and drive continuous-quality-improvement programs. Health care is only now beginning that process...
Managed Care February 2004	Headlines On Deadline ... Developing quality benchmarks for consumer-directed health plans will be the mission of a committee launched by the American Accreditation HealthCare Commission, which is still primarily known by its original acronym, URAC.
Knowledge@Wharton August 27, 2003	Code Blue: Combating Rising Healthcare Costs Calls for Strong Medicine It's been said many times over that the U.S. healthcare industry is a sick patient in search of a cure. The metaphor is a grim reflection of how the country is coping with an aging population, rising costs and an inefficient healthcare delivery system.
Managed Care May 2004 Frank Diamond	Care Coordination Strikes Right Chord Care coordination -- which, for the purposes of this article, means optimal management of people with multiple chronic diseases to improve outcomes and cut costs -- just suddenly seems a lot more doable. The thing that may make care coordination work this time, is technology.
Food Processing January 2006 Dave Fusaro	Editor's Plate: Misplaced Blame and Ignorance The Institute of Medicine report on food advertising and childhood obesity is a serious indictment, but it is based on outdated research.
American Family Physician September 1, 2006	Getting Your Child to Take Medicine What to do if you child won't take his/her medicine.
Registered Rep. May 20, 2014 Alan Lavine	Should You Buy a Critical Care Rider? More than 10 insurers, including American General, Prudential and Nationwide Guardian, have added chronic illness riders to their life insurance policies, according to published reports.