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Managed Care August 2002 Frank Diamond	Moving Consumers to the Head of the Class Creating a customer base that's aware of the link between cost and services has become the next big challenge in managed care. It's a daunting task.
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 May 2002 Sharon Baker	Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk
Managed Care August 2004	Humana Thinks Premium Cap Sets Plan Apart The health plan hopes to gain a competitive edge by joining two important components of today's insurance -- consumer-directed health plans and information technology -- with a rare cap on premium hikes.
Managed Care December 2002 Patrick Mullen	Placing Faith in Technology To Improve Members' Choices Not many companies' organizational charts list a 'chief innovation officer.' At Humana, it brings visibility to a high-tech strategy for reducing care fragmentation.
Managed Care January 2004	Large Employers Now Use DM To Cut Their Costs Employers are adopting disease management programs in a big way to slow the pace of health care premium increases, according to a survey of 3,000 businesses.
Managed Care August 2005 MargaretAnn Cross	Consumers in This Market Struggle To Keep Their HMOs Rochester, N.Y., faces rising health care costs and a growing employer interest in consumer-directed health plans. Can a managed care town hold its own?
Managed Care November 1999 Uwe Reinhardt, Ph.D.	Defined Contributions Will Point Employees Toward 'Health Marts' Companies will want to distance themselves from insurance entanglements, giving employees little option but to become more involved....
Managed Care September 2003 MargaretAnn Cross	Consumer-Directed Health Care: Too Good To Be True? People talk about it as the sure way to control costs and give consumers the choice they seem to want. Are we being realistic?
Managed Care July 2004	Premium Hikes Slow As Plans Seek Members The opening murmurs in negotiations between health plans and large employers have been heard. Insurers are expected to seek an average 13.7 percent hike in premiums in 2005, according to a survey of 160 large employers.
Managed Care August 2006	Slowdown in Premium Increase Expected to Continue Into 2007 The only thing falling in terms of health care costs seems to be the rate of increase of premiums - good news for employers and other purchasers.
Managed Care September 2002 Patrick Mullen	Interview: Richard L. Hamer Market-research organization InterStudy's director says that the push for patients' rights has grown into a concern for quality directed mainly at doctors.
Managed Care November 1999 Richard Hamer	Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency ...While HMOs retrench, physicians need to become more constructive participants....
Managed Care November 2005 MargaretAnn Cross	Health Plans by Design, Not by Default Fortune 500 employers are ready to shed old benefit models for "managed consumerism".
Managed Care October 2000	Employer-based coverage up in strong economy Health insurance premiums rose 8.3 percent over the past year for all types of coverage, according to an annual survey of employers...
Managed Care November 1999 Steve Wetzell	To Cure Risk Aversion, Employers Eye Risk Adjustment ...The more employers can get consumers involved in the game, the more providers will become directly accountable to consumers. Under traditional managed care, employers -- without realizing it -- have put themselves in the middle of the relationship between physicians and their patients...
Managed Care July 2004	CalPERS Takes Tough Stand In Giving 38 Hospitals the Boot The move is expected to cut spending for the nation's third-largest purchaser of health care by $36 million in 2005, then save CalPERS about $50 million annually beginning in 2006.
Managed Care October 2003 MargaretAnn Cross	Some HMOs See Dividends In Charging Deductibles This may be one way to regain profitability, though getting permission from government regulators may take some doing.
Managed Care February 2001	Employers more willing to pass benefit costs along Facing significant increases in health-benefit costs, employers appear less willing to bite the bullet than in the past -- and are passing many of those increases on to workers...
Managed Care June 2005 MargaretAnn Cross	Consumer-Directed and Home-Brewed Regional health plans and small HMOs coming late to the consumer-directed health plan market haven't missed out -- yet.
Managed Care February 2002 Mick L. Diede & Richard Liliedahl	Getting on the Right Track Converging forces are an economic train wreck waiting to happen. Avoiding a disaster requires an understanding of the interconnection of health care's stakeholders and the global consequences of their actions...
Managed Care May 2001 Bob Carlson	Real Story in CalPERS Talks Lies Beyond the Headlines True, the rest of the country doesn't always follow California's lead. But you'd probably be right if you viewed the California Public Employees' Retirement System's April deal with eight HMOs as an omen...
Managed Care March 2008 Frank Diamond	Humana's Multi-Year Pacts Could Be Attractive to Customers Health plan offers different cost guarantees in its No Worry and SmartResults consumer-directed programs
Managed Care September 2004 John Carroll	Managed Care at the Crossroads As rising costs drive CEOs' collective blood pressure off the charts, a group of experts considers whether managed care has reached another watershed -- and whether the industry can reinvent itself yet again.
Pharmaceutical Executive October 1, 2006	Sales and Marketing: Where the Buck Stops Pharma's ultimate customer is the employer - the guy who pays the health plan's bill. Here's what he wants to know about drugs.
Managed Care September 2003 Martin Sipkoff	This Isn't the First Attempt To Shift Cost to Employees Companies are decreasing their share of medical insurance premiums. It remains to be seen how this will affect workers' health status.
Managed Care December 2006 MargaretAnn Cross	Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs.
Managed Care August 2001 Frank Diamond	Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged...
Managed Care April 2001 Frank Diamond	Why HMOs Could Thrive In the Economic Downturn It happened in the slump of the early 1990s, and it could very well happen again. Managed care feasts while other industries starve. People will still get sick, even in bad times...
Managed Care June 2003	CalPERS-Blue Shield 3-Year Deal Gives Disease Management Vital Role The argument that disease management could save the system money in the long run has often been met by the retort that HMOs do not have a real incentive to back such programs because of the way enrollees jump from plan to plan. A decision by CalPERS may help address that issue.
Managed Care July 2005 MargaretAnn Cross	Efforts To Cover the Uninsured An Opportunity for Health Plans Employers and state governments are getting together to design imaginative insurance programs to cover low-pay workers.
Managed Care March 2001	Premiums outstrip medical costs for first time in 6 years Whether this pricing tactic helps health plans return to profitability remains to be seen, but it appears the industry's financial picture is brightening...
Managed Care August 2007 Frank Diamond	Employers Roll Up Their Sleeves No longer passive, companies are working in a variety of ways to improve employees' care. Preventive programs cost money up front, but can cut overall treatment costs to insurers by 30 percent or more, yet few insurers pay for preventive care.
Managed Care April 2007 John Carroll	Mergers: Is Bigger Better? Health plan consolidation has its upside, but some who contract with insurers see only the downside.
Entrepreneur September 2002 Joshua Kurlantzick	Through the Roof Nationwide, small businesses are about to be swamped by a perfect storm of changes that should prompt drastically higher health-care costs for 2002, 2003 and beyond. How to find a way around skyrocketing health-care costs?
InternetNews June 27, 2006 Michael Hickins	Hospital, HMO Ratings 'Open' to Public New York State adopts online scorecards allowing employers and consumers to review local hospitals and HMOs.
Managed Care June 2007	Growth in Average FEHBP Premium Slows The average annual growth in Federal Employees Health Benefits Program premiums declined each year from 2003 through 2007 and was generally lower than the growth for other purchasers since 2003.
Managed Care May 2003	High Profits Seen for HMOs Through 2003 The good times will go on for most health plans in terms of earnings through the rest of this year, experts believe. That's because rate hikes are "in excess of medical trends," Rob Mains, an analyst with Advest, tells Business Insurance.
Managed Care July 2005 MargaretAnn Cross	Momentum Shifts Toward Consumer-Directed Plans Looking at past enrollment shifts and at the evolution of managed care can shed light on how to compete in the new market for account-based consumer-directed care.
Managed Care October 2001	Small businesses use aggressive tactics to keep benefit costs down Small and mid-sized employers (10-999 workers) saw average health-benefit-premium increases of 9.2 percent last year. Marsh Inc. reports that these companies aggressively blunted the effects of fast-rising health care costs...
Managed Care February 2002	Industry Braces for Fallout From Docs' Malpractice Woes Malpractice insurance premiums are going up so quickly that many physicians are feeling pressure to stop offering certain procedures, to move to states that are friendlier to medical practices, or even to retire early...
Managed Care July 2000 Michael Levin-Epstein	Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen.
Managed Care July 2005	Premium hikes for 2006 could be lowest in 5 years There's a good chance that the increase in health care premiums will be less than 10 percent in 2006.
Inc. April 2005 Jennifer Gill	Cut Your Health Care Costs Now Nine ways to slash your small firm's insurance costs, from health savings accounts to getting tough with your broker to joining purchasing pools.
Managed Care January 2001 Frank Diamond	Blueprint for the Future? Or Trapped in a Lockbox? The Federal Employees Health Benefits program has been touted as the way managed care is supposed to look. Expanding it, however, may not be feasible...
BusinessWeek October 20, 2003 William C. Symonds	Get Used To The Pain Another round of double-digit hikes in health-care costs is in the mail.
Managed Care December 2004 MargaretAnn Cross	When Your Employees Are Your Focus Group It can be a tough sell when a health care company has a promising but untested new plan design. Here's a way around that problem.
Knowledge@Wharton	In Battle to Lower Employers' Health Care Costs, Will Employees Become `General Contractors'? Following the backlash against managed care and faced with a sharp rise in health care costs this year, employers are searching for a new cure to spiraling health care premiums...
Managed Care March 2001	To Control Costs, CalPERS Rejects All Bids for 2002 In a dramatic attempt to keep a lid on health care premiums, the California Public Employees' Retirement System threw out every bid it received from health plans competing for a chunk of its business in 2002....
Inc. August 1, 2002 Christopher Caggiano	Benefits: Taming the Health-Care Monster A new kind of insurance plan puts employees in the driver's seat. And the potential savings for company owners look awfully good as well. Could this be the answer to double-digit premium hikes?