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Managed Care July 2001 Patrick Mullen |
Interview: Lucien L. Leape, M.D. The way to reduce errors in health care is to change systems, says this Harvard educator. Punishment encourages people to cover up... |
Managed Care August 2007 Patrick Mullen |
Bringing Guidelines into the Real World An interview with Jim Schibanoff, editor-in-chief of Milliman Care Guidelines, regarding the current state of the art technology behind guidelines, and how their use might evolve over the next several years. |
Managed Care June 2001 Darcy Lewis |
National Guideline Clearinghouse: Extensive Resource Underused It's there on the Web, highly convenient. What keeps physicians away? |
Managed Care March 2000 |
Tracking the Tracker of Health Care's Trends The president of the Medical Group Management Association encourages changes that would bring physician practice and medical record-keeping in step with the times, and decries the lack of medical standards across plans. |
Managed Care September 2004 Tony Berberabe |
Can Physician and Health Plan Get Together Over Guidelines? Physicians are not the only problem. Health plans too often view guidelines as rigid routines rather than flexible aids to good practice. |
Managed Care February 2002 Alan M. Muney |
Evidence-Based Medicine Needs To Be Promoted More Vigorously This means using a carrot-and-stick approach with physicians. Those who respect the evidence should be rewarded; others should face penalties... |
Managed Care August 2000 David Classen, M.D. |
He Puts Patient Safety First By Bucking Conventional Wisdom This versatile physician holds the view that the Institute of Medicine actually understated the number of medical errors. He also doubts that the usual prescriptions for reducing errors will be effective. |
Managed Care January 2005 |
Is It Time To Create a 'Fed Board' To Oversee Clinical Research? The physician-author of "Overdosed America" argues that the privatization of medical research, the diminished role of universities as impartial overseers of medical knowledge, and the drug and medical-device industry's growing influence on government have changed the fundamental purpose of medical knowledge in the United States. |
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D. |
Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations.... |
Managed Care September 2007 Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
Nursing Management November 2009 Kathleen Russell-Babin |
Seeing through the clouds in evidence-based practice Evidence-based practice is analyzing the research available as critically as possible, placing the findings in the context of your organization, and adding the perspectives and judgment of clinicians and patients. |
Managed Care April 2007 |
A Conversation With Emad Rizk, MD: Disease Management Beyond the Call Center The man who heads McKesson Health Solutions, the third largest disease management program in the country, says it's time to roll out a new model. |
Managed Care December 2006 |
A Conversation With Michael L. Millenson: Health Care Reform Movement Has Only Scratched Surface Michael L. Millenson has long been frustrated by the pace of change says that - ready or not - health care reform is finally on the way. |
Managed Care May 2003 |
Employer Coalition Leaps at Challenge of Grappling With Misaligned Incentives The executive director of the Leapfrog Group says that the organization pleads guilty to trying to create 'aspirational' standards for health care. |
Managed Care March 2000 Michael Levin-Epstein |
Medical Errors, D.C.'s New Cause - Will Result Be Action, or Just Talk? ...In its landmark study, "To Err Is Human," the Institute of Medicine embarrassed health care by labeling it at least a decade behind other high-risk industries in protecting its customers.... |
Managed Care November 1999 Peter I. Juhn, M.D. |
An Evidence-Based Approach To Care Depends on All Parties -- Physicians Included ...transforming the delivery of care into a systematic approach that is based on the best medical evidence -- is dependent on more than just laying out the rules... |
Managed Care December 2005 Ricardo Guggenheim |
Putting EBM To Work (Easier Said Than Done) Through widespread implementation of evidence-based medicine, the United States has its best chance of erasing the variations in care that currently extract such huge costs -- both human and financial -- from the health care system. |
Managed Care September 1999 |
Selling The Electronic Patient Chart: A Conversation With Mark Leavitt, M.D., Ph.D. This physician and his backers are making a $100 million bet that electronic patient records, and widespread access to them through the Internet, are not far away for most practices. |
Managed Care November 2006 |
Primed to Take on Challenges to PBM's This CMO of a pharmacy benefits manager wrestles with some of insurance's most taxing issues. Price, of course. And here come biologics! |
Managed Care December 2000 Patrick Mullen |
Employer Demands Will Change Healthcare The CEO of a large Florida employer coalition insists that the information that companies are beginning to demand will force the industry to change... |
Managed Care November 2000 Patrick Mullen |
Don't be fooled Don't be fooled, warns noted health care economist J.D. Kleinke: High-quality care costs more, not less. The Internet will increase demand for the best care... |
Managed Care July 2000 |
Lee N. Newcomer joins Vivius The former senior VP for health policy at UnitedHealth Group joins a company that aims to shift power from HMOs to patients and physicians. |
Managed Care June 2005 |
Giving More Than a Nod To the Wave of the Future An interview with the director of regional informatics programs through the Vanderbilt Center for Better Health and Accenture professor of biomedical informatics about how his love of medicine and fascination with technology continue to drive his work in the field. |
Managed Care May 2001 Patrick Mullen |
Jeff Goldsmith Deny the increasing importance of the Internet at your peril, says the noted health care futurist. Faster connections, smarter applications are needed... |
Managed Care May 2001 |
Minnesota Plans, Providers Using Same Guidelines Minnesota's five largest health plans and three major provider systems, including the Mayo Clinic, have agreed to use a standard set of evidence-based treatment guidelines developed by the Institute for Clinical Systems Improvement... |
Managed Care January 2002 Patrick Mullen |
Interview: Peter Lee The head of the Pacific Business Group on Health says the coming trend in care will be patients making informed decisions before they get sick... |
Managed Care November 2005 Patrick Mullen |
This Biologics Industry Spokesman Knows That Health Plans Can Only be Won Over by the Financial Argument. Biotech's focus is expanding from products that treat relatively rare diseases to treatments for conditions that affect much larger populations, including various cancers, diabetes, rheumatoid arthritis, and asthma because of health plan costs. |
Managed Care May 2006 |
They Wrote the Book on Fixing the System How could the largely private U.S. health care system, characterized by arguably more competition than any other health care system in the world, be performing so poorly? |
Managed Care March 2005 |
'This Country Cannot Continue With the System We Now Have' As a vice president of Pfizer Health Solutions, a major disease management company, John Sory knows how difficult it is to bring systematic care to the chronically ill. He discusses Pfizer's work with Florida's Medicaid program. |
Managed Care February 2001 Patrick Mullen |
A Conversation with Rodney G. Hood, M.D. Unintentional bias can be just as damaging as the overt brand, according to the president of the National Medical Association... |
Managed Care February 2004 |
Not-for-Profit Advocate Calls for Managerial Rigor Boards and managers need to perform better for this sector to continue offering the best care to those who might otherwise fall through the cracks. |
Reason June 2003 Chris Mooney |
Quacks and Flacks The pitfalls of seeking a scientific foundation for alternative medicine |
Managed Care April 2000 |
Advocate says: Physicians, Hospitals To Lose Clout And Numbers The colorful president of the People's Medical Society foresees fewer hospitals, more DM, "teledocs," and an end to legislation by body part. |
Managed Care July 2000 Collins, Hawks & Davis |
From Theory to Practice: Identifying Authentic Opinion Leaders to Improve Care Diffusion of Innovations and Opinion Leader theories can be translated into practical applications to improve health care delivery and financial performance by applying them to influence referral patterns and decrease variations in care. |
Managed Care June 2007 |
A Conversation with Jonathan Weiner, DrPH: Mixing Population-Based Care With Market Controls The United States' health care system needs consumer and market controls to succeed, but it can't rely on only those two factors. |
Managed Care October 2000 Patrick Mullen |
Interview: Steven B. Epstein, J.D. This pioneering medical legal authority says health plans and physicians should stop fighting over scraps the government throws them... |
Managed Care May 2004 |
'Random Gifts of Information' Should Never be Ignored The CMO of Blue Cross and Blue Shield of Minnesota is hopeful that the goal of true population management is near. |
Managed Care September 2004 |
O'Kane Gives the OK To Focus More on Providers The head of the National Committee for Quality Assurance, Margaret E. O'Kane, says health plans want to encourage physicians in the never-ending quest for quality. |
Managed Care October 2001 Patrick Mullen |
Interview: Pharmacists in Need The executive vice president and CEO of the American Pharmaceutical Association says pharmacists are being inundated and need help... |
Managed Care June 2002 |
'We Changed The Way Kaiser Makes Decisions, Views Itself' Lawrence's tenure as Kaiser CEO came at a tumultuous time for the country's largest classic HMO. An interview with David M. Lawrence. |
Managed Care May 2002 Patrick Mullen |
Interview: Thomas Scilly In a candid, wide-ranging interview, the Centers for Medicare and Medicaid Services administrator counsels patience in solving the myriad problems of health care. A fix could take 20 years |
Managed Care July 2003 Patrick Mullen |
Adviser to Presidents Considers Politics and Reform Change comes slowly, says this public policy expert whose work over the last two decades has helped frame the health care debate. She'd like to see greater efforts in the public and private sectors to reward quality. |
Managed Care January 2006 |
Is Managed Consumerism the 'Third Way'? The health care economist says that consumers ought to share in the savings from making the right choices. Insurers, providers, and hospitals should make sure that options exist. |
Managed Care October 2007 |
Lessons From the Front: A Conversation with William Winkenwerder Jr., MD, MBA The former assistant secretary of defense for health affairs says that much that he learned might be applicable to the commercial sector. |
Managed Care November 2003 Patrick Mullen |
Physician Executives Need Not Fly Blind Kathleen Montgomery is in the forefront of efforts to define the unique domain of doctors who become managers. One thing she knows for sure: Trustworthiness is everything. |
Managed Care September 2000 |
Interview: Peter Boland Will the electronic revolution overthrow managed care? Not necessarily, but it may help define a new role for MCOs not far in the future... |
Managed Care April 2001 Patrick Mullen |
Interview: Alan F. Holmer With the ever-rising cost of prescription drugs generating an outcry to reform Medicare, PhRMA's president finds himself in the eye of the storm... |
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 May 2005 |
Implementing Medicare Part D Could Get Ugly This expert who hopes to help everybody adjust, nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work. |
Managed Care April 2006 Patrick Mullen |
A Conversation with Paul Fronstin, PhD: Current Crop of Consumer-Directed Plans More 'Lite' Than 'Heavy' Paul Fronstin, a senior research associate at the Employee Benefit Research Institute, speaks about Medicare, health benefit trends, and managed care. |