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Managed Care June 2002 |
Small Companies Seeking Caps On Premiums Small-business owners in Michigan have released a survey that they hope will prompt legislation to prevent some health insurers from "overpricing" policies. |
Managed Care January 2006 |
Compensation Monitor A recent poll reveals that doctors distrust pay for performance programs. |
Managed Care February 2001 |
Denver Docs Bolt Aetna Before It Ends 'All-Products' Some 8,000 Denver-area residents were left to find new doctors when 240 physicians affiliated with MedWest Medical Group dropped Aetna U.S. Healthcare in a dispute over contract terms. The doctors did not renew their Aetna contract when it expired Jan. 31... |
Managed Care July 2003 Ed Silverman |
A Little Something For the Physicians Health plans know that getting along with physicians is important, and many are trying new initiatives. Here are some successes. |
Managed Care August 2001 |
In Calif., Bonuses Based on Quality, Not Cost Savings Blue Cross of California has decided to move away from the traditional managed care incentive of rewarding physicians for controlling medical costs, and instead will implement a program in which physicians receive bonuses for quality of care and patient satisfaction... |
Managed Care January 2005 |
Private Practice Physicians Find Dual Role Challenging When it comes to balancing the role of business owner and practicing physician, many private practice doctors are having a tough time of it. |
Managed Care June 2007 MargaretAnn Cross |
What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists. |
Managed Care July 2006 |
Physician Satisfaction Study Surprises A new study suggests that physicians working in areas where there is an extensive medical infrastructure are less happy with the quality of the care they provide than doctors working elsewhere. |
The Motley Fool February 10, 2005 Brian Gorman |
Automakers Roll Out a SEMI GM, Ford, and DaimlerChrysler are collaborating to slow drug-cost increases. |
Managed Care July 2001 Harry L. Leider |
HMOs Need To Share Gains of DM Programs Physicians are more likely to buy in if they see better outcomes -- and financial rewards that go with them... |
Managed Care April 2005 Martin Sipkoff |
Health Plans, Employers Join Forces To Promote E-Prescribing The e-prescribing movement is getting some new advocates --employers. Can the combined influence of plans, employers, and the government affect physician buy-in? |
Managed Care August 2000 |
Internet revolution not yet impressing most physicians For all the potential of the Internet to erase old physician doubts about integrating information technology into everyday practice, scant few doctors have embraced it. |
Managed Care May 2004 MargaretAnn Cross |
Will Providers Seek New Contracts As Consumer-Directed Plans Grow? Although plans are not restructuring fee schedules in consumer-directed health plans, providers think their agreements need fine-tuning. |
Managed Care November 2005 Frank Diamond |
Physicians and Plans Can Get Along Hill Physicians Medical Group, one of the largest IPAs in the country, has learned to deliver what managed care plans want |
Managed Care September 1999 |
New Fee Schedule For Medicare Helps Office Docs ...Office-based physicians will receive slightly higher fees, up to a 1-percent increase, while most hospital-based doctors will see fee reductions of up to 1 percent.... |
InternetNews April 29, 2004 Susan Kuchinskas |
Health Could Mean Wealth for Microsoft A partnership with WellPoint Health Networks aims to persuade doctors to go wireless on PocketPCs. |
Managed Care October 2007 |
Family Physicians Give Payers Middling Grades Results of a survey conducted by the American Academy of Family Physicians and Family Practice Management magazine indicate that health plans have issues to work on. |
Managed Care December 2007 John Carroll |
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. |
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 June 2002 John Carroll |
States May Become Battleground In Push for Collective Bargaining Physicians at a local Texas hospital gained certification as a bargaining unit, and approached a managed care company to negotiate pay, but the effort failed. A new bill would allow physicians to ease toward collective bargaining nationwide. |
Managed Care July 2006 |
Physicians' Real Income Continues to Fall Adjusted for inflation, physicians' net income from the practice of medicine declined 7% between 1995 and 2003, according to a national study. |
Managed Care April 2000 Karen L. Trespacz, J.D. |
League of Their Own: What Makes a Winning IPA? In a familiar cartoon, a professor writes long, learned equations on a blackboard. To connect the profundities on either end, he writes in the middle, "Then a miracle occurs." IPAs, done well, are the miracles that connect the ends of health care. |
Managed Care May 2007 |
Self-Referral Persists Despite Stark II Law Loopholes in federal and state laws that curb physician referral to diagnostic imaging providers in which they have a financial stake (self-referral) are allowing physicians to stretch how they are paid and for what. |
Managed Care April 2000 |
Cigna Colorado Ends Capitation For Most Primary Care Physicians In a strategic move aimed at retaining and recruiting top physicians, Cigna HealthCare of Colorado has dumped capitation. In late February, the insurer began paying most of its physicians in the state on a discounted fee-for-service basis.... |
Managed Care May 2007 David A. Sparrow |
Pay for Performance: As Much About Costs as About Quality You don't really have a true pay-for-performance program if it doesn't say so on the bottom line. |
Managed Care March 2007 Martin Sipkoff |
Plans, PBMs, Employers Prod Docs To E-Prescribe Widespread adoption of electronic prescribing is inevitable, yet physicians still resist. Various coalitions and initiatives are trying to make adoption easier. |
Managed Care October 2005 Bob Carlson |
What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often. |
Insurance & Technology May 3, 2006 Maria Woehr |
Building a Foundation Blue Cross Blue Shield of Michigan is helping to lay out a blueprint for the Michigan Health Information Network, which is charting a plan for establishing a statewide electronic health records system. |
Pharmaceutical Executive May 1, 2005 Ame Wadler |
PR: In the Loop Pharma marketers can help doctors stay abreast of the news. |
Managed Care December 2003 Frank Diamond |
Dr. Do-Good and Mr. Bottom-Line How medical directors reconcile the contradictory demands of physician and executive roles. |
InternetNews November 6, 2009 |
Laptop Heist Exposes Doctors' Personal Data Another stolen laptop puts thousands of people's personal data at risk but this time it's the caregivers - not the patients - who are at risk. |
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 October 2002 Joyce Ochs |
Decision Support Made Practical Making all the necessary information easily accessible is the motivation behind today's decision-support products. Most of them are called clinical information systems or primary care information systems and are designed for practicing physicians. |
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... |
The Motley Fool December 3, 2009 Adrian Rush |
Michigan Needs an Overhaul The Great Lakes State was suffering through its own mini-recession long before the rest of the country hit a downturn, and the bad times continue. |
Managed Care July 2002 |
Money isn't everything Physicians are fairly happy with their incomes, but unhappy with the number of hours they have to work, as well as with the ancillary duties involved in practicing medicine, according to a survey. |
Financial Planning August 1, 2008 David A. Twibell |
House Calls Working with physicians can be rewarding, but to be successful, advisors need to develop the skills to tackle the unique problems facing doctors. |
Managed Care August 2004 |
Computer Game Simulates Coverage and Outcomes Consumer-directed health care plans can work, say employers in a recent survey, if the right tactics are used to help workers manage their health and benefits better. |
Managed Care July 2000 John Carroll |
Physicians Reconsider Taking On Pharmacy Risk They've been burned here in the past, but physicians - and the HMOs that they contract with - may have learned some lessons. |
Managed Care October 2005 MargaretAnn Cross |
Just How Will CDHC Change Your Job? Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans. |
Pharmaceutical Executive May 1, 2006 Paul Greenberg |
Medical Education: Real-Time CME News-based CME helps doctors stay on top of new medical information and changes in treatment -- before their patients do. |
Managed Care November 2002 Sharon Baker |
Applause, Catcalls Greet Retainer Medicine Proponents tout personalized care and easy access, and imply superior health care. Critics fear "elitist" practices. |
Pharmaceutical Executive September 1, 2006 Richard B. Vanderveer |
The Information Diet How, when, and why physicians consume information. |
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. |
Managed Care June 2001 Frank Diamond |
HMO/Physician Strain Creates Invisible Costs Perhaps goodwill is too much to ask for. However, peaceful coexistence can certainly help all players reach their mutual goal -- a smooth relationship that helps to get the job done... |
Managed Care April 2006 Tony Berberabe |
Insurers Rely on Providers To Screen for Depression With access only to claims data, health plans strive to promote the importance of depression screening to their providers. |
The Motley Fool May 29, 2009 Brian Orelli |
The "Naughty List" You Want Your Company On Athenahealth is out with its annual review of how quickly health insurers are paying the claims that doctors make for services. |
Managed Care December 2000 Maureen Glabman |
Downstream Without a Paddle State legislatures that tackle medical group insolvencies have come up with strategies that sometimes shift accountability to HMOs... |
AskMen.com April 15, 2001 Joshua Levine |
Choosing The Right Doctor Choosing a doctor is one of the most important decisions you can make. It's probably best made when you are healthy and have some time to think about a number of possibilities. If you don't have a doctor or are thinking about changing doctors, now may be the best time to look... |
Managed Care May 2006 Michael Levin-Epstein |
Looking for a Better Way To Manage Care Can primary care physicians persuade health plans and Medicare to accept their version of the chronic care model? |