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Managed Care April 2000 |
Fallout from the "new economy": claims payment slower than ever A new InterStudy Publications report says HMOs relied heavily on investor funds during the 1990s to cover medical and operational expenses, and premiums alone were not enough. The resulting cash crunch means health plans are taking longer than ever to pay claims... |
Managed Care February 2006 |
Managed Care Offered to More Medicaid Enrollees A chart illustrates the percentage of medicaid enrollees in managed care, for the years 1996 to 2004. |
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. |
Managed Care January 2001 |
More HMOs to fold, consolidate in 2001 More than six dozen HMOs have characteristics that put them in danger of going out of business, according to projections by InterStudy publications... |
Managed Care May 2000 |
Physicians Fudge Insurance Forms To Help Patients A study confirms what has long been considered common but is rarely discussed: Physicians often lie about patients' conditions to gain or improve coverage for their treatment. |
Commercial Investment Real Estate Sep/Oct 2009 Andrew Dick |
Deal Diagnosis Healthcare real estate transactions not only are driven by economic factors, but also by compliance with federal and state healthcare laws. |
Managed Care October 2005 |
Salary Slowdown Reported for Specialists Compensation growth for specialists fell behind that of primary care physicians in 2004 for the first time in several years, according to a survey. |
Managed Care September 2002 |
Medicare holds down physician pay Compensation increased at a comparatively small rate from 2000 to 2001 for both primary care physicians and specialists, according to the Medical Group Management Association. |
Commercial Investment Real Estate May/Jun 2013 Mauldin & Maddron |
Medical Office Momentum The Affordable Care Act takes some risk out of healthcare property investment. |
American Family Physician February 15, 2003 |
Newsletter House Bill May Reclaim Title VII Family Practice Training Funds... Health Care Spending in the United States Increased by 8.7 Percent in 2001... Two Surveys Demonstrate Negative Economic Impact of Medicaid Reductions... AHRQ Releases Fact Book on Women's Health Care in U.S. Hospitals... FDA Establishes Task Force on Consumer Nutrition Health Information... |
Managed Care November 2000 |
For first time ever, HMO enrollment drops in 1999 National HMO enrollment fell by 400,000 last year, from its all-time high of 81.3 million. For at least two years, a wider array of managed care products and an ever-smaller pool of people still covered under indemnity plans slowed the rate of HMO enrollment growth... |
InternetNews August 5, 2010 |
Another Laptop Theft Exposes 21K Patients' Data Philadelphia's Thomas Jefferson University Hospital is in the process of notifying more than 21,000 patients that a stolen laptop has exposed some of their most sensitive personal information. |
The Motley Fool November 10, 2005 David Braze |
Who Pays for Long-Term Care? In the second of a six-part series, this installment covers what Medicare and Medicaid cover (and don't cover) for long-term care. |
Managed Care August 2001 |
GAO: Consultants Point Docs Toward Federal Law Violations The General Accounting Office has found that some health care consultants have been advising physicians to do things that conflict with federal laws and that may be unethical... |
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 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. |
BusinessWeek January 7, 2010 Catherine Arnst |
Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists. |
Managed Care September 1999 Frank Diamond Senior Editor |
Florida Medicaid Moves Toward Direct Contracting Florida will soon test a program that could provide competition for HMOs serving the Medicaid population. Other states are watching. |
Managed Care May 2001 Jack McCain |
Use of Hospitalists: Another Case of 'May' vs. 'Must' Despite a movement to ban mandatory use of these physicians, their numbers and influence are rising as their roles become better understood... |
Managed Care August 2004 |
Medicaid Fees Rise, But Still Below Medicare A recent study reports that 30 states raised their Medicaid fees at or above the rate of inflation, including 10 that raised physician fees by more than 35%. |
Managed Care July 2002 |
Memo Clarifies CMS Guidelines on Injectables Injectable drugs should be covered by Medicare if beneficiaries administer them less than 50 percent of the time, according to a clarification on this issue by the Centers for Medicare and Medicaid services that's set to take effect Aug. 1. |
Managed Care June 2003 |
For-profit, not-for-profit enrollment holding about steady While HMOs seemed to be losing enrollees to PPOs, the ratio of enrollees in for-profit and not-for-profit HMOs stabilized in the late 1990s, according to data collected by the Centers for Medicare and Medicaid Services. |
Nursing Management March 2010 Becker & Schmidtke |
All along the watchtower: Suicide risk screening, a pilot study Patients will continue to die if healthcare organizations don't take action and appropriately assess patients at risk for suicide in general hospitals. |
The Motley Fool May 12, 2004 W.D. Crotty |
Health Care's Unique Risk Select Medical is just the latest to suffer from regulatory changes. |
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... |
Nursing Management April 2009 Sharon H. Pappas |
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. |
Managed Care February 2002 |
Where HMOs go head to head Almost three quarters (74.2 percent) of the 72.3 million HMO members in metropolitan areas are in large markets... |
Managed Care April 2000 Mark Abernathy |
Avoid Common Problems In Risk-Sharing Contracts These arrangements too often become a hindrance instead of a help. Simple precautions today can help prevent major headaches later on. |
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 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. |
CFO January 1, 2002 Andrew Osterland |
Operating Room Rising hospital costs, a plague to most companies, have helped some health-care CFOs nurse profits back to health. |
Managed Care May 2003 |
Program Rewards Physicians For Delivering High-Quality Care Bonuses for delivering high quality care will be the focus of a three-market program spearheaded by the National Committee for Quality Assurance and supported by a coalition of physicians, health plans, large employers, and the Centers for Medicare and Medicaid Services. |
Managed Care April 2001 Charles Downey |
EDTUs: Last Line of Defense Against Costly Inpatient Stays Many hospitals already have some variety of emergency diagnostic and treatment units. HMOs and physicians should welcome this level of care... |
Managed Care July 2007 |
AMA: Patients Will Feel Cuts in Medicare Next year's proposed 10 percent cut in Medicare payments is serving as a rallying point for members of the American Medical Association, which says the cuts will make it difficult for physicians to accept new Medicare patients. |
The Motley Fool January 22, 2007 Dan Caplinger |
Understanding Medicare: Benefits Medical coverage for seniors is a big part of a strong retirement-protection plan. |
Registered Rep. November 5, 2012 Mark Miller |
Lawsuit Settlement Is a Game-Changer for Long-Term Care Coverage Medicare recipients will find it easier to get coverage. |
Registered Rep. March 1, 2006 Janet Arrowood |
The Medicare and Medicaid Minefield As the population ages and life expectancy rises, so does the likelihood that more people will be needing long-term care and your financial advisory clients should know the hard facts about paying for it, because the costs can be staggering. |
Managed Care July 2004 |
Headlines On Deadline ... In a major victory for HMOs, the Supreme Court voted unanimously on June 21 that patients may not sue health plans in state courts for refusing to pay for medical care recommended by physicians. |
Managed Care July 2002 |
CBO Weighs Effect of Growing Deficit on Fed Programs Health care programs such as Medicare and Medicaid figure to suffer, thanks to a growing federal budget deficit, according to a report by the Congressional Budget Office. |
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 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. |
American Family Physician April 15, 2005 |
Newsletter Demand for Subspecialists May Jeopardize Public Health... CDC Survey Reveals Limited Use of Electronic Health Records Systems... SAMHSA Offers $12.4 Million in Grants for Child Trauma Initiative... etc. |
Nursing Management June 2011 LaRocco & Pinchera |
The emerging trend of medical tourism Although it's difficult to find accurate data, there's general agreement that the number of Americans seeking medical care abroad is growing. |
Managed Care May 2007 |
Compensation Monitor Most docs break bread with pharma. |
Managed Care January 2005 Leary & Farley |
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along. |
AFP eWire November 19, 2012 Michele Varela |
Turning Challenges Into Opportunities: Fundraising in a Diverse Community It isn't just the community of Scarborough that will face diversity challenges. All of us will. |
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 July 2007 John Carroll |
Unlocking a Trove of Quality Data A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians. |
Managed Care April 2005 |
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation. |
Pharmaceutical Executive May 1, 2005 Erik Felker |
Elephant or Specialist? The Bush Administration has put in place the groundwork for new market forces that will forever change how pharmaceuticals are commercialized. Although the long-term impact of this change is not known, unprepared companies are at a serious disadvantage. |