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Managed Care July 2006 Michael Levin-Epstein	High-Tech Imaging Full of Kickback Dangers Health plans and their members could save billions of dollars a year if radiology costs could be contained. Some managed care companies begin to take a hard look at what's behind the explosion in costs for radiological services.
Managed Care January 2005 Maureen Glabman	Health Plans Strain To Contain Rapidly Rising Cost of Imaging PET, CT, MRI -- these and other imaging technologies are valuable but costly. Aetna, Cigna, and a few other plans lead in clamping down on unnecessary use.
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 November 2007 Tom Reinke	New Imaging Controls Strict, But May Be Easier on Doctors Preauthorization procedures for costly new imaging technologies aim to help doctors learn the rules to avoid denials.
Managed Care June 2005	Quick Results, Not Self-Referrals, Fuel Increase in Imaging Tests The researchers say that if self-referral were an important driver of the number of imaging services, they would have seen an acceleration in the growth of imaging services from 2001 to 2003 to offset the reductions in physician income brought about by reductions in the conversion factor.
Managed Care July 2006 Lola Butcher	Oncologic PET Study Seeks Basis for Coverage Decisions The launch of a new registry that will significantly expand Medicare's coverage of positron emission tomography may bring new clarity on appropriate uses for this technology -- and even more pressure on commercial health plans to cover the high-cost scans.
Managed Care January 2006 Martin Sipkoff	Old Techniques Never Die, Nor Even Fade Away Urged on by employers traumatized by costs, health plans are renewing their interest in prior authorization, but using a lighter hand.
Managed Care December 2001 Michael S. Victoroff	Risky Business When Public Plays Doctor With Open-Access MRI As a physician, a health plan medical director, and a citizen, I wonder at medical diagnostic arcades proliferating like sushi bars...
Managed Care April 2000 Michael Levin-Epstein	Congressional Anti-Kickback Battle Hinges on HCFA's Regulatory Stance In an election year, the political hot buttons -- the Patients Bill of Rights and a Medicare prescription benefit, and maybe the issue of medical errors -- are sure to get a lot more attention than such mundane things as laws that would address potential kickbacks....
IEEE Spectrum April 2013 Neil Savage	Path Found to a Combined MRI and CT Scanner Omni-tomography could add together the advantages of several medical imaging technologies
Commercial Investment Real Estate Mar/Apr 2007 J. Michael Davis	MOB Outbreak The fast-spreading healthcare industry makes medical office buildings a lucrative investment for physicians.
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.
American Family Physician October 1, 2000 Ronald Schneeweiss, M.B., Ch.B.	Curbside Consultation What is the role of a consultant in the referral process? What constitutes a "good" referral?
InternetNews January 9, 2008 Larry Barrett	IBM, Mayo Clinic Open Imaging Research Center IBM's high-end imaging platforms and hardware will be used to improve the speed and clarity of medical images used by physicians and radiologists.
Managed Care August 2002	Patients' unpaid bills come from physicians, hospitals With health care costs rising and the number of uninsured Americans close to 40 million, physicians and hospitals are feeling the pinch.
AskMen.com	Your Routine Radiation Dose The radiation risk from a single CT, or computed tomography, to an individual is small, but some doctors are worried about the buildup over time.
Managed Care October 2000 Maureen Glabman	Giving Some Ground to Physicians Helped Turn Health System Around One hospital system accepted the general wisdom a few years ago by acquiring physician practices. Now it bucks the new wisdom by holding on to them...
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 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 December 2000 Mark D. Abruzzo	Some States Seek To Close Prompt-Payment Loopholes Many states have laws governing the timeliness of claims payments to physicians, hospitals, and other providers, but few such statutes have any real effect because of lack of enforcement or clarity. Some states are toughening their so-called prompt-payment laws, at the expense of insurers...
Managed Care September 2001 Paul Carson	Peace of Mind Comes With a Price: The Battle Over Full-Body Scans A controversial procedure is rapidly gaining popularity and is marketed directly to boomers: full-body computerized tomography, commonly called full-body scan. However, many in the field decry what they view as selling fear -- a tactic that raises questions of wise resource use...
American Family Physician June 1, 2002 S. Craig Humphreys	Neuroimaging in Low Back Pain Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain.
American Family Physician November 15, 2002 Okuyemi & Tsue	Radiologic Imaging in the Management of Sinusitis Sinusitis is one of the most common diseases treated by primary care physicians. Uncomplicated sinusitis does not require radiologic imagery. However, when symptoms are recurrent or refractory despite adequate treatment, further diagnostic evaluations may be indicated.
Managed Care March 2005	Physicians, Plan at Odds Over Autoworker Coverage The Michigan State Medical Society and the Michigan Osteopathic Association are suing Blue Cross Blue Shield of Michigan after the health insurer cut 500 doctors from its provider network. They allege the insurer is trying to strong-arm them into reducing physician fees.
CIO October 27, 2010 Cindy Waxer	How Mayo Clinic Doctors Use Smartphones to Diagnose Patients Neurologists diagnose patients remotely using images delivered to smartphones.
Chemistry World May 25, 2007 Victoria Gill	EU Legislation Would Prevent Medical MRI Scans The limits set by an EU directive designed to reduce adverse health effects on workers exposed to electro-magnetic fields could keep patients from undergoing valuable magnetic resonance imaging scans, warn Australian researchers.
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.
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 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 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 October 2007	Data on Quality Lacking for Docs A new report says that insurers are better at providing quality information about hospitals than about physicians.
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 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.
Chemistry World June 12, 2007 Simon Hadlington	A New Way to Look at the Brain Researchers have for the first time scanned the human brain with positron emission tomography and magnetic resonance imaging simultaneously. The work introduces the possibility of obtaining both highly specific functional data together with anatomical information in a single scan.
IEEE Spectrum March 2010 Neil Savage	Medical Imagers Lower the Dose Radiation-lowering techniques were in the works even before studies showed a danger from CT scans and exposure to ionizing radiation.
Managed Care September 2003	Primary care pay falls again Primary care physicians' compensation continues to decline, according to the American Medical Group Association's 2003 Medical Group Compensation and Productivity survey.
Chemistry World June 13, 2007 Victoria Gill	Europe Running Out of Time to Address 'Threat' to MRI The European Commission has told scientists it is not yet ready to change proposed European physical agents legislation, criticized by scientists for posing a 'serious threat' to legislation on medical imaging.
Managed Care October 2007 John Carroll	Early Tiered Networks Encounter Many Obstacles From dodgy data to uncooperative doctors, difficulties confront health plans that are trying to stratify providers by cost and quality.
Commercial Investment Real Estate May/Jun 2014	Medical Office Fever Sales of medical office buildings topped $6.7 billion in 2013, according to Real Capital Analytics, proof that this niche sector remains attractive to investors.
Managed Care January 2006	Compensation Monitor A recent poll reveals that doctors distrust pay for performance programs.
Managed Care July 2007	Managed Care Outlook The future holds too few docs.
Inc. September 2007 Cara Cannella	How I Did It: Todd Johnson, President and CEO, Hospital Partners of America Cost pressures may be straining health care providers, but there is money in the hospital business.
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.
Pharmaceutical Executive March 1, 2011 Jerry Coamey	Engage the Physician! New research shows that gauging the mind of the clinician is crucial to timely uptake of the new diagnostic tools offered by the genomic revolution
Insurance & Technology August 18, 2010 Nathan Golia	Insurers Take Lead in EHR Implementation With guidelines for meaningful use of electronic health records established, health carriers expect IT improvements on the provider side to lower healthcare costs by reducing care redundancies and readmissions.
Pharmaceutical Executive September 1, 2013 Shantanu Agrawal	Making Sense of the Sunshine Act: A New Era for Drug Promotion Now that the Sunshine Act's Open Payments spending disclosure program is live, the federal government's lead officer for compliance explains how the new web-based system will work and how US industry, providers, and patients will be better off by making their relationships fully transparent.
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...
Managed Care August 2001	Four Views of Managed Care Ethics The evolution of managed care has posed ethical problems for physicians, plan administrators, and even patients. Four ethicists find that questions are many, while satisfactory answers are in short supply...
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.
Pharmaceutical Executive October 1, 2011	Arming up for the Digital Revolution As a longtime advocate of new approaches to meeting customer needs in pharma, Martin Wygod sees the biggest change as the coming growth of digital platforms as the principal source of information and communication in healthcare.