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Managed Care September 2000 John A. Marcille	Kaiser, Aetna Keep Eyes On Health Care Consumer Sometimes breaking old ground can be just as satisfying as breaking new. What these two plans are looking at, experts believe, is a health care system moving toward defined contributions...
Managed Care June 2002 Frank Diamond	A Look at Kaiser CEO's Legacy: Faith in Quality Never Waned David M. Lawrence, MD, MPH, guided the country's largest not-for-profit health plan through the tumultuous managed care decade.
Managed Care June 2002 John A. Marcille	Lawrence Accomplished Much As Kaiser Permanente's CEO A look at the outgoing CEO of a health plan.
Managed Care June 2002 Frank Diamond	Meet George C. Halvorson When it selected the person who would become only the fourth CEO in Kaiser Permanente's history, it may have seemed that the health plan reached beyond its own culture.
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 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 April 2000	Financial Stability Of HMOs Called A Mixed Bag An HCIA-Sachs survey says the median HMO profit margin in 1998 was -1.7 percent, slightly better than in 1997. Forty-one percent of HMOs made money in 1998....
Managed Care May 2000	Texas-Aetna Incentives Settlement Worries Some Capitated Physicians If the Texas deal ignites a trend away from the use of incentives to keep utilization down, then some capitated physicians worry it will put them in a tight spot.
Managed Care August 2000 Bob Carlson	'All Products' Clauses Fade From Physician Contracts All-products provisions in health plan provider contracts are slowly being negotiated, legislated, and regulated out of existence. They are now illegal in at least four states; legislation is pending in several others.
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 October 2000	Physicians Praise New Aetna Stance On Kids' Vaccines In California, Aetna U.S. Healthcare has addressed a major complaint of the state's leading physician organization -- that relatively low capitation rates force pediatricians to eat the cost of recommended vaccines....
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 May 2000	The latest blow to managed care? The Texas attorney general's decision in the Aetna case is the latest in a long string of events that has gutted the fundamentals of managed care. Many in health care think that some or all of these developments have stripped health plans of their ability to manage care effectively....
Managed Care March 2000	Aetna Chief Quits Amid Share Price, Quality Concerns Aetna U.S. Healthcare CEO Richard Huber quits... Fate of Harvard Pilgrim Health Care unknown...
Managed Care January 2001 David Ricks & Joe Suminski	Nowhere To Go but Out? Tracking Medicare+Choice Managed Medicare's trouble may have something to do with underfunding or rich benefits, but for health plans, market share has a lot to do with it, too...
Managed Care November 2000 Bob Carlson	E-Health's Greener Pastures The trend is unmistakable: Physician executives are leaving their high-pressure, high-paying jobs at health plans, and are starting from scratch in the nascent e-health industry. The lure? A chance to leave their mark on something...
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...
Insurance & Technology September 16, 2005 Katherine Burger	Educating Consumers A truly technology-enabled offering, the idea behind consumer-directed healthcare is that everyone benefits when consumers have more information.
Managed Care September 2000 John Carroll	Mergers, Acquisitions Afoot In Disease Management Industry Within a few years, there may be only 30 DM companies left, says one expert. HMO customers want vendors to handle more than one condition...
Managed Care December 2004	Kaiser Official Defends Decision To Launch HSAs In what appears to be a wrenching decision, Kaiser Permanente is gearing up to begin offering health savings accounts.
CIO September 23, 2009 Kim S. Nash	The Long Road to E-Health Records Kaiser Permanente's CIO stresses physician buy-in.
Managed Care August 2002 Joyce Ochs	Managed Care's Use of Web Not Just for Marketing Anymore Virtually all MCOs today have Web sites as a matter of course. The challenge is to have a site useful enough to make people come back, while the operating challenge is to transfer selected company functions entirely or partially to the Internet to increase efficiency and reduce expenses.
Managed Care May 2000 Frank Diamond Senior Editor	Medical Director: A Typical Day Requires Both Strength and Tact Ruling on queries from phone banks, working to end hospital errors, meeting with disgruntled physicians: Does any of this sound familiar?
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 2000	Aetna Opens Gate With Several New No-Referral Plans Aetna U.S. Healthcare will launch a series of products Jan. 1 that will drop the gatekeeper function. In most cases, the new plans, called Aetna Open Access, will allow members to receive care from specialists without a referral from their primary care physicians...
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 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 December 2002 MargaretAnn Cross	Advisory Boards Create Company-Plan Cooperation Very effective if used properly, these panels are not yet widespread. However, that could change as industrial customers demand more input.
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.
Insurance & Technology May 29, 2008 Nathan Conz	Aetna to Electronically Deliver Care Alerts To increase the quality of care for its members, Hartford-based Aetna has launched an electronic version of its Care Considerations initiative, which delivers analytics-driven care alerts to healthcare providers.
Managed Care January 2006 MargaretAnn Cross	Case Management Meets Home Care Aetna incorporates a program developed at the University of Pennsylvania to deliver services where members live.
Insurance & Technology October 29, 2003 Anthony O'Donnell	Aetna Offers Solution to Suit The carrier's settlement with the American Dental Association aims at communications clarity.
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.
BusinessWeek January 16, 2006 Jessi Hempel	Aetna: Succession At Full Speed Can incoming Aetna CEO Ron Williams keep the health insurer on its hot streak?
Managed Care March 2005 Frank Diamond	Kaiser's Asthma Outcomes Will Take Your Breath Away The company's Mid-Atlantic States Region has seen impressive savings since launching a disease management program for asthma.
Managed Care March 2004 MargaretAnn Cross	Consumer-Directed Plans Begin Measuring Patient Satisfaction Initial results are promising. Employees turn toward preventive medicine and away from expensive drug therapies.
Pharmaceutical Executive June 1, 2014 Ben Comer	Take as Directed: From Force to Finesse in Promoting Adherence Healthcare players tout patient education and engagement as the keys to better drug adherence rates. Patients agree, as long as that translates to convenient and affordable access to therapy.
Managed Care March 2006 Patrick Mullen	Leveling the Field for Docs and Plans: A Conversation with Lucinda (Cindy) Ehnes, JD The director of California's Department of Managed Health Care sees problems if high-deductible plans replace the state's 'delegated model.'
The Motley Fool May 16, 2005 Tom Taulli	Aetna Gets Active Aetna's purchase of ActiveHealth should help the company continue its cost-containment measures.
Managed Care May 2005 Michael S. Victoroff	Class Action Suit: Windfall or Just Wind? Is using the tort system and class action lawsuits the best way to solve problems between business professionals? That and $54.37 can go toward the creation of a foundation to bring about meaningful organizational change.
Managed Care May 2002	Small employers plan to shift increased costs to workers Small companies -- those with 3 to 24 employees -- are bracing for continuing health care cost increases, and indicate that they may have to shift more of that expense to workers
The Motley Fool February 9, 2006 Stephen D. Simpson	Aexcellence From Aetna Low medical costs and good cash flow make this stock worth watching.
Managed Care October 2000 Michael Levin-Epstein	How We Got It Anyway: The Clinton Health Plan Never Died As a whole, the plan unceremoniously crashed and burned. But it still frames state and national debate about health policy, thus affecting the evolution of managed care...
Insurance & Technology May 12, 2006 Katherine Burger	Information Is Power CEO and president Ronald Williams champions technology to support the creation of a high-performance culture as Aetna innovates consumer-directed healthcare.
Insurance & Technology October 9, 2007 Anthony O'Donnell	Aetna CIO Meg McCarthy Brings Disciplined Delivery to Aetna The CIO applied her 20-plus year experience in the IT consulting and healthcare fields to bring the carrier to new levels of process excellence, efficiency and delivery volume.
Managed Care March 2004 John Carroll	Narrow Networks' Broader Vision Throughout the late 1990s, the fashion in managed care networks was bigger and bigger. These days, though, health plans around the country have begun sizing up so-called narrow networks once again.
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.
BusinessWeek March 31, 2011 Peter Waldman	Aetna's Rx for High Doctor Fees: Lawsuits Aetna's legal campaign against expensive out-of-network charges is just the latest attempt by insurers to restrain soaring health costs.
Managed Care January 2007 John Carroll	Erosion of Employer-Sponsored Health Care: Bad for Everyone More companies are offering less coverage - or none at all. Even those that offer coverage find that more of their workers choose not to sign up.
The Motley Fool December 27, 2006 Billy Fisher	2006 in Review: Aetna The health insurer's stock price has stabilized after strong reactions to quarterly results.