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Managed Care
January 2008
Frank Diamond |
Leading With Its Heart Program Geisinger Health System's "warranty" for CABG surgery has gotten a lot of attention, but is it transplantable?   |
Managed Care
January 2008
Michael L. Millenson |
Geisinger CABG Warranty: A Worthwhile Experiment As an idea, Geisinger's ProvenCare program is a winner. What happens in the marketplace remains to be seen. |
Fast Company
October 2008
Peter Carbonara |
Geisinger Health System's Plan to Fix America's Health Care How a small network of hospitals in Pennsylvania is defying convention, cutting costs, and improving health care. |
Managed Care
November 2007
Lola Butcher |
Blues Build on CMS Program To Boost Hospital Quality The insurer throws support behind a pay-for-performance program that promises "stunning" advances in cost-effectiveness. |
Managed Care
March 2007 |
Competition Wins Over Centralization Insurers who recommend a particular provider or health care organization to a patient considering a surgical procedure need to determine how complex the procedure is and how frequently the surgeon performs the procedure. |
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
October 2003
Ed Silverman |
Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate! |
Managed Care
February 2008 |
Antitrust Exemption Sought in Congress The so-called Community Pharmacy Fairness Act (HR 971) would allow independent pharmacies to negotiate collectively with health plans, insurers, and PBMs, including plans under Medicare parts C and D. |
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. |
The Motley Fool
July 17, 2006
Querna & Fischman |
Good Medical Help Close to Home Your local hospital might be just as good as any glittery big-name center. Finding out if your local hospital is up to snuff requires some homework. Here are the major factors in judging the quality of care, courtesy of U.S. News & World Report's annual "America's Best Hospitals" issue. |
Managed Care
July 2007
Martin Sipkoff |
Hospitals Asked To Account For Errors on Their Watch Centers for Medicare & Medicaid Services and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit? |
HBS Working Knowledge
June 13, 2005
Sara Grant |
From Turf Wars to Learning Curves: How Hospitals Adopt New Technology Turf wars and learning curves influence how new technology is adopted in hospitals. Harvard professors discuss the implications of their research for your organization. |
American Family Physician
November 15, 2004
Mark H. Ebell |
Prognosis for Patients Undergoing Coronary Angioplasty Several clinical decision rules have been developed and validated to estimate the likelihood of short-term, in-hospital complications such as death, myocardial infarction, and urgent coronary artery bypass graft surgery. |
Managed Care
December 2006
MargaretAnn Cross |
Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs. |
Pharmaceutical Executive
February 1, 2014
Jill Wechsler |
Drug Coverage, Costs Under Scrutiny Benefits offered by insurance plans on health exchanges and through Medicare are raising concerns about patient access to needed therapies |
Managed Care
May 2005
Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes. |
InternetNews
January 12, 2007
Michael Hickins |
Health IT Joins The 21st Century Employers, as well as state and federal agencies, are pushing a variety of IT-based initiatives that may well begin having tangible effects within five years in the health care industry. |
BusinessWeek
March 28, 2005
Timothy J. Mullaney |
Saving Lives Shouldn't Be This Hard The health-care system doesn't give patients the tools or the support they need to make confident decisions about choosing doctors, treatments, or hospitals. |
BusinessWeek
October 1, 2009
Sasseen & Arnst |
Why Business Fears the Public Option Executives contend that it will lead health-care providers to charge patients in private plans higher rates. |
InternetNews
April 1, 2005
Susan Kuchinskas |
Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices. |
Managed Care
July 2004
Maureen Glabman |
Wish List: 10 Things You Want From Your PBM One auditor estimates that 3 percent to 10 percent of pharmacy benefit manager (PBM) claims are processed incorrectly -- always in favor of the PBM. |
