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BusinessWeek October 22, 2009 Arlene Weintraub |
Tough Love, Lower Health Costs A UnitedHealthcare plan offers incentives to employees who strictly control their diabetes. |
BusinessWeek October 10, 2005 Howard Gleckman |
Medicare's Big Experiment The coming changes to Medicare aim to cut costs while improving care. Sound familiar? |
BusinessWeek June 25, 2009 Catherine Arnst |
The Family Doctor: A Remedy for Health-Care Costs? How making primary-care physicians the center of America's health-care system could drive down costs. |
BusinessWeek November 12, 2009 Catherine Arnst |
10 Ways to Cut Health-Care Costs Right Now Employers and hospitals don't have to wait for Congress to address inefficiencies and waste. |
BusinessWeek February 4, 2010 |
How Disease Management Works Providers have convinced many big employers that their services save money and improve employee health. |
Managed Care December 2003 Martin Sipkoff |
Health Plans Begin To Address Chronic Care Management As with so much else in health care, observing protocols, analyzing data, and rethinking benefit designs are important. |
Managed Care June 2003 Alison Johnson |
Measuring DM's Net Effect Is Harder Than You Might Think Disease management is God's gift to managed care. Or is it? Here is a discussion of areas that make evaluating a DM program a complex, if not ineffable, proposition. |
HBS Working Knowledge November 17, 2003 Martha Lagace |
The Business Case for Diabetes Disease Management Diabetes is a tough disease to tackle. A case-study discussion led by Harvard professor Nancy Beaulieu asked why it is so complex for business and society, and what might be done to curb its incidence. |
Managed Care June 2002 John Carroll |
DM and Medicare: A Marriage Made in Heaven? With a budget of about $230 billion for 40 million patients, many with chronic ailments, is it any wonder that disease management and Medicare are courting? |
Managed Care September 2005 John Carroll |
DM Industry Confident It Can Hit Medicare Goals Though there are challenges to serving the elderly, the movers and shakers of disease management say that they should be able to cut costs in pilot populations by 5%. |
Managed Care November 2003 Gold & Kongstvedt |
How Broadening Disease Management's Focus Helped Shrink One Plan's Costs Blue Cross and Blue Shield of Minnesota and American Healthways score a hat trick by improving outcomes and satisfaction while saving money. |
Managed Care March 2005 |
'This Country Cannot Continue With the System We Now Have' As a vice president of Pfizer Health Solutions, a major disease management company, John Sory knows how difficult it is to bring systematic care to the chronically ill. He discusses Pfizer's work with Florida's Medicaid program. |
Managed Care October 2001 Michael Levin-Epstein |
Medicare Demonstration Projects Seek To Coordinate Chronic Care The Centers for Medicare and Medicaid Services is awaiting the results of landmark demonstration programs to determine if improved Medicare services can be furnished to chronically ill patients without increasing costs... |
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. |
BusinessWeek July 14, 2003 Howard Gleckman |
This Medicare Reform Is No Cure The theory: The shift will improve treatment and save taxpayers money, helping to rein in ballooning Medicare costs while offsetting the expense of the drug benefit. Those are laudable goals. Unfortunately, Congress isn't likely to achieve them. |
Managed Care August 2005 Maureen Glabman |
12 DM Trends You Should Know About The government joins health plans, providers, employers, and pharmaceutical companies in seeking to establish disease management's value |
Managed Care March 2007 Lola Butcher |
Plans Put Greater Emphasis On Cancer Management Increasingly, health plans are rolling out services designed to help cancer patients and, before that, plan members at a high risk of cancer, to improve their health care and, in doing so, limit costs. |
Managed Care May 2004 Frank Diamond |
Care Coordination Strikes Right Chord Care coordination -- which, for the purposes of this article, means optimal management of people with multiple chronic diseases to improve outcomes and cut costs -- just suddenly seems a lot more doable. The thing that may make care coordination work this time, is technology. |
American Journal of Nursing October 2005 Charlotte Thomas-Hawkins |
Self-Management of Chronic Kidney Disease Effective management of this disease requires the patient to be the principal illness manager and this skill requires the nurses guidance and support. |
BusinessWeek May 30, 2005 Barrett & Arndt |
Health Costs: Good News At Last Slower price hikes and higher co-pays have helped companies contain health-care costs. Now they're testing new ways to find more savings. |
Managed Care November 2004 Frank Diamond |
DM's Cost-Effectiveness Doubted in CBO Report Congress's financial review agency says that not enough evidence exists to prove that disease management saves money. Many beg to differ. |
Managed Care February 2002 Mick L. Diede & Richard Liliedahl |
Getting on the Right Track Converging forces are an economic train wreck waiting to happen. Avoiding a disaster requires an understanding of the interconnection of health care's stakeholders and the global consequences of their actions... |
Managed Care May 2006 Martin Sipkoff |
Health Plans Are Ill-Prepared for Looming Diabetes Epidemic The problem is outpacing insurers' resources and perhaps even their commitment. Can the chronic care model help? |
BusinessWeek June 12, 2006 Michael Arndt |
Big Pharma's Nurse Will See You Now Drug companies are hiring RNs to educate patients - and boost marketing. |
Managed Care September 2007 Jaan Sidorov |
Does the Chronic Care Model Signal Big Changes for DM? The pros and cons of disease management programs and the Chronic Care Model weigh heavily, but ultimately, a melding may benefit patients and primary care physicians. |
Managed Care May 2007 Rachel M. Renshaw |
Keys to Diabetes Control? Patience, Persistence, and Perseverance Careful attention to a comprehensive treatment plan could forestall or prevent the need to add drugs and costs to a patient's regimen. |
Managed Care May 2004 |
'Random Gifts of Information' Should Never be Ignored The CMO of Blue Cross and Blue Shield of Minnesota is hopeful that the goal of true population management is near. |
Managed Care September 2006 John Carroll |
Managed Medicare Revitalized: Feel-Good Plan of the Decade Insurers are largely happy with what they've seen. They're creating new benefit packages and expect more business in the next one to three years. |
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. |
Knowledge@Wharton July 30, 2003 |
Restructuring Medicare Is a Riskier Operation than First Thought Hailed as a bipartisan success when passed in late June, two Medicare reform bills are losing some of their luster as they face closer scrutiny by a conference committee made up of members of both chambers charged with reconciling the legislation this fall. |
Managed Care October 2003 MargaretAnn Cross |
Plans and Purchasers Team Up To Manage Kidney Disease Cooperation between three health plans has fostered better employer appreciation of early detection and intervention in kidney disease. |
Managed Care October 2001 Stephen Robitaille |
Elderly Achieve Better Health When Reporting Vital Signs on Web Patients with heart disease bucked expectations in this study by using the Internet to compensate for their lack of mobility... |
Managed Care July 2007 Tom Reinke |
Better Ways to Pay Providers Paying for coordinating care and for packages of services -- bundling and episodes of care -- may be the best bet for a modification of the unfettered fee-for-service system. |
Managed Care July 2001 Charles Downey |
Disease Management Uses Web To Net Savings More vendors are turning to the Internet to expand the reach of programs. Cutting-edge technology helps patients help themselves... |
CFO February 1, 2007 Karen M. Kroll |
Pin the Tail on the Doctor A dearth of information leaves health-care consumers in the dark. As health-care information becomes more accessible, will employees use it to purchase health-care services more intelligently? |
Managed Care April 2006 Maureen Glabman |
'Take My Word for It': The Enduring Dispute Over Measuring DM's Economic Value While disease management is now mainstream, it can still be difficult to judge a program's worth. Health plans faced with renewing these contracts have a lot to think about. |
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? |
Managed Care November 2006 Martin Sipkoff |
Rocky Mountain's Success with Chronic Care Model Paying for medical group practice redesign can significantly enhance the quality of care for chronically ill patients, and perhaps lower long-term costs. |
Financial Planning April 1, 2010 Rick Kahler |
Healthcare on the Critical List Even if Congress does enact a new law, it seems that the same old problems will remain, at least for the next few years. So let's take a careful look at what's at stake. |
Managed Care October 2004 Martin Sipkoff |
Not So Much of a Reach: Let Sick Pay Less for Drugs The idea is radical and simple: Those who need medication the most should pay the least. There is evidence that this is cost-effective. |
Managed Care October 2004 John Carroll |
DM Industry Jumps for Joy Over Medicare's Leap of Faith The Center for Medicare and Medicaid Services has implemented 10 pilot programs that may very well be viewed as a make-or-break test for disease management. |
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. |
Managed Care March 2000 Steve Heimoff |
Getting Out From Under Drug Companies' Shadows The perception that disease management is merely a drug marketing tool seems finally to have vanished from this healthy, though fragmented, industry. |
Pharmaceutical Executive May 1, 2005 Marsha Meyer |
Medical Education: Prevention Education Shifting the nation's healthcare paradigm from treating seniors' ills to preventing them will take the combined support of pharma companies, medical schools, continuing medical education (CME) providers, and clinicians. |
Managed Care December 2003 MargaretAnn Cross |
Will New Benefit Design Harm Some Patients? In the past, reducing demand for care by raising patients' costs has resulted in the loss of some needed care. Can we avoid the trap? |
BusinessWeek November 5, 2009 Michelle Conlin |
The Return of the House Call Companies eager to cut health-care costs may do well to consider the home doctor visits Microsoft offers. |
BusinessWeek June 23, 2011 Drew Armstrong |
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. |
BusinessWeek June 11, 2007 Catherine Arnst |
The Right Cure For Ailing Elder Care? Nurse practitioners could save the nation money - while providing quality service. |
Financial Planning November 1, 2007 Donald Jay Korn |
Medicare Choices What are Medicare private fee-for-service plans and why did their fortunes rise and fall so dramatically? Most important, if these plans survive in their current form, should advisors suggest them for clients enrolled in or approaching Medicare eligibility? |
Managed Care April 2005 Frank Diamond |
Starting Medicare Advantage Plan Brings Special Set of Problems The feds will help you launch a health plan for the elderly, but just what does it take to get something like this operating in so short a time? |