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Managed Care April 2005 John Carroll |
Can Managed Care Programs Rein in Medicaid's Runaway Budgets? Cadillac or Yugo care for the poor? Fee-for-service or managed care? The states have a lot on their minds as the Medicaid monster grows and grows. |
BusinessWeek February 21, 2005 Howard Gleckman |
The New Face Of Medicaid Seniors and the disabled are pushing the program to the breaking point. |
Managed Care February 2005 John Carroll |
Just What Can We Expect From New Head of HHS? How much will plans have to "be like Mike" -- Leavitt, that is. The influence of the secretary of health and human services reaches beyond the public sector. |
Managed Care July 2002 |
Despite Deficits, States Avoid Cutting Medicaid, CHIP Rolls Although states are straining to close budget deficits, they have refrained from introducing stringent eligibility requirements for the CHIP and Medicaid programs. |
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 December 2001 |
Economic Boom Over, State Health Budgets Besieged The National Association of State Budget Officers estimated that aggregate state shortfalls for fiscal 2002 could exceed $15 billion... |
BusinessWeek August 8, 2005 Howard Gleckman |
Radical Surgery For Medicaid? South Carolina Governor Sanford has a plan to slash costs - but a political battle looms. |
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%. |
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 January 2001 Bob Carlson |
Ohio Struggles To Rescue Managed Medicaid Program Health plans and providers in Ohio's beleaguered Medicaid managed care program, OhioCare, welcomed its per-member, per-month payment increases of more than 25 percent over the last two years... |
BusinessWeek July 14, 2003 Robert J. Barro |
Medicare: Forget the Drug Benefit, and Face Up to Real Reforms Washington seems poised to make a major error on Medicare. The program's costs are out of control, and the situation will deteriorate further as the population ages. We should be considering basic changes to the structure of the health-care market. |
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. |
Managed Care July 2006 |
Education Concerns Push Back Florida's Medicaid Experiment The greatly anticipated meeting between Medicaid and managed care that's expected to take place in Florida has been delayed. |
Managed Care August 2000 Carey Lee Straetz |
Managing Medicaid Rolls Often State-by-State Affair Despite the strong economy, Medicaid enrollment may be slowly rising after a three-year decline. The challenges for serving this population are huge. |
Managed Care December 2001 |
CMS Medicaid Managed Care Proposal Under Close Scrutiny Bioterrorism. Medicaid managed care plans. No link between them? Guess again. It all has to do with how proposed Medicaid regulations would affect patients' rights and funding for Medicaid programs ranging from nursing home care to emergency rooms... |
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! |
National Real Estate Investor December 1, 2004 Matt Hudgins |
Pain Relief for Hospitals Hospital systems are anxious to get out of the landlord business as increasing liability insurance costs and reduced Medicare and Medicaid payments put the squeeze on capital budgets. |
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... |
CFO May 1, 2009 Josh Hyatt |
Strong Medicine Boosted by a substantial injection of cash from the federal stimulus bill, electronic medical records may help relieve the pain of rising premiums by improving efficiencies in the medical system. |
Managed Care January 2007 |
Headlines on Deadline ... State budgets got an unexpected gift last year... Mortality rates for hospitals ranked high... It looks likely that Massachusetts Gov. Mitt Romney will run for president... etc. |
The Motley Fool September 30, 2009 Brian Orelli |
IT Gets Healthy There's an Apple joke in here somewhere. |
CIO April 15, 2006 Allan Holmes |
Maine's Medicaid Mistakes Maine's attempt to build a new Medicaid claims processing system is a classic example of how not to run a massive project. |
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. |
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 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? |
Entrepreneur July 2002 Chris Penttila |
How's Your Health? When health care is healthy, it's the industry to be in -- and the current chaos in the sector may be the opening you need. |
Financial Planning February 1, 2005 DeFrancesco & Flory |
The Golden Years? As this country's baby boomers get closer to retirement, long-term care (LTC) will only grow in importance. Medicaid annuities may help clients preserve their assets, even if they're already in a nursing home. |
Managed Care August 2002 |
24 States Hope Pharmacy Plus Helps Medicaid Twenty-four states may gamble that providing a prescription drug program to low-income elderly who do not qualify for Medicaid could save them money in the long run. |
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. |
BusinessWeek February 7, 2005 Arlene Weintraub |
A Remedy For Malpractice Malaise Hospitals are offering free coverage to recruit doctors from private practice |
BusinessWeek February 20, 2006 Arlene Weintraub |
Should Doctors Own Hospitals? Controversy builds over a fast-growing, profit-driven business in which specialty hospitals are partly owned and run by doctors. |
American Family Physician June 15, 2005 Carrie A. Morantz |
Newsletter Medicaid Expected to Top States' Health Care Agendas in 2005... NRMP Rules Out Second Residency Match... CMS Proposes New Rule on Hospice Care for Medicare Patients... Congressional Bill Encourages Use of Health Information Technology... etc. |
Salon.com October 21, 1999 Dena Bunis |
Uninsured children A new report says there are still too many kids without health coverage. |
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. |
Financial Advisor May 2007 Gail Liberman |
More Wrinkles Than Ever Your financial advisory clients need you to help them understand the new Medicaid rules. |
The Motley Fool July 25, 2005 Stephen D. Simpson |
Triad Hospitals Looking Healthy The rural hospital operator is in good shape. All the same, the current P/E looks a little robust for a company that will most likely grow in the mid-teens for the next few years. |
HBS Working Knowledge July 14, 2006 Regina E. Herzlinger |
The Case for Consumer-Driven Medicaid The Medicaid program is a health insurance safety net for 52 million Americans, but the price tag threatens the financial stability of the states. South Carolina provides a model in consumer-driven healthcare. |
Managed Care January 2002 Michael Levin-Epstein |
HHS Seems To Soften Hard Line on Kickbacks Do two recent advisory opinions from the Health and Human Services Office of the Inspector General signal some moderation in federal policy on what constitutes a kickback? Maybe. Or then again, maybe not... |
Managed Care November 2000 |
Health Care Issues Force Prosecutors In Many States To Try New Approaches Virtually every item in the news about health care coverage lately, from HMO horror stories to health plan consolidation, from lawsuits to new legislation, means more work for some state's attorney general... |
Managed Care December 2004 John Carroll |
One Winner Could Take TennCare Bid Gov. Phil Bredesen and patient advocates have been wrangling over either rationing care for all or simply dismantling TennCare and returning to a traditional, Medicaid-only approach. |
BusinessWeek June 13, 2005 Timothy J. Mullaney |
Hunting For Hospitals That Measure Up New Web sites can help you become an educated health-care consumer |
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. |
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. |
Registered Rep. September 18, 2013 Kevin McKinley |
Having Money and Getting Medicaid Clients who want to have both their money and Medicaid may want to purchase a specific type of long-term care insurance known as a "partnership" policy, currently available to residents in 31 states. |
Managed Care July 2006 |
Public Payers Foot Greater Pharmacy Costs Through 2005, private health insurance had covered most of the cost of prescription drugs. That picture is changing as public payments, mostly under Part D, are projected to exceed private health insurance and out-of-pocket payments. |
Managed Care November 2002 John Carroll |
Drug Companies Crying Foul Over Medicaid's Formulary Push With states' preferred drug lists spreading like a prairie wildfire, the manufacturers have mounted a furious legislative counterattack, funding grass roots campaigns aimed at fanning the opposition in state legislatures even as they wage a legal war in state and federal courts. |
CIO March 15, 2006 Louis Gutierrez |
Opening a Virtual Gateway to Better Health This CIO swore he would stay away from turnarounds - until he was offered the opportunity to revamp the way Massachusetts residents obtain state health services. It was a challenge he couldn't resist. |
Financial Planning September 1, 2008 Donald Jay Korn |
Pleading Poverty Few things can play havoc with a thoughtful financial plan as surely as a long stay in a nursing home. Therefore, "Medicaid planning" has become a prime concern for many seniors and their younger relatives. |
Managed Care June 2003 Maureen Glabman |
Managed Care Makes It Tough For Some Hospitals To Stay Afloat True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history? |
Managed Care February 2007 |
Employer-Sponsored Insurance Coverage Rates Falling A new report says that that 61 percent of non-elderly Americans had employer-sponsored insurance in 2004, compared to 66 percent in 2000. |