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Managed Care March 2001 Michael D. Dalzell	Preventive Care: Can We Do a Better Job? HMOs place great stock in disease prevention, but some highly recommended services go uncovered. Plans and purchasers often don't agree on priorities...
Managed Care January 2007 Lola Butcher	Employers Publish Guide on Prevention's Worth The National Business Group on Health introduces the Purchaser's Guide to Clinical Preventive Services
Managed Care April 2000	NCQA To Put Report Cards On the Web The National Committee for Quality Assurance hopes to elevate the degree to which quality of care factors into people's choice of health plans. NCQA is placing health plan report cards on its web site...
American Family Physician December 15, 2002 Randhawa & Fink	Screening for Breast Cancer A case study and question-and-answer group on screening for breast cancer, based on the recommendations of the current U.S. Preventive Services Task Force
Managed Care August 2001	Group Rates Value Of Recommended Preventive Care Child vaccinations, tobacco-cessation counseling and treatment, and screening for vision impairment in the elderly are the most important preventive services -- from the standpoints of cost-effectiveness, reducing the necessity of treatment for illness, and averting injury...
Managed Care August 2005	NCQA Compares Plans On Chronic Disease The National Committee for Quality Assurance plans to offer a snapshot based on its well-known HEDIS report that it hopes will let employers and workers get a quick, but comprehensive, view of how health plans handle four chronic diseases.
Managed Care June 2001 Frank Diamond	HMO/Physician Strain Creates Invisible Costs Perhaps goodwill is too much to ask for. However, peaceful coexistence can certainly help all players reach their mutual goal -- a smooth relationship that helps to get the job done...
Managed Care January 2005 Sharon Baker	Breast Cancer Screening: Some Plans Do Better Than Others Some of the nation's best health plans are coming up with creative ways to encourage women to get mammograms.
Managed Care March 2008	Proposed 2009 HEDIS Measures Address Immunization, Obesity Rates The National Committee for Quality Assurance wants to expand what the committee's Healthcare Effectiveness Data and Information Set (HEDIS) measures look at in 2009.
Managed Care December 2007	Most HSA/HDHPs Cover Preventive Treatment on a First-Dollar Basis Most health savings account plans cover recommended preventive benefits on a first-dollar basis, which is to say without regard to whether the deductible has been met. A new survey shows which high-deductible plans are compatible.
American Family Physician November 1, 2000	Policy Center One-Pager The Importance of Primary Care Physicians as the Usual Source of Healthcare in the Achievement of Prevention Goals...
Managed Care September 2007	NCQA Standards Focus on PPO Performance Preferred provider organizations that are seeking National Committee for Quality Assurance accreditation will now be required to report clinical quality results through HEDIS.
American Family Physician February 1, 2001 Thomas J. Gates	Screening for Cancer: Evaluating the Evidence This article reviews the kind of evidence required to justify screening tests for cancer, with the goal of guiding family physicians through current and future screening controversies...
Managed Care November 1999 Margaret E. O'Kane	Quality-Measurement Organizations Look Beyond HMO and POS Plans Now that the hard part -- forging quality-measurement systems for HMOs and point-of-service plans -- has been done, the next step is to adapt these programs to the rest of the health care industry....
Managed Care September 2001 Michael S. Victoroff	'Prevention Doesn't Pay?' Logic Explodes This Myth One fable goes like this: "Health plans have no interest in preventive medicine, since the return on investment takes years, and the tenure of members is too short to see any benefit." This simply isn't so...
Managed Care October 2002 MargaretAnn Cross	Tracking Disparities in Care Having employer-sponsored benefits does not guarantee good service. Differences in race, education, and income are also factors.
American Family Physician March 15, 2001	Cancer Screening Guidelines Faced with the broad, and sometimes conflicting, range of recommendations for cancer screening, family physicians must determine the most reasonable and up-to-date method of screening...
Managed Care May 2001	3rd U.S. Preventive Task Force Issues Recommendations The Third U.S. Preventive Services Task Force released its first of 70 sets of recommendations about the value of specific preventive services...
Managed Care December 2003 MargaretAnn Cross	'What Can You Do To Help Control Costs?' Employers are beginning to tap into the groundswell of employee interest in reducing premiums.
AskMen.com	Cholesterol & The Prostate A new study suggests that men may be able to lower their risk of getting the most aggressive form of prostate cancer by keeping their cholesterol in a healthy range.
Salon.com November 10, 2000 Laurie Tarkan	The business of breast cancer Big medicine is making big bucks on the disease, but we're still far from a cure...
AboutSafety June 21, 2001	Value Of A Good Hearing Loss Prevention Program When a company has an effective hearing loss prevention program, everyone wins -- the employers, employees and safety and health professionals who implement the program...
Managed Care November 2005	Quality Improves at Nation's Health Plans The National Committee for Quality Assurance's annual report states the quality of health plans that report have improved quality, but there is also a rise of consumer-directed health plans which do not report on quality.
Job Journal January 13, 2008 Michael Kinsman	Career Pros: Wellness Benefits Bottom Line Employers are finally acting like healthy workers are good for business.
Nurse Practitioner November 2010 Dreadin & Mancuso	Diagnostic breast evaluation: When to refer and what the results really mean Diagnostic breast imaging is an important tool in evaluating abnormal physical examination findings and assessing incomplete screening mammographic results.
American Family Physician July 1, 2000 Monica Preboth	Clinical Briefs ISMP Warning on Heparin/Hespan Mix-ups... Increase in Vaccination Coverage Levels... Therapies for the Prevention of Breast Cancer... Online Service to Provide Hospital Statistics... Office Spirometry for the Detection of COPD... AAFP Annual Scientific Assembly... etc.
Managed Care June 2002 April Tererri	Health Plans Seem Supportive of Depression-Screening Push The U.S. Preventive Services Task Force made a new recommendation that primary care physicians screen all adult patients for depression
Managed Care March 2007	NCQA Toughens Evaluation of PPOs Preferred provider organizations will be evaluated on the same set of standards, clinical measures, and patient experience ratings that the NCQA uses to evaluate HMOs and POS plans.
American Family Physician November 1, 2000 Allen L. Hixon & Ronald W. Chapman	Medicine and Society Healthy People 2010: The Role of Family Physicians in Addressing Health Disparities...
American Journal of Nursing October 2010 Eileen Thomas	Men's Awareness and Knowledge of Male Breast Cancer This article reports on the findings of a qualitative study that explored the awareness and knowledge of male breast cancer among English-speaking men.
Managed Care July 2003 MargaretAnn Cross	Money Pit: Is Accreditation Always Worth the Cost? Some plans swear by the benefits of obtaining an "excellent." Others say that customers care much more about cost.
Managed Care September 2004	O'Kane Gives the OK To Focus More on Providers The head of the National Committee for Quality Assurance, Margaret E. O'Kane, says health plans want to encourage physicians in the never-ending quest for quality.
Managed Care January 2004 Martin Sipkoff	Transparency Called Key To Uniting Cost Control, Quality Improvement NCQA President Margaret O'Kane and a panel of clinically oriented administrators call for emphasis on making the best care financially attractive to physicians, plans, and employers.
American Family Physician August 1, 2000 Lecia M. Apantaku	Breast Cancer Diagnosis and Screening Statistics on breast cancer risk, symptoms and recommended tests.
Managed Care April 2000 Michael D. Dalzell	Not-for-Profit Group of Plans Goes After Medicine's Holy Grail Demonstrating long-term health improvement for specific populations is one of managed care's biggest unrealized goals. One group thinks it has the formula.
Managed Care September 1999	Physicians Seen As Next in Line For NCQA Review The National Committee for Quality Assurance says it will begin an accreditation program for medical groups two years from now....
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...
Nutrition Action Healthletter March 1999 Bonnie Liebman	Pesticides and Breast Cancer Women with higher levels of the pesticide dieldrin in their blood have a greater risk of breast cancer, say researchers from the Centers for Disease Control and Prevention in Atlanta and elsewhere...
American Family Physician December 15, 2000	Letters to the Editor On Pneumococcal Vaccine Recommendations... etc.
Managed Care February 2002 Heidi A. Sauder & Sheri Wallace	Push Is On for Improved Treatment of Women's Psychological Maladies Sure there are diagnostic and treatment challenges, but the money that can be saved for society might make this fertile ground for investment...
Managed Care March 2007 Martin Sipkoff	Managing Cancer Treatment Begins Before Diagnosis Health plans are increasingly involved in promoting the lifestyle changes that help their members avoid cancer, and are increasingly involved in clinical trials if prevention fails.
Managed Care November 2007	Substantial Increase Seen in PPO Quality Reporting Interest in PPO quality reporting has expanded to the public sector as well, according to the report. The Medicare program and the federal Office of Personnel Management now require PPO plans to engage in HEDIS reporting.
Managed Care July 2005	Headlines On Deadline ... A recent Centers for Disease Control and Prevention study that indicated that overweight people might live longer than normal weight people may have been based on skewed data.
Managed Care December 2002 Margaret E. O'Kane	Taking the Lead for Accountability Critics complain that some HMOs withhold data, but NCQA President Margaret O'Kane responds that HMOs are exemplary in measuring and reporting quality.
Nutra Solutions July 1, 2005	Soy Claims Count Regular consumption of soy protein-containing foods and beverages may reduce the risk of breast cancer in women by as much as 22%, reports a study published in The International Journal of Cancer Prevention.
Managed Care June 2006	Excessive Use of Screening Tests Costs System Millions Each Year Managed care always couched its emphasis on prevention with the caveat that diagnostic tests should be conducted according to generally accepted national practice guidelines. A new study seems to indicate just how costly preventive medicine can be when not tied to a disciplined approach.
Managed Care March 2000	JAMA Study Challenges Key HEDIS Diabetes Measure How often should diabetic patients be screened for retinopathy?
American Family Physician May 15, 2003 Matthew Neff	Newsletter FDA, CDC Respond to Increasing Threat of SARS... HHS Releases HIPAA-Related Documents on Patient Privacy Standards... New Research Journal, Annals of Family Medicine, to Debut This Month... HHS Announces $15 Million Health Initiative Focused on Prevention
Managed Care August 2007 Frank Diamond	Employers Roll Up Their Sleeves No longer passive, companies are working in a variety of ways to improve employees' care. Preventive programs cost money up front, but can cut overall treatment costs to insurers by 30 percent or more, yet few insurers pay for preventive care.
American Family Physician August 1, 2005 Wattendorf & Hadley	Family History: The Three-Generation Pedigree The three-generation pedigree provides a pictorial representation of diseases within a family and is the most efficient way to assess hereditary influences on disease.