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Managed Care May 2002 Sharon Baker	Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk
Managed Care November 1999 Richard Hamer	Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency ...While HMOs retrench, physicians need to become more constructive participants....
Managed Care August 2005	Who's Responsible For Controlling Costs? When it comes to controlling rising health care costs, consumers think the responsibility rests squarely on health insurance companies' shoulders, a new survey says.
Managed Care November 1999 Uwe Reinhardt, Ph.D.	Defined Contributions Will Point Employees Toward 'Health Marts' Companies will want to distance themselves from insurance entanglements, giving employees little option but to become more involved....
Managed Care July 2001 Jack McCain	Companies Search For Ways To Pass Costs on to Employees Now that major corporations have exhausted the savings from the transition to managed care, they are left wondering what they can do next to curtail rising health care costs. Most have no idea. Oh, they do have one plan -- letting employees shoulder the burden of increasing premiums...
Managed Care October 2001	Small businesses use aggressive tactics to keep benefit costs down Small and mid-sized employers (10-999 workers) saw average health-benefit-premium increases of 9.2 percent last year. Marsh Inc. reports that these companies aggressively blunted the effects of fast-rising health care costs...
Managed Care October 2004	Kaiser Seen as Biggest Earner as HMO Profits Soared in 2003 The good times rolled on for the nation's HMOs in 2003. The industry nearly doubled its profits, earning $10.2 billion, an 86 percent increase from the $5.5 billion it earned in 2002.
Managed Care June 2001	Few Seem To Use POS Option To Go Out of Network Point-of-service plans, in which members can see an out-of-network provider for higher out-of-pocket cost, are among the options employers offer with increasing frequency...
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 July 2002 Frank Diamond	Premium Hikes: No Cause for Celebration Lost market share and further erosion of public trust will be the long-term by-products of this short-term solution.
Financial Planning February 1, 2008 David Certner	A Pain for Retirees A new policy on retiree healthcare benefits could leave millions with reduced coverage.
Managed Care August 2006	Slowdown in Premium Increase Expected to Continue Into 2007 The only thing falling in terms of health care costs seems to be the rate of increase of premiums - good news for employers and other purchasers.
Managed Care October 2003 MargaretAnn Cross	Some HMOs See Dividends In Charging Deductibles This may be one way to regain profitability, though getting permission from government regulators may take some doing.
Managed Care April 2000 John A. Marcille	What Works, What Doesn't: From IPAs to Risk Sharing Some would say that IPAs, more than HMOs, appear to be about love of medicine more than hatred of rising costs. However, the two systems need not be antagonistic. In fact, IPAs can help HMOs in so many ways...
Managed Care November 2002	Biggest one-year premium jump Health care premiums for large employers will increase 15 percent on average in 2003 -- the biggest year-over-year jump since Towers Perrin began conducting the survey in 1989.
Managed Care July 2002	Survey predicts more demand for pharmacy precertification Respondents said that their customers -- employers, for the most part -- will want to see more pharmacy precertification.
Managed Care May 2003	High Profits Seen for HMOs Through 2003 The good times will go on for most health plans in terms of earnings through the rest of this year, experts believe. That's because rate hikes are "in excess of medical trends," Rob Mains, an analyst with Advest, tells Business Insurance.
Managed Care November 2002 Frank Diamond	Companies Leaning on Workers in Battle Against Pharmacy Costs A new urgency means that tiered formularies and higher copayments will become even more widespread, a recent survey indicates.
Managed Care August 2006	Headlines On Deadline ... Aetna is unveiling something it calls the Medicare Open Plan, targeted for employers who want to offer retirees age 65 or over a fee-for-service Medicare Advantage plan.
Managed Care May 2001 Bob Carlson	Real Story in CalPERS Talks Lies Beyond the Headlines True, the rest of the country doesn't always follow California's lead. But you'd probably be right if you viewed the California Public Employees' Retirement System's April deal with eight HMOs as an omen...
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...
Managed Care December 2000	Headlines on Deadline... Physician fees under Medicare will go up an average of 4.5 percent next year... The number of HMOs participating in the Federal Employees Health Benefits Plan dropped by 40 percent... The California Public Employees' Retirement System has seen a 40-percent increase in medical costs... etc.
Managed Care September 2005	HMO Profits up, But at a Much Slower Rate Overall, the HMOs' profits increased 10.7 percent in 2004, according to data collected from 515 managed care organizations.
Managed Care November 1999 Steve Wetzell	To Cure Risk Aversion, Employers Eye Risk Adjustment ...The more employers can get consumers involved in the game, the more providers will become directly accountable to consumers. Under traditional managed care, employers -- without realizing it -- have put themselves in the middle of the relationship between physicians and their patients...
Managed Care November 2005 MargaretAnn Cross	Health Plans by Design, Not by Default Fortune 500 employers are ready to shed old benefit models for "managed consumerism".
Managed Care September 2004	Headlines On Deadline ... The IRS has given health insurers extra time... HMOs now have more than... Employer-sponsored coverage seems to be eroding...
Managed Care December 2004 MargaretAnn Cross	Companies Seek Guidance As Payment Options Increase HSAs, FSAs, HRAs -- it's all alphabet soup to many employers. HMOs need to be able to accommodate all sorts of new payment schemes.
Managed Care October 2000	Large HMOs Do Well While Small Ones Slide Weiss Ratings reports that the nation's HMOs lost a collective $187 million during 1999, despite the positive performance of most of the country's largest managed care organizations...
Managed Care January 2001	More HMOs to fold, consolidate in 2001 More than six dozen HMOs have characteristics that put them in danger of going out of business, according to projections by InterStudy publications...
Managed Care June 2003	For-profit, not-for-profit enrollment holding about steady While HMOs seemed to be losing enrollees to PPOs, the ratio of enrollees in for-profit and not-for-profit HMOs stabilized in the late 1990s, according to data collected by the Centers for Medicare and Medicaid Services.
Managed Care August 2005 MargaretAnn Cross	Consumers in This Market Struggle To Keep Their HMOs Rochester, N.Y., faces rising health care costs and a growing employer interest in consumer-directed health plans. Can a managed care town hold its own?
The Motley Fool October 26, 2004 Alyce Lomax	Giving Credit to AmEx Given the current economic climate, is AmEx about to charge it up? Third-quarter net income at American Express rose 14% to $879 million, or $0.69 per share.
Managed Care December 2000	While Large HMOs' Finances Improve, Small Plans Suffer Several large MCOs, including WellPoint, Cigna, United Healthcare, and Oxford, have reported strong third-quarter earnings. However, 44 percent of HMOs reported losses, a large proportion of those being plans with fewer than 100,000 members...
Managed Care August 2001 John A. Marcille	The Patients' Bill of Rights: Is What They Want What They Need? Passage of the Patients' Bill of Rights, which may be imminent, may not go down as one of the great works of the world, but rather as the fruit of mob judgment: "HMOs -- bad"...
Managed Care February 2002	Nutrition Help Now Covered By Medicare In a move that may eventually influence benefits packages offered by private insurers, Medicare this year expanded preventive services to include nutrition therapy and pain management for some patients...
The Motley Fool June 16, 2011 Jordan DiPietro	Should You Buy and Hold American Express? Does this company have the traits of a good retirement stock? American Express has a beta of 1.26, which isn't necessarily outrageous, but it's not that low either.
The Motley Fool April 20, 2007 Emil Lee	American Express Excels As peers stumble, this credit card company shines. Investors, take note.
Managed Care July 2000 Michael Levin-Epstein	Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen.
Managed Care December 2006	Compensation Monitor More than half of the nation's HMOs use pay-for-performance programs.
Managed Care November 2003	Calif. Businesses Vow To Fight Coverage Law A new law that makes employers extend health benefits to about a million uninsured Californians will be watched carefully. Opponents of the law, signed by Gov. Gray Davis two days before the recall vote that ousted him, vow to challenge it in the courts.
Managed Care June 2002 Jeffry R. Ellis	Third-Party Payers Don't Realize Burdens Placed on Pharmacists PBMs and HMOs, by imposing a workload that doesn't allow enough time for needed functions, seem to want pharmacists to fail, this author asserts.
Managed Care March 2001	Premiums outstrip medical costs for first time in 6 years Whether this pricing tactic helps health plans return to profitability remains to be seen, but it appears the industry's financial picture is brightening...
Managed Care December 2001	Survey: HMOs confused about HIPAA privacy regs Though the clock is ticking for HMOs to comply with new privacy guidelines under the Health Insurance Portability and Accountability Act, indications are that many companies are confused about what they need to do...
Managed Care September 1999	Sagging Fortunes Cited in Departure Of Humana's CEO
Managed Care March 2002	6 Large California Plans Link Doc Bonuses, Quality In what's being touted as an unprecedented effort, doctors and hospitals in California will be rewarded with bonuses of at least 5 percent for quality under a common set of standards adopted by six HMOs...
Managed Care February 2001	Employers more willing to pass benefit costs along Facing significant increases in health-benefit costs, employers appear less willing to bite the bullet than in the past -- and are passing many of those increases on to workers...
Salon.com June 13, 2000 David McGuire	Immune from liability The Supreme Court blocks a potentially important legal path for people who want to sue HMOs. Now, the spotlight is on Congress.
Managed Care January 2004	Large Employers Now Use DM To Cut Their Costs Employers are adopting disease management programs in a big way to slow the pace of health care premium increases, according to a survey of 3,000 businesses.
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.
Managed Care May 2005 John Carroll	Evaporation of Retiree Benefits May Be Health Plan Opportunity With big companies steadily reducing coverage for retirees, plans need to devise products for this needy population.