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Managed Care
September 2006
Malpractice Premiums Constitute Small Component of Expenses Few issues galvanize the medical community like the cost of malpractice insurance, but a recent survey shows that the increases are less severe than many physician advocacy groups suggest. mark for My Articles similar articles
Managed Care
October 2003
Effects of rising malpractice premiums said to be overstated Health plans worried that the malpractice crisis may begin to affect access to physicians for their members may breathe a bit more easily, though there is still some cause for concern. mark for My Articles similar articles
Managed Care
December 2002
Diane Cook
Beware the Hidden Consequences of the Malpractice Crisis Soaring malpractice insurance rates are thinning out provider ranks in at least a dozen states. Could access problems pose issues for HMOs in those areas? mark for My Articles similar articles
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.... mark for My Articles similar articles
Managed Care
December 2002
Many Misjudge HMOs' Slice of Premium Pie A significant gap exists between how a health care premium dollar is spent and how patients perceive it's being spent, a new Zogby survey reveals. mark for My Articles similar articles
Managed Care
June 2003
Malpractice Fury Raises Concerns About Access Protests by physicians over rising malpractice insurance premiums may be signaling a political shift that could make doctors see Republicans as their allies, a public-advocacy official thinks. mark for My Articles similar articles
Managed Care
May 2004
MargaretAnn Cross
Will Providers Seek New Contracts As Consumer-Directed Plans Grow? Although plans are not restructuring fee schedules in consumer-directed health plans, providers think their agreements need fine-tuning. mark for My Articles similar articles
Managed Care
December 2006
Compensation Monitor More than half of the nation's HMOs use pay-for-performance programs. mark for My Articles similar articles
Managed Care
November 2003
Malpractice protection efforts seem to come up short Medical malpractice insurance premiums continue to rise, even as some states place caps on non-economic damages, according to a survey by Weiss Ratings. mark for My Articles similar articles
Managed Care
August 2005
Malpractice Payouts Flat But Premiums Rise 120% From 2000 to 2004, the amount that major malpractice insurers have collected in premiums has more than doubled, yet their payouts for compensatory damages have remained essentially flat. mark for My Articles similar articles
Managed Care
October 2004
Does Payment Method Drive Procedure Rates? In a study involving three large HMOs, researchers reviewed encounter and claim data for specialty services associated with different rates of performance of invasive procedures. mark for My Articles similar articles
The Motley Fool
December 4, 2006
Emil Lee
Insurance Industry Basics: Premiums What are they, and how do they work? Like great value investors, great insurance companies do business only when risk-adjusted returns are favorable. mark for My Articles similar articles
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. mark for My Articles similar articles
Financial Planning
November 1, 2009
Rick A. Jaye
Captivating Captives Publicly traded Fortune 500 firms know the benefits of captive casualty insurance companies (captives). Now successful small to midsize businesses are discovering many of the benefits larger companies have long enjoyed. mark for My Articles similar articles
Managed Care
August 2001
John Carroll
Info on Questionable Physicians Languishes in National Data Bank A clearinghouse was created that stores details about malpractice suits and disciplinary actions. So how come HMOs don't use it? mark for My Articles similar articles
The Motley Fool
March 6, 2006
Stephen D. Simpson
No Malpractice From ProAssurance This medical malpractice insurer reports another strong quarter. Even though tort reform seems to be going nowhere fast, these shares trade at a pretty rich valuation relative to past levels. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
March 2000
Headlines on Deadline... Congressional Budget Office estimate of employer premium increase from Bipartisan Managed Care Improvement Act... Dot MD, the first internet vanity domain... etc. mark for My Articles similar articles
Managed Care
July 2000
Neville M. Bilimoria, J.D.
HMOs Continue Losing Ground On Liability Issues at State Level The recent U.S. Supreme Court decision offers a nice breather, but executives should not let down their guard, as an Illinois ruling shows. mark for My Articles similar articles
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. mark for My Articles similar articles
BusinessWeek
July 5, 2004
David Henry
ACAP: The Headaches Die Down Medical malpractice premium rates are up again at the insurer, with underwriting losses falling, which is fattening the bottom line. mark for My Articles similar articles
Managed Care
December 2000
Mark D. Abruzzo
Some States Seek To Close Prompt-Payment Loopholes Many states have laws governing the timeliness of claims payments to physicians, hospitals, and other providers, but few such statutes have any real effect because of lack of enforcement or clarity. Some states are toughening their so-called prompt-payment laws, at the expense of insurers... mark for My Articles similar articles
Managed Care
October 2000
Patrick Mullen
Interview: Steven B. Epstein, J.D. This pioneering medical legal authority says health plans and physicians should stop fighting over scraps the government throws them... mark for My Articles similar articles
Managed Care
June 2007
MargaretAnn Cross
What the Primary Care Physician Shortage Means for Health Plans Insurers fear rising costs and poorer outcomes if members are less able to get appointments with family physicians and general internists. mark for My Articles similar articles
Inc.
June 2008
How To Choose A Health Care Plan: Finding the Right Plan Advice on what companies should consider when choosing a group heath plan. mark for My Articles similar articles
Managed Care
June 2003
'Doctors take oaths, lawyers take money' A review of the hourly compensation rates of lawyers and physicians by the federal Bureau of Labor Statistics reveals, however, greater increases in hourly wages reported by physicians from 1997 through 2001 than by their lawyer counterparts. mark for My Articles similar articles
Managed Care
November 1999
U.S. Supreme Court To Hear Suit Against HMOs Over Incentives Can HMOs be sued for the practice of offering bonuses to physicians who help them keep the cost of care down?... mark for My Articles similar articles
Managed Care
December 2002
California Puts Doctor Scores On Report Cards The competency of physician groups is often as important as HMO performance in determining patient outcomes, California health regulators have decided mark for My Articles similar articles
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... mark for My Articles similar articles
Managed Care
March 2001
To Control Costs, CalPERS Rejects All Bids for 2002 In a dramatic attempt to keep a lid on health care premiums, the California Public Employees' Retirement System threw out every bid it received from health plans competing for a chunk of its business in 2002.... mark for My Articles similar articles
Managed Care
June 2006
Fewer Doctors Contract with Managed Care Although it was stable in the mid-1990s, the proportion of physicians without any managed care contracts rose from 9.2 percent in 2000-2001 to 11.5 percent in 2004-2005, according to a report. mark for My Articles similar articles
InternetNews
June 27, 2006
Michael Hickins
Hospital, HMO Ratings 'Open' to Public New York State adopts online scorecards allowing employers and consumers to review local hospitals and HMOs. mark for My Articles similar articles
Managed Care
November 2005
Headlines On Deadline ... Health insurance costs only increase by 9.2 percent this year....Humana agrees to pay $40 million in settlement... Department of Health and Human Services fails to report several medical malpractice claims... mark for My Articles similar articles
Managed Care
May 2007
Self-Referral Persists Despite Stark II Law Loopholes in federal and state laws that curb physician referral to diagnostic imaging providers in which they have a financial stake (self-referral) are allowing physicians to stretch how they are paid and for what. mark for My Articles similar articles
Managed Care
December 2000
Maureen Glabman
Downstream Without a Paddle State legislatures that tackle medical group insolvencies have come up with strategies that sometimes shift accountability to HMOs... mark for My Articles similar articles
BusinessWeek
February 7, 2005
Arlene Weintraub
A Remedy For Malpractice Malaise Hospitals are offering free coverage to recruit doctors from private practice mark for My Articles similar articles
BusinessWeek
September 16, 2009
Catherine Arnst
The Truth About Malpractice Lawsuits President Barack Obama tapped into a large vein of public support when he suggested recently that he is open to reforming medical malpractice laws. mark for My Articles similar articles
Managed Care
July 2000
HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously Use of financial incentives in HMOs' contracts with physicians may be losing favor, but it's not about to be declared outright illegal any time soon. The U.S. Supreme Court ruled unanimously that patients maynot sue a health plan just because it offers physicians incentives intended to limit health care services. mark for My Articles similar articles
Managed Care
November 1999
Michael D. Dalzell Senior Editor
HMOs, Physicians Discover They Really Need Each Other Some HMOs may be more willing than you think to help financially troubled medical groups survive. A willingness to cooperate is key. mark for My Articles similar articles
Managed Care
November 2002
Combating the coming physician shortage 38 percent of the nation's 740,000 physicians are 50 or older -- that's one of the reasons that health care faces a coming shortage of doctors. Martin/Fletcher estimates that 250,000 will be needed over the next 10 years to replace those lost to retirement and other reasons. mark for My Articles similar articles
Managed Care
October 2005
Bob Carlson
What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often. mark for My Articles similar articles
Managed Care
December 2007
John Carroll
How Doctors Are Paid Now, And Why It Has to Change Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn't had much effect on its use. mark for My Articles similar articles
Managed Care
August 2000
Mark D. Abruzzo, J.D.
Supreme Court Ruling Encourages Greater Awareness Among Patients To you and me, the court's holding in Pegram means that patients cannot sue HMOs under ERISA for giving doctors financial incentives to hold down costs. However, as is typical with many court decisions, this makes one wonder whether it doesn't take on a much greater meaning. mark for My Articles similar articles
Managed Care
August 2001
Frank Diamond
Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged... mark for My Articles similar articles
Managed Care
April 2000
Fallout from the "new economy": claims payment slower than ever A new InterStudy Publications report says HMOs relied heavily on investor funds during the 1990s to cover medical and operational expenses, and premiums alone were not enough. The resulting cash crunch means health plans are taking longer than ever to pay claims... mark for My Articles similar articles
Managed Care
March 2005
Physicians, Plan at Odds Over Autoworker Coverage The Michigan State Medical Society and the Michigan Osteopathic Association are suing Blue Cross Blue Shield of Michigan after the health insurer cut 500 doctors from its provider network. They allege the insurer is trying to strong-arm them into reducing physician fees. mark for My Articles similar articles
Managed Care
September 2001
Michael D. Dalzell
Where Will Health Plans Find The Next Generation of Savings? The industry realizes that it needs to get creative -- or perish, at least in the form it has taken. Employers won't stand long for double-digit premium hikes. With much of the fat already wrung out of care delivery, where will health plans find that next generation of cost savings? mark for My Articles similar articles
BusinessWeek
July 14, 2003
Lewis Braham
Is Your Policy Getting Zapped? Swapping insurance coverage may get you out of the jam. mark for My Articles similar articles
Managed Care
April 2000
Mark Abernathy
Avoid Common Problems In Risk-Sharing Contracts These arrangements too often become a hindrance instead of a help. Simple precautions today can help prevent major headaches later on. mark for My Articles similar articles
Registered Rep.
November 20, 2012
Alan Lavine
Lock into Long-Term Care with Hybrid Policies Combining life insurance and annuities with long-term care policies can protect against premium hikes or the risk of never making a claim. Here's how to make sure they are right for your clients. mark for My Articles similar articles