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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. |
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. |
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? |
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 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. |
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. |
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. |
Managed Care December 2006 |
Compensation Monitor More than half of the nation's HMOs use pay-for-performance programs. |
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. |
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. |
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. |
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. |
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. |
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. |
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? |
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. |
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. |
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. |
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. |
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. |
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. |
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... |
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... |
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. |
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. |
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. |
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?... |
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 |
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 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.... |
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. |
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. |
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... |
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. |
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... |
BusinessWeek February 7, 2005 Arlene Weintraub |
A Remedy For Malpractice Malaise Hospitals are offering free coverage to recruit doctors from private practice |
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. |
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. |
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. |
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. |
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. |
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. |
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. |
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... |
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... |
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. |
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? |
BusinessWeek July 14, 2003 Lewis Braham |
Is Your Policy Getting Zapped? Swapping insurance coverage may get you out of the jam. |
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. |
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. |