Managed Care


Headlines on Deadline...

MANAGED CARE May 2001. © MediMedia USA
News and Commentary

Headlines on Deadline...

MANAGED CARE May 2001. ©MediMedia USA

L.A. Care, a California Medicaid HMO, is rewarding physician groups that excel at preventive care. Those that exceed some HEDIS benchmarks, for instance, could receive performance bonuses.... Regence BlueShield will pay $30 million to settle suits over denial of claims for alternative therapies covered under Washington State law.... The Journal of the National Cancer Institute reports that access and outcomes for colorectal cancer patients in HMOs are comparable to those for fee-for-service enrollees.... Misuse of prescription drugs costs $177 billion a year, says a study published in the Journal of the American Pharmaceutical Association.... Forget about prescription drug reimportation. President Bush's budget guts 90 percent of funds allocated to the program Congress passed last year.... Jack Ebeler, of the Robert Wood Johnson Foundation, has succeeded the retiring Daniel Wolfson as CEO of the Alliance of Community Health Plans. ACHP is a 22-member consortium of not-for-profit health plans.... Partnerships for Quality Education is accepting grant proposals for chronic-illness management programs that encourage young physicians to learn to manage care. PQE is a collaboration between health plans and medical schools. For more information, see «».... In Oregon, Providence Health Plan's announcement that it would remove the gatekeeper for its 300,000 enrollees brought to mind recent comments in the Los Angeles Times by George Lundberg, M.D., Medscape's editor in chief. "Managed care is basically over," he said. "Like an unembalmed corpse decomposing, dismantling managed care is going to be very messy and very smelly, and take a while."... Health information has surpassed porn as the most-searched-for subject on the Internet.


2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015