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MANAGED CARE December 2006. ©MediMedia USA
Vol. 15, No. 12
December 2006
Cover Story
Health Plans Feeling Hospitals' Pain
When Uncle Sam shortchanges hospitals for Medicare and Medicaid services, hospitals turn around and charge insurers more. Is there an exit strategy?
Michael L. Millenson: 'You Can Run But . . .'
In our question-and-answer feature, the consultant and policy expert says that health care is just starting to feel the effect of years of corporate restructuring, downsizing, and outsourcing.
Hospitals in which this new specialist manages or co-manages all ICU patients have much less ICU mortality, according to recent studies. Costs go down too.
Plans and hospitals face a more stringent legal standard regarding their responses when others inquire about the credentials of employed and contracted physicians.
Electronic Records: Yours or the Patient's?
The consultant Lucy Johns, from a consumer's point of view, discusses two considerably different ways of looking at personal health records.
DEPARTMENTS
Help the hospitals.
Reputation: your most valuable asset.
IRS delays RHIO expansion.
News and Commentary
NCQA Rankings Give Edge to Not-For-Profit Insurers
Medicare Part D recipients plan to stay with coverage [chart]
AHIP Proposal Called Promising Starting Point
Medicaid Plans Too Successful For Own Good?
Headlines On Deadline ...
Part D changes in the works.
P4P common among HMOs.
Strategies to manage specialty drugs.
Health plan performance matters.
New herpes zoster vaccine available.
Cost increases to slow in 2007.