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MANAGED CARE July 2007. ©MediMedia USA
Vol. 16, No. 7
July 2007
Cover Story
Seeking a Better Way to Reward Providers
Because existing payment systems are known for their perverse incentives, a movement is under way to pay for coordination of care and for bundled services.
CMS to Hospitals: 'We Won't Pay'
A proposed rule change in CMS payments would penalize hospitals for "never events" (like leaving a sponge in a patient after surgery), nosocomial infections, and pressure ulcers.
Reviewing its drug modeling procedures with a fresh eye helped Premera Blue Cross look beyond the immediate cost and toward how selective coverage might affect overall spending.
More to Blogs Than Meets the Eye
The best health care blogs can provide important news and reasoned debate about trends. The ability to comment on a posting even serves as peer review!
Measuring a Smoking Cessation Program
In a managed care network's primary care physician offices, a stage-based computerized smoking cessation program was cost-effective compared to standard care.
Departments
Addressing perverse incentives.
Changing our approach to elder care.
Bill would open Medicare quality data.
News and Commentary
Meet the Consumer-Directed HMO
Having a Baby? Avoid CDH Plans
ERISA Proposes Using TPAs
Employers take greater interest in managing chronic conditions [chart]
Headlines On Deadline
Lower copayments to increase adherence.
AMA: Forget about Medicare pay cuts.
Chronic diseases drive drug spending.
CDHPs near a crossroads.
Increasingly, a shortage of doctors.