Headlines on Deadline...


Congressional Republicans, eager to please in an election year, seem willing to support a pharmacy benefit in Medicare. That, combined with the drug industry's new willingness to negotiate on the issue, has heightened speculation that a benefit plan will pass this year.... Foundation Health has consolidated its commercial plans into two divisions — East and West. The idea is to create operating and administrative efficiencies.... Highmark is trying a risk-adjustment payment system for cardiologists, ophthalmologists, and orthopedists in Pennsylvania. The three are its highest-cost specialties, in terms of Medicare claims dollars.... Kaiser Permanente dropped a recruiting tactic that offered 10-percent bonus pay to physicians in the early years of their practices. Though it had been alleged the bonus was tantamount to age discrimination, Kaiser says it ended the practice because it is no longer needed.... Healtheon/WebMD and HNC Software have hit on a plan that will allow physicians to file claims over the Internet for free with any payer that participates in the service.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.