Managed Care

 

Headlines On Deadline...

MANAGED CARE March 1999. © MediMedia USA
News and Commentary

Headlines On Deadline...

MANAGED CARE March 1999. ©1999 Stezzi Communications

For the first time, the share of workers with employer-sponsored coverage who are enrolled in HMOs or point-of-service plans is falling, according to a William M. Mercer Inc. survey. Half of all covered employees in 1997 were enrolled in HMOs or POS plans, but that dropped to 47 percent last year. PPOs' share, meanwhile, grew from 35 to 40 percent.... Another first: Inpatient days per 1,000 HMO enrollees increased in 1997 to 255, up from 246 in 1996, says Maryland-based HCIA Inc.... HMOs will fund patient care in some National Institutes of Health-sponsored clinical trials, under an agreement brokered by NIH and the American Association of Health Plans.... The Health Care Financing Administration will now give Medicare beneficiaries specific reasons for denials of claims. No longer will HCFA use the term "not medically necessary." ... The California Medical Association sued FPA Medical Management, alleging breach of fiduciary duty. CMA says the bankrupt PPM owes physicians millions in unpaid claims.... The New Mexico Medical Society is trying to figure out what to do about physicians deserting the state, attracted to bigger paychecks in Texas. The AMA says New Mexico lost an average of 27 physicians a month in 1998, up from 18 per month in 1997.

Meetings

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