Managed Care

 

Headlines On Deadline...

MANAGED CARE December 1999. © MediMedia USA
News and Commentary

Headlines On Deadline...

MANAGED CARE December 1999. ©1999 MediMedia USA

As expected, the Department of Health and Human Services promulgated privacy regulations after Congress failed to do so itself. The regulations, which apply to providers, plans, and billing companies, restrict the release of information without patient consent and impose fines of up to $50,000 per violation. The regulations do not supersede any state laws that are more stringent. Congress is expected to debate broader privacy rules in February.... Blue Cross Blue Shield of Tennessee has threatened to drop out of TennCare, the state's Medicaid managed care program, unless the structure of the program is changed soon. The Blues want the state to absorb losses and to place limits on the program's pharmacy benefit. Loss of the Blues would mean the end of TennCare, officials say.... Transparency or identity crisis? According to a study by the Employee Benefit Research Institute, 54 percent of HMO enrollees say they've never been in a managed care plan.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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
HealthIMPACT Southeast Tampa, FL January 23, 2015