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MANAGED CARE May 2002. ©MediMedia USA

Vol. 11, No. 5
May 2002

HIPAA's Murky Jurisdiction

Federal and state laws collide over privacy.

Cover Story

Hospital Tiers: Is Price the Only Issue?

In some plans, copayments are now related to how much a hospital charges the plan. Is there a downside?

Medicare+MoreChoice

The government plans to try out a few PPOs.

Thomas Scully's Hands Full, but Not Tied

Q&A: The head of CMS says too little has changed in 10 years.

Encounter vs. Claims Data

Claims data didn't adequately describe primary care usage.

Self-Funded HMOs Proliferate

Employers hope to save by applying this idea.

Health Plans Dispute John Q's Message

With organ transplants, it's not so simple.

DEPARTMENTS

Editor's Memo

Evaluating change.

News and Commentary

Primary Care Suffers Under M+C, Study Says
Study: Mail Order Pharmacy Keeps Growing in Popularity [chart]
House Weighs Giving Parity To Mental Health
Drug Companies Unveil Their Plan For Discount Card
Medication Labels May Soon Include Unique Bar Codes
Headlines On Deadline...

Legislation and Regulation

Coverage mandates decried, defended.

Ethics

Let psychologists prescribe -- in N.M.

Compensation Monitor

Which specialties are in demand.

Practice Improvement

Team approach helps docs practice.

Legal Forum

Plans must fight money laundering.

Outlook

Small companies burdened by benefits.