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MANAGED CARE October 2002. ©MediMedia USA
Vol. 11, No. 10
Cover Story
Managed care plans have been bilked to the tune of millions of dollars a year. It's time more HMOs did something about it.
Doctor, Keep Out of Harm's Way
A practice management consultant offers suggestions on how physicians can avoid being suspected of fraud against payers.
Payers Go After Inequitable Care
Employers are unhappy that differences in race, education, and income often result in unequal service, unequal quality of care.
Quality Improvement: Just Do It
There's a lot less discussion these days about how to improve an institution. Method matters less than results.
Hospitalists: A Diamond in the Rough
It's a managed care success story: Doctors who know better than anyone how to navigate inpatient care and reduce lengths of stay.
Complicated Pregnancies: 34 Weeks Enough?
A cost-model analysis finds improvements in clinical and financial outcomes when pregnancy lasts beyond 34 weeks.
DEPARTMENTS
Is the NCQA relevant?
News and Commentary
Though M+C Erosion Slows, Reimbursement Still an Issue
Health Plan Refines Effort To Tier Hospitals
NCQA Report Not Just About HEDIS Any More, Doctor
Headlines On Deadline...
Debate on mental health parity.
What's in a gift?
Locum tenens not so bad.
New department. This month: COX-2s.
Practical decision support. Is it here?
How to disclose medical errors.
Prosperity and access to insurance.