Managed Care

 

 

December 1997

Medication-related health problems afflict many patients and waste billions of dollars in treatment. Consultant pharmacists say they can help, and now have figures to back up their claim.
Michael D. Dalzell
Responding to market pressures, many health plans are easing the referral process or eliminating it altogether. Will this trend result in higher costs and poorer medicine?
By Jean Lawrence
Some say it's too bad the managed care industry can't get together on a single accrediting and quality-rating agency for health plans. But the Joint Commission's president says it may actually be a blessing.
Last summer the American Diabetes Association proposed stronger screening guidelines months before the CDC reported the disease at an all-time high. Now managed care must decide whether to follow through.
Contributing editor Chuck Appleby is based in Benicia, Calif. Among his previous articles for Managed Care are "Labor Unions for Doctors" in September 1996 and "Helping Doctors Listen Better" in December 1996.
Whether they are $2 or $10 or nothing, HMO copayment amounts aren't just picked out of thin air. Because so much — from utilization rates to physician revenue — is at stake, setting copayments is a complicated process.
Michael D. Dalzell

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
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
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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