The first comparative report of health plan performance produces surprising revelations — and a starting point for assessing a plan's quality. But some people caution not to read too much into the numbers alone.
It didn't take a seer to predict that states would try managed care on their costliest health mandate. But only a seer today can be sure whether physicians will be able to live with Medicaid risk contracts.
Zeneca Pharmaceuticals convened a roundtable of five experts in August to discuss the transformation of Medicare into a more flexible, multi-option system that loosens restrictions on physicians. They paid particular attention to the changes just enacted in the Tax Reform Act of 1997.
Way back when, credentialing was something done only by hospitals. Now, nearly every health plan must do a check on every physician. The AMA has a plan to lighten the burden. But will it work for all parties?