Managed Care



February 1998

At first glance, the '98 HEDIS looks a lot like the '97 model. But lift the hood and you'll find that NCQA re-engineered HEDIS to give better performance, thanks to improved data-collection techniques.
Michael D. Dalzell
By March 2, hospitals and long-term care organizations must inform the Joint Commission which clinical outcomes they will measure. The plan telegraphs a change in accreditation standards that few care to predict.
Jean Lawrence
Reinsurance, once a sleepy part of managed care, is changing. Provider stop-loss is where much of the actions is, but health plans are also affected.
Peter S. Wehrwein
A doctor trained in informatics argues that managed care must borrow the principles of accounting to appraise more realistically the costs of medical interventions.
As pharmacists expand their patient care roles, health plans and physicians differ in their responses. Both have sound arguments.
Michael Levin-Epstein
Most HMOs now have programs to manage and track their asthmatic patients. But are patients really getting better? Look around: Some programs are reporting measurable progress.
Jean Lawrence
Broadcast and printed stories are still mostly neutral, but those with a spin are now more negative than positive.
Michael Levin-Epstein
Lose data stored on a hard drive and your practice will suffer for months. It's a real threat, so head off catastrophe with backup disks, tapes and systems — before it's too late!
Anne Bilodeau Zieger

Washington Initiatives
Washington Initiatives


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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015