Careful interpretation required: Health plans operating in multiple states have a challenge sorting out where the federal law trumps state statutes.
High daily copayments for high-priced hospitals are coming into fashion. It's all about shifting costs, but what about quality of care?
The government offers financial incentives that include $100,000 in seed money, risk-sharing deals, and higher payment rates.
In a candid, wide-ranging interview, the CMS administrator counsels patience in solving the myriad problems of health care. A fix could take 20 years.
Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk.
Simplistic, for sure. But a movie pitting a man with modest income against the big bad managed care plan has drawn attention to the enormous cost of transplants and the difficulty of matching organs and recipients.
John A. Marcille
Legislation & Regulation
Michael S. Victoroff, MD
Managed Care Outlook