Despite popular belief, managed care is not fraud-proof. Every $1 that health plans spend to set up special investigation units could result in $7 recovered.
Having employer-sponsored benefits does not guarantee good service. Differences in race, education, and income are also factors.
Leading-edge health plans and medical delivery systems are shelving their diverse interests in search of common methods of betterment.
These physicians have been on the job for several years, and evidence is mounting that they are one of the HMO industry's real success stories.
J. Stephen Jones, MD ; Niki B. Istwan, RN ; Debbie Jacques, MPH ; Suzanne K. Coleman, MSc ; Gary Stanziano, MD
John A. Marcille
Legislation & Regulation
Michael S. Victoroff, MD
The Formulary Files
Systems & Software
Joyce Ochs, MBA
Pamela L. Popp, MA, JD
Managed Care Outlook