Managed Care

 

Ease of navigating system varies by condition

MANAGED CARE December 2000. © MediMedia USA
Managed Care Outlook

Ease of navigating system varies by condition

MANAGED CARE December 2000. ©2000 MediMedia USA





















Do patients with differing conditions have different experiences within the health care system? A sampling of California patients suggests that they do. The Health Rights Hotline, a Sacramento-area organization that provides information about and assistance with the health care system, found common threads among patients with diabetes, cancer, mental health, and respiratory as well as other conditions. The data reflect the nature of 3,600 calls to the hot line over a two-year period. The group hopes its report will serve as a tool for policy makers considering appropriate health care reforms.

Nature of problem*...

...reported by percentages of patients with:

*Access issues include unaffordable premiums/copayments or not knowing what to do when ineligible for public programs. Delays are for referrals to specialists or appointments for diagnostic tests. Denials/coverage disputes involve needed medical supplies, equipment, or treatment. Inappropriate care encompasses failure of primary care physicians to recognize symptoms or to order appropriate diagnostic tests. Prescription drug issues include off-formulary products or, in the case of mental illness, difficulty getting appointments with physicians for medication monitoring or to obtain refills.

SOURCE: WHEN WHAT'S AILING YOU ISN'T ONLY YOUR HEALTH, HEALTH RIGHTS HOTLINE, SACRAMENTO, CALIF., 2000

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