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MANAGED CARE June 2001. ©MediMedia USA

Vol. 10, No. 6
June 2001

A Giant Leap for Process Improvement?

The Business Roundtable-sponsored Leapfrog Group seeks support of HMOs that will work with it to reduce medical errors.

Cover Story

Mistrust Will Make You Pay

If physicians perceive that health plans are using guidelines as a club, your hopes of getting buy-in are slim. Give peace a chance.

Guideline Nonuse: Variation on a Theme

Physicians often are accused of ignoring guidelines. It also seems that few use the National Guidelines Clearinghouse.

Strong Evidence for Heart Drugs' Benefit

Widespread use of two medications can prevent expensive and life-threatening repeat heart attacks and strokes.

Crafting a Strategy for Care of the Dying

HMOs usually don't like to discuss end-of-life care because they fear it makes them look cold. A few plans have found a way.

Determine Consistency of UM Decisions [Abstract | Full-text PDF]

Inter-rater reliability testing is a tool for determining the degree to which UM managers are consistent with internal protocols.

DEPARTMENTS

Editor's Memo

Getting plans, HMOs to cooperate.

News and Commentary

New Cholesterol Guidelines Could Mean Higher Premiums
Study Challenges Life Expectancy's Link To Disability
Nobody's perfect, but who has to know? [chart]
Physicians Urged To Tell Patients: 'Change Behavior'
Few Seem To Use POS Option To Go Out of Network
Bush Takes Sides On Patient Rights: Limited Liability
Headlines On Deadline...

Washington Watch

Conforming to privacy laws.

State Initiatives

Problem with prompt-payment laws.

Compensation Monitor

Incentives make the difference.

Systems and Software

Here comes the digital hospital.

Ethics

Risk of going online worth it.

Outlook

Quality in eye of beholder.

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