Managed Care

 

Headlines On Deadline...

MANAGED CARE October 2001. © MediMedia USA
News and Commentary

Headlines On Deadline...

MANAGED CARE October 2001. ©MediMedia USA

CMS warns that the slowing economy may force it to reduce Medicare reimbursements to hospitals and doctors.... Texas Insurance Commissioner Jose Montemayor has extracted $9 million in fines and "tens of millions of dollars" in restitution to physicians from health plans accused of not complying with Texas's prompt-payment law. In New York, meanwhile, the state medical society sued six health insurers for breach of contract, claiming that they use stalling tactics to delay payments to physicians.... Louisiana officials are putting together a bare-bones plan aimed at snaring at least some of the 34,000 state employees who do not take the state's coverage choices. Worker contributions for the low-cost plan could be as low as $50 a month.... California Gov. Gray Davis has signed SB 37, which requires health plans to cover all routine medical costs associated with a patient's involvement in clinical trials for cancer treatment.... The disabled make up 17 percent of Medicaid enrollees, but use 77 percent of its behavioral health expenditures, according to the U.S. Substance Abuse and Mental Health Services Administration.... If you want a peek at the future, get to know the name Aetna HealthFund. The insurer's new product, to be offered next year, is a combination PPO and health savings account. The savings would be used for deductibles and care not covered by the PPO. It places responsibility for health care choices on the insured — a concept that employers are giving a long look.

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