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Supplement to Managed Care: Ulcerative Colitis: The Value of Persistence in Therapy Free download |
Vol. 13, No. 8
August 2004
What's HMO's middle name? Maintenance. Mostly, the HMO promise is unfulfilled, but a growing body of evidence suggests great benefit from keeping healthy people healthy, rather than waiting for them to develop avoidable conditions.
Although formularies with several levels are here to stay, recent studies suggest that they still need considerable refinement. Compliance suffers when out-of-pocket costs rise. There is a point where enrollees decide they'd rather do without.
That's the NCQA Team at the Door
And you have to let them in. But this need not be a crisis. There are ways to make the accreditation process less painful and more successful. Don't let all that effort and money go to waste.
Hiring, Firing, and the In-Between
Physicians who move into management find that there are some tough decisions waiting for them. Just how do you hire and avoid having to fire?
In everyone's interest.
The challenges of specialty pharmacy.
News and Commentary
Computer Game Simulates Coverage and Outcomes
Narrow Path Offered for Specialty Care
Humana Thinks Premium Cap Sets Plan Apart
25% of provider calls now automated [chart]
Anthem Bids To Help Maine Cover Uninsured
MCOs, drug manufacturers have lots of PR work to do [chart]
Headlines On Deadline ...
Lawyers are patients too.
Frist makes case for "Healthy Mae."
Medicaid fees are on the rise.
Contraceptive coverage widens.
Leapfrog wants you to share info.
Promoting compliance.
Biochips are here.
Medical debt hinders access.