MANAGED CARE February 2006. ©MediMedia USA
Vol. 15, No. 2
February 2006
Cover Story
The initial enrollment problem was caused by understaffing at plans and poor data transfer between CMS and insurers. Next comes compliance with fraud and abuse regulations.
Controlling Pregnancy and Birth Costs
It's no secret that this is one of the most expensive areas in health care. Fortunately, many management programs are being implemented and are worth a look.
What's Behind the Latest Mergers?
There is nothing new about mergers in the managed care industry. However, there are indications that the interests of large employers have encouraged the recent consolidation.
About 12,000 physicians practice hospital medicine, making it the fastest growing medical specialty. Health plans benefit considerably, at little or no cost to them.
2 Reports Criticize CDHC Designs
Two studies — one by the Employee Benefit Research Institute, the other by the Zitter Group — suggest that CDHPs might not be the answer to ever-rising costs.
DEPARTMENTS
Remember Harry and Louise?
Managed care fizzles as a political issue.
News and Commentary
Medicare given too much credit?
Managed care offered to more Medicaid enrollees
How to limit polypharmacy.
Good news for CMOs.
VA's drug prices vs. Medicare's.
Arthritis breakthroughs worth the cost.
Putting prices out there for all to see.
blog comments powered by DisqusIT investment expected to soar.
