Managed Care

 

Triple Benefit Plan, Hospitalist Pact Attract Attention

MANAGED CARE November 1998. © MediMedia USA
News and Commentary

Triple Benefit Plan, Hospitalist Pact Attract Attention

MANAGED CARE November 1998. ©1998 Stezzi Communications

Consultants say an emerging type of plan that one-ups the point-of-service option could be the wave of the future. The idea rolls a preferred-provider organization, HMO and POS plan into one. Members choose how to use benefits in exchange for differing out-of-pocket expenses. In Texas, Aetna U.S. Healthcare and Harris Methodist Health Plan are reportedly studying variations of this.

In Southern California, Permanente Medical Group and Hospitalists Inc. signed a pact that Kaiser Permanente hopes will control the cost of care for members who seek emergency treatment at non-Kaiser hospitals. Kaiser patients will be evaluated by the attending ER physician and a Hospitalists Inc. doctor about whether to treat and release, admit the patient to the non-Kaiser hospital or stabilize and transport the person to a Kaiser facility.

Meetings

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
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium 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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015