Managed Care



July 1997

Behavioral health care organizations, argues this administrator, are being monitored to death. He suggests that a set of ground rules be applied to avoid duplication and ensure fairness to all parties.
Terry L. Stawar, Ed.D.
A few years ago, experts predicted that HMOs would be lining up exclusive "teams" of primary care physicians, specialists and hospitals. Today they don't agree whether that prophecy was wrong or has simply been delayed.
Jean Lawrence
The momentum in managed care has shifted to for-profit plans, but don't count out not-for-profits, particularly these three innovative and — for many enrollees — beloved HMOs. They aren't resting on their laurels.
Bob Carlson
This noted internist and lifelong Angeleno has nothing against the art of medicine. He just wants to complement it with the most rigorous science available.
Even with hospital money and PPO experience behind you, getting a new HMO started is a daunting proposition. Here's the step-by-step story of how one Louisiana health plan took the plunge.
Peter Wehrwein
In police lingo, 'SWAT' stands for Special Weapons And Tactics. It's an apt metaphor for the team of workers a physician's office can assign to Solve Worrisome Account Troubles.
Jeffrey J. Denning
If Congress tightens the belt on Medicare HMOs, it could slow the march of elderly Americans into managed care, creating complications for physicians. But that march won't be stopped.


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