For many, HIV/AIDS can now be a chronic, not necessarily fatal, disease. But some plans don't provide optimum drug therapy and care by experts.
Though the common perception is "consumer advocate," an ombudsman can help doctors and health plans get to the bottom of members' problems.
A simple idea with huge implications: Let employees purchase their own health insurance with the help of "defined contributions" from employers.
The executive director of Kaiser's Care Management Institute says guidelines have a place in every HMO, but there's more to care than that.
Relations were already poisoned by the time a PPM had bought a thriving group. But where things started to go downhill is a matter of conjecture.