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HMOs may be trying harder, but PPOs seem less interested. Then there's the whole issue of credentialing's relationship to the licensure process.
HMOs place great stock in disease prevention, but some highly recommended services go uncovered. Plans and purchasers often don't agree on priorities.
This surgeon and Harvard scholar says better systems emerge when those who encounter problems firsthand design the improvements themselves.
MANAGED CARE PHARMACY
The authors argue that this method can enhance patient care by improving provider awareness, resulting in millions of dollars in savings.