COVER STORY
PPOs: A Better Brand of Managed Care?
For the first time, HMOs are losing market share to PPOs. But costs and accountability will challenge PPOs’ staying power.
Diverse Populations Offer Plans Chance To Do Good — and Well
Health plans can do well by doing good, if they know how to create programs that best serve the needs of minority members.
Antifraud Push Means Plans Need To Focus on Compliance
Legislators and enforcement agencies are seeking to put the burden of preventing and detecting fraud and abuse on plans.
The Inevitability of E-commerce
When it’s perfected, it should mean lowered costs and fewer hassles. But one expert advises against waiting for perfection.
A Conversation With Donald Berwick, M.D.
The low-key head of the Institute for Healthcare Improvement calls for nothing short of a revolution in the business of medicine.
DM’s Motivation Factor Can Skew Study Results
Too often, the studies that disease management vendors use to sell their programs are seriously flawed. Here’s what to look for.
DEPARTMENTS
Editor’s Memo
Managed Care’s Makeover: Can PPOs Handle the Task?
State Initiatives
As All-Products Clauses Spread, Physicians Make Tough Choices
News and Commentary
Increased Attention Given Growing Rolls of Uninsured
Texas HMOs Told To Get Profitable Or Risk Closure
CalPERS Accepts Average Rate Hike Of Nearly 10%
Kaiser, Oxford See Quarterly Gains; 1st Since 1997
TennCare’s Chief Says Fraud Threatens To Sink Program
Headlines on Deadline…
By the Numbers
Spending drops on behavioral health benefits, but the decline in share of total coverage halts [charts]
Women’s health: Not enough strides [charts]
Washington Watch
GAO Report on Medicare Pullout Outrages Many in HMO Industry
Compensation Monitor [charts]
Study shatters big myth about primary care compensation
Ethics
Is Taking a Class in Ethics Cruel, Unusual Punishment?
Legal Forum
Contract Talks Are Like Dating: Ask Those Important Questions
Managed Care Outlook [charts]
When medical necessity is disputed
Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.