|Vol. 5, No. 4
Managed care owes much of its financial success to the use of primary care physicians as "gatekeepers" controlling access to specialists and referrals. But some now think the system is too blunt an instrument.
"Gatekeeping" physicians should function as true integrators of care, not simply as limiters of access, argues this resident and consultant.
It's all well and good to know that H. Pylori causes peptic ulcer disease. But putting this knowledge to work curing ulcersand saving money in the processmeans making sure the patient actually takes the pills.
In drawing up contracts, HMOs aren't shy about asking for terms favorable to themselves. Here, five health care attorneys discuss the most outrageous HMO demands they've encountered.
Friends and foes of "any willing provider" legislation don't line up as predictably as they once did. In states that have enacted laws, AWP is turning out to be a less ferocious beast than its backers had hoped.