Vol. 6, No. 10
Combined managed health and dental coverage could save expenses for employers and improve care. But neither employers nor traditional HMOs have shown much interest in such packaged plans
Health care reform isn't dead; it just comes in 50 different flavors now as state laws proliferate. But, happily for HMOs, even some state legislators are starting to realize they can't micromanage all of medicine.
Beware: If you hire unqualified people, your practice could be in danger. Administering a few tests appropriate to the job can help you screen out applicants who lack the skills needed to help you succeed.
For New Mexico's renowned Lovelace Health Systems, a fortuitous partnership with a disease management vendor has made it possible to develop programs in 17 clinical areas without crippling costs.
Why should a single employer invest so much in improving managed care quality? Xerox's benefits managerwho also sits on a key NCQA panelsets examples that encourage and reward quality health plans.
Managed care take a bite out of fraud? Hardly. It has merely changed the techniques of stealing. But tighter federal and private enforcement are unmasking an unlikely criminal class: the medical community.
Health plans that are complacent about the "Year 2000" problem are courting trouble. Without the needed software or hardware upgrades, patient recordsand even patient carecan be thrown into chaos.
Managing Editor's Memo 8
News and Commentary 9
Washington Initiatives 20
Compensation Monitor 22
State Initiatives 25
Legal Forum 80
Employer Update 84
Managed Care Outlook 86