Vol. 9, No. 7 July 2000

Supreme Court Aside, Lawsuits Will Grow

The U.S. Supreme Court says HMOs may not be sued over financial inducements to physicians. The issue is hardly over, though; states are finding other avenues for health plan liability.

Cover Story

EMR: Putting It All on the Line … Online

Electronic medical records have been around for years. So has physician resistance. Can the Internet induce doctors to retire their paper charts — for the sake of better care?

Pharmacy Risk: Just What the HMO Ordered

Many health plans are demanding that physicians — despite past mismanagement — take pharmacy risk. It’s a good cost-control measure, and there are ways to obtain doctor buy-in.

Q&A: Lee Newcomer’s Brave New World

The former UnitedHealth official is now with an Internet startup that seeks to shift decision making from HMOs to consumers.

Use Opinion Leaders To Improve Care

A look at studies indicating that the best way for HMOs to influence practice standards is to sway influential physicians.

DEPARTMENTS

Editor’s Memo

Technology and human nature.

News and Commentary

HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously
New Protections In California Not Helping Docs
NCQA To Accredit DM Programs, HEDIS Software
Are Gatekeepers Failing To Control Specialty Costs?
Headlines on Deadline…
Bed days higher in smaller markets? Not with commercial plans [charts]

Washington Watch

Medicare+Choice = demise?

State Initiatives

Ballot drives seek universal care.

Compensation Monitor

Primary care pay seems stagnant.

Ethics

HMOs mum on hospice coverage.

Managed Care Outlook [charts]

Why patients change physicians.


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