Vol. 5, No. 4 April 1996

Is It Time To Revamp The Gatekeeper System?

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.

One Physician’s Call for A Better Approach

“Gatekeeping” physicians should function as true integrators of care, not simply as limiters of access, argues this resident and consultant.

The Compliance Challenge In Treating Helicobacter Pylori

It’s all well and good to know that H. Pylori causes peptic ulcer disease. But putting this knowledge to work curing ulcers–and saving money in the process–means making sure the patient actually takes the pills.

Lawyers Recall ‘Crazy’ HMO Contract Clauses

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.

‘Any Willing Provider’: A Toothless Tiger?

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.


Managing Editor’s Memo
News and Commentary
Washington Initiatives
Compensation Monitor
Employer Update
Legal Forum
Managed Care Outlook

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