Vol. 5, No. 10 October 1996

NCQA Toughens Standards
For Measuring Plans’ Quality

Health plans, take note: The National Committee for Quality Assurance will soon be “raising the bar,” pushing for more data on actual health care outcomes–partly because it, too, is being pushed.

Disease Management: The Team Approach

Disease management is a common-sense method of rationalizing care for a condition. Primary care physicians don’t mind cooperating with specialists in such programs, but they’re leery of “carve-outs.”

Round Table Discussion on Medicaid

The Medicaid market offers opportunity for managed health care plans, but it poses special challenges, too. Here’s what six health care leaders had to say about the Medicaid challenge in a recent discussion.

MSAs and Managed Care: A Mismatch?

The health reform law signed by President Clinton authorizes a pilot program of tax-free medical savings accounts. Such accounts have been touted as the antidote to HMOs, but some say they’re compatible.

The Smart Way to Enhance Online Capability

Experts say it won’t be long before all clinical data move from paper charts to electronic data bases that can be shared with payers. But that doesn’t mean medical practices must buy new computers right away.


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

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