Vol. 7, No. 10 October 1998

Buy Health Insurance Like Car Insurance?

The idea is to let employees to buy their own health insurance with the help of “defined contributions” from employers. Could the system handle such a change? Do we want it to?

A Conversation With Peter I. Juhn, M.D.

The executive director of Kaiser Permanente’s Care Management Institute talks about conflicts of interest in guidelines, while predicting that purchasers will soon face the music.

Ombudsmen: Navigating The Managed Care Maze

Some plans have turned to an independent ombudsman to help dispel members’ mistrust and anger. Solutions are often simple — and cheap — and don’t put plans in a bad light.

Advances in HIV/AIDS Care Require Hard Choices

With HIV/AIDS moving from fatal to chronic, physicians with experience treating the disease are increasingly sought.

Death of a Clinic

When a 78-year-old multispecialty clinic fell on hard times and started to cut costs, physicians decided to organize. But unionization couldn’t save this group of doctors. Why not?


Editor’s Memo
Turning Back the Clock or Pushing the Envelope?

Washington Initiatives
Medicare+Choice = Slow Start; Cost, Questionable Return Cited
HCFA Predicts Health Spending To Double by 2007
Outpatient PPS Rates Slashed By 4 Percent
Thomas, DeParle Bickering About Computer Glitch
What’s New Is Old For Home-Health Agencies in U.S.
HCFA Proposes Medicare Plan Report Cards
Take as Needed….

News and Commentary
For All the HEDIS Hoopla, Employers Shrug Shoulders
Naming names: Two surveys’ ‘best’ [table]
NCQA Delays Standards for Behavioral Care
HMOs and Doctors Agree To Disagree – But Just Why?
Headlines On Deadline…

Compensation Monitor
All health care is local, but its financing is universal

State Initiatives
N.H. Governor Proposes Bill To Curb Rising HMO Complaints
Complaint Rates On Indiana’s HMOs Available Online
Minnesota Blues To Keep Proceeds From Tobacco Suit
Study: N. Carolina Cashing In On Medicaid HMOs
Pa. Internists Fight To Block Blues’ Merger
Legislating contraception coverage [chart]

Private Lives: How Much Should Doctors Account for Behavior Outside of Medicine?

Legal Forum
Stark II Wants Contribution Plan Installed Before Payment Period Begins

Managed Care Outlook
Enrollment still rising — and now, HMO count is, too

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