HMOs and Alternative Medicine

Nontraditional medicine is making inroads into managed care. Patient demand has spurred most HMOs to pay for some therapies. But where should health plans draw the line?

Patient Satisfaction: The Indispensable Outcome

Sure, you give medical groups patient-satisfaction reports, but there are excellent reasons for the practices to gather their own.

Extricating Yourself From the Hospital System

HMOs aren’t the only master. Some doctors are trying to free themselves from hospitals with a different set of demands.

A Conversation with Robert L. Weinmann, M.D.

Robert L. Weinmann, M.D., head of the Union of American Physicians and Dentists, comes out fighting and encourages physicians to band together. HMOs won’t like his tone.

Don’t Let a Fee-for-Service Mind Set Distort Your Approach to Capitation

Physicians can’t weigh the capitation/fee-for-service debate without understanding insurance risk. But do they?


Editor’s Memo

News and Commentary
Medicare Commission Punts After It Agrees Only to Disagree
Risk Pays Off Under HCFA’s New Medicare Scheme
N.J. Orders HMOs To Accept HIP’s 144,000 Members
NCQA puts external appeals on accreditation to-do list
Pa. Pharmacies Sue for Better Medicaid Money
Study: HMOs Beat FFS In Diagnosing Breast Cancer
Survey: Enrollees View Docs, HMOs As One and Same
How small businesses pick health plans: Cost, access, choice rank ahead of quality [chart]
Purchasers favor health promotion [chart]
Headlines on deadline…

Washington Watch
Privacy Legislation Is on Track; Could It Derail DM Programs?

State Initiatives
New Governors in Georgia, California Push Reform, But Their Styles Contrast

Compensation Monitor
What makes a medical practice successful?

‘Real Age’ in Managed Care Means Making Prevention Treatment of Choice

Legal Forum
Don’t Be Caught Off Guard If Government Comes Calling

Managed Care Outlook
Hospital profit margins grow while length of stay decreases

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