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The Communications Job That Goes With the ‘Gate’
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 — means making sure the patient actually takes the pills.
Managed care owes much of its financial success to the “gatekeeper” system. But some health plans are tinkering with that model in hopes of providing care even more cost-effectively.
Anne Bilodeau
The “gatekeeper” model for controlling health care utilization is inherently flawed, argues this physician, who says substituting a more flexible system could save money as well as improving health care.
Five Lawyers Recall: ‘The Craziest HMO Contract Clause I’ve Seen’
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. Watch out for clauses like these.
Deborah Epstein
Friends and foes of “any-willing-provider” legislation don’t line up as predictably as they once did. And even in the states that have enacted such laws applying to physicians, AWP is turning out to be a less ferocious beast than its backers had hoped.
Departments
EMPLOYER UPDATE
Preventive Medicine Rides the Rails on the Far-flung Union Pacific
WASHINGTON INITIATIVES
Governors’ Medicaid Plan Draws Powerful Enemies in a Hurry
COMPENSATION MONITOR
Managed care and revenue in single-specialty groups
LEGAL FORUM
When Structuring Contracts, Don’t Forget About State Laws
MANAGED CARE OUTLOOK
IPA models predominate among newer HMOs
News & Commentary
Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.