April 1997

Heart Attack Patients Fare Better Under Cardiologists’ Care, Says Study

Workers’ compensation is attracting managed care companies because they can, more effectively than individual providers, concentrate on what’s really important to employers — getting injured workers back on the job.

Screen Patients Quickly for Workers’ Comp Fraud

The idea of teamwork pervades health care these days, and it applies in a distinct way to workers’ comp, where the physician may be expected to identify fraudulent claims. Fortunately, they’re often easy to spot.
Many large institutions, including HMOs, know the advantages of resolving disputes outside the legal system through mediation and arbitration. Physicians, too, can use these procedures to save time and money.
For the new director of the Center for Outcomes and Effectiveness Research at the federal Agency for Health Care Policy and Research, putting in one night a week as a practicing internist is a helpful reality check.

Defeat of Propositions 214 And 216: The End of Health Care Reform?

A physician considers California voters’ rejection of two managed care reform measures and what it means for the future. Change will continue, he predicts, as consumers “vote” with premium dollars rather than ballots.
Having transformed the market, pharmacy benefit management companies are now in for some shaking up themselves. More tightly controlled formularies are one possibility.
It’s one of the most thankless jobs in health care: denying a patient’s request for medical treatment. Before making such a decision, follow these steps to avoid bad-faith denials, warns an experienced medical director
When magazines like this one recommend some action to physicians as “worth the time it takes,” do you sometimes wonder where the time is supposed to come from? This article may help.

Capitation Contracts: Time for a New Attitude

As the health care market evolves, physicians will be wise to adopt new ways of dealing with managed care organizations, says this consultant, especially when it comes time to ink capitation contracts.

Departments

WASHINGTON INITIATIVES

Approach and Avoidance: Order of the Day With Medicare

COMPENSATION MONITOR

Staff doctors’ pay up 2.9% in ’96 but 1 out of 4 received no raise

ETHICS

The Dawning of the Age of Accountability

News & Commentary

Health Care Becoming a Commodity, Leading Corporate Executives Suggest


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