April 1998

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Employers Interested In Disease Management — If It Brings a Return

The camera never lies, goes the adage. A growing number of physicians and health care providers are using that bit of wisdom to cut costs while making patients’ lives better.
The proliferation of clinical practice guidelines gives health plans plenty of models for developing their own. Which guidelines are better than others can depend on their creators’ methods and motives.

Bailing Out of Medicaid Managed Care Programs

Health plan officials complain about a double whammy: low rates and high costs. Are hospital- and community health center-based plans going to be the only ones left?

On the Record: Congress Debates Managed Care Reform

Congress is weighing more than 50 managed care reform bills. Here are summaries of three leading bills, and their sponsors’ arguments for them.
A review of the AMA’s model managed care contract shows an attempt to get the health plan out of the driver’s seat — or at least to share the controls

Departments

EDITOR’S MEMO

Great Taste or Less Filling? Guidelines Have Their Uses

WASHINGTON INITIATIVES

Medicare Commission Begins Work — Could Overhaul of System Be Next?

WASHINGTON INITIATIVES

Norwood and Gingrich Butt On Reform Pace

WASHINGTON INITIATIVES

Take as Needed…

WASHINGTON INITIATIVES

Two Agencies: Don’t Change Antitrust Laws

STATE INITIATIVES

Terms of California Reform Debate Clearer as Sides Develop Want Lists

STATE INITIATIVES

Georgia Weighs HMO Malpractice Liability, Mandates

STATE INITIATIVES

Kentucky: Slowing Managed Medicaid Conversion Down?

STATE INITIATIVES
STATE INITIATIVES

Terms of California Reform Debate Clearer as Sides Develop Want Lists

STATE INITIATIVES
WASHINGTON INITIATIVES

Medicare Commission Begins Work — Could Overhaul of System Be Next?

WASHINGTON INITIATIVES

Clinton Orders ‘Bill of Rights’ In U.S. Programs

WASHINGTON INITIATIVES

HCFA Moves Up Report Deadline; AAHP Burns

WASHINGTON INITIATIVES

HHS Contractors To Ratchet Up Antifraud Activity

EMPLOYER UPDATE
PRACTICE GUIDELINES

CDC Enlists Clinical Advances in Battle Against Sexually Transmitted Diseases

LEGAL FORUM

Protect Against Outliers That Destroy Your Profitability Under a Contract

ETHICS
MANAGED CARE OUTLOOK

Benefits drive consumers when they pick plans

News & Commentary

Oxford Drops Medicaid in 2 States While Its Legal Troubles Deepen

AMA Is Top Lobby; Other Health Care Groups Spend Big

Confidence In For-Profits Is Eroding

Falling stocks pull trust down with them

Headlines At Deadline…

Insurer’s Use Of Not-for-Profit Assets Questioned

Managing capitation risk

Michigan Battle About Transplant Coverage Ends

New York Blues To Send Denials To External Review

Oxford Drops Medicaid in 2 States While Its Legal Troubles Deepen