January 1998

Grow Your Own Medical Management Software?

Writing software that will do what you want easily is no simple task. A southeastern Virginia health system has devised an apparently effective program to track diagnoses, outcomes and care procedures.
Physician practice management companies are becoming more powerful — they’re the “next big thing” in the field of managed care. PPMs seem to make good partners for managed care companies, but might they also be treading on health plans’ turf?

PPMs: Are They Beauties… Or Are They Beasts?

Ever want to get past the hype and ask a physician practice management company what makes it right — or not right — for you? Managed Care invited two experts to a freewheeling discussion.

Parity for Behavioral Health: Will Change Be for the Better?

Time is up for health plans to comply with the federal Mental Health Parity Act, which took effect Jan. 1. Will the spirit of the law really be felt in its implementation?

A Conversation with Catherine Kunkle

Businesses create coalitions to improve leverage on health plans’ prices and policies. The head of a coalition of coalitions talks about what these groups are looking for and why they feel they need to work together.

Departments

EDITOR’S MEMO

Balancing Act: Plans and Promises for ’98

STATE INITIATIVES

Managed Care Reform Hot Topic Nationwide; Maryland, Virginia Consider Appeals Rights

STATE INITIATIVES

42% in California Have Gripes With Health Plans

STATE INITIATIVES

N.C. Physicians Fight For-Profit Takeovers

STATE INITIATIVES

N.Y. Pharmacists Seek Limited Prescribing Rights

STATE INITIATIVES

Pa. Would Bar Inducements To Withhold Care

STATE INITIATIVES

Managed Care Reform Hot Topic Nationwide; Maryland, Virginia Consider Appeals Rights

STATE INITIATIVES

Wisconsin Bills Aim at Denials Of Coverage

WASHINGTON INITIATIVES

Take as Needed…

WASHINGTON INITIATIVES

Democrats Ready To Turn Their Guns On Medicare Fraud

WASHINGTON INITIATIVES

HCFA Considers PSO Medicare Solvency Rules

WASHINGTON INITIATIVES

Will There Be More Medicare House Calls?

WASHINGTON INITIATIVES

HMOs Provide Less Home Care Than FFS Plans

ETHICS

Patient Autonomy in Managed Care: What Are the Choices for Physicians?

MANAGED CARE OUTLOOK

Reality check: What members say about managed care and regulation

News & Commentary

Aetna, AMA Row Over Florida Contracts; HMO Faces Legal Trouble in Rhode Island

Analysts See Premium Hikes Lying in Wait

Doctors’ Oath, Managed Care Are a Good Fit

More red ink than black


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