October 1998

Ombudsmen: Navigating The Managed Care Maze

Though the common perception is “consumer advocate,” an ombudsman can help doctors and health plans get to the bottom of members’ problems.

Charles Downey

A simple idea with huge implications: Let employees purchase their own health insurance with the help of “defined contributions” from employers.

Frank Diamond

The executive director of Kaiser’s Care Management Institute says guidelines have a place in every HMO, but there’s more to care than that.
For many, HIV/AIDS can now be a chronic, not necessarily fatal, disease. But some plans don’t provide optimum drug therapy and care by experts.

Jean Lawrence

Relations were already poisoned by the time a PPM had bought a thriving group. But where things started to go downhill is a matter of conjecture.

Bob Carlson

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