http://managedhealthcareexecutive.modernmedicine.com/mhe Managed Healthcare Executive Online offers insight to healthcare
 providers, executive officers and management specialists to help them
 contain costs and improve the quality of health care. 2009-07-04T00:26:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/State+Report/State-Report-Indiana/ArticleStandard/Article/detail/607977?ref=25 Commonwealth Fund State Performance Ranking (2007): 38 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607977null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health%2FDisease+Strategy/MS-presents-cost-containment-struggle-for-health-p/ArticleStandard/Article/detail/607976?ref=25 While drug therapies offer hope, they come with a an increasing price tag, rising 16.5% annually over the past five years. Most agree management is needed. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607976null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Thought+Leadership/Paperless-Oncology/ArticleStandard/Article/detail/607964?ref=25 The Cancer Treatment Centers of America adds all-digital care delivery to its list of differentiating, marketable features 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607964/ExecutiveProfile2_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Drug+Class+Overview/Inhaled-corticosteroids-are-first-line-control-for/ArticleStandard/Article/detail/607978?ref=25 Inhaled corticosteroids best for asthma control, while SABAs are best for immediate relief of acute symptoms 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607978null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/Network-docs-must-hear-your-message-above-the-nois/ArticleStandard/Article/detail/607971?ref=25 Good old focus groups and face-to-face meetings with docs are best, but they are open to newsletters and social media for interacting with plans. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607971null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Letter+of+the+Law/False-Claims-Act-expanded-under-FERA/ArticleStandard/Article/detail/607980?ref=25 Significant changes extend liability and add a new definition of the word 'obligation' for reverse false claims. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607980null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/EMRs-prompt-electronic-discovery-in-litigation/ArticleStandard/Article/detail/607981?ref=25 Lawyers are not expected to be technology experts, but they must be able to understand where relevant data exists and what steps must be taken to satisfy preservation and discovery obligations 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607981null DOC http://managedhealthcareexecutive.modernmedicine.com/mhe/Special+Report/The-Age-of-Alzheimers/ArticleStandard/Article/detail/607979?ref=25 The rise in Alzheimer's patients means more costs associated with this mysterious, prevalent disease. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607979/SpecialReport_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Medicare-payment-system-faces-overhaul/ArticleStandard/Article/detail/607969?ref=25 Private insurers might need to offer parallel incentives for the accountable care organization model to have critical mass in paying for quality 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607969null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Policy+%26+Regulation/New-taxes-pay-for-reform/ArticleStandard/Article/detail/607972?ref=25 Sin taxes and taxes on benefits could raise a portion of the $1 trillion we need 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607972null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/Enhance-Drug-Safety-with-DNA-Based-Diagnostics/ArticleStandard/Article/detail/607975?ref=25 It is expected that among the first applications of genomic technologies to minimize ADRs and enhance drug compliance will be in drug classes that represent some of the most widely prescribed treatments. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607975null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Research+Briefs/Research-Briefs-July-2009/ArticleStandard/Article/detail/607965?ref=25 Digest of the latest reports and research 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607965null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/Build-hospitals-for-less/ArticleStandard/Article/detail/607974?ref=25 Get new hospitals to market faster while saving money using a hospital template that replicates an approved design many times. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607974null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/For+Your+Benefit/After-reforms-patients-will-come-out-of-the-woodwo/ArticleStandard/Article/detail/607968?ref=25 If Massachusetts is any indication, get ready for long wait times, doctors refusing new patients, high costs of unmanaged conditions and the blindsiding of America 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607968null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/HIPAA/Gender-based-premiums-eyed-in-individual-market/ArticleStandard/Article/detail/607966?ref=25 Advocates argue against gender rating while industry offers mixed ideas on how to underwrite women in the individual market. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607966null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Member+service/Use-everyday-technology-to-nudge-members-toward-go/ArticleStandard/Article/detail/607970?ref=25 Evaluate technology devices that your members use to determine the best ways to reach them with health outreach, enrollment, hot transfer and care coordination 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607970null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Managed+Care+Outlook/No-free-lunch-in-Singapore/ArticleStandard/Article/detail/607973?ref=25 This island state covers all and still only spends 3.7% of GDP on healthcare. Personal responsibility and friendly competition keep the market on track. 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607973null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Medicare%2FMedicaid+products/Thriving-MTM-programs-target-outreach-coordinate-c/ArticleStandard/Article/detail/607967?ref=25 MTM changes for Part D include more lenient eligibility requirements and targeted medication reviews to assess utilization patterns 2009-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272009/607967null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Plans-fight-childhood-obesity/ArticleStandard/Article/detail/602988?ref=25 Communicating a culture of wellness and a supported program for members and families can help overcome childhood obesity. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/602988null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Industry-eyes-biologics/ArticleStandard/Article/detail/603043?ref=25 The aging population and the huge unmet needs are fueling the focus on biologics, according to a new report from PricewaterhouseCoopers (PwC). 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603043null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Pharma-on-offense/ArticleStandard/Article/detail/603041?ref=25 In the wake of healthcare reform, pharmaceutical executives help take charge. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603041null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Poor-communities-have-22-higher-hospitalizations/ArticleStandard/Article/detail/603038?ref=25 Despite national efforts to eliminate healthcare disparities, the poor have higher hospital admissions rates for conditions such as diabetes and asthma. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603038null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Wal-Mart-programs-may-indicate-shift/ArticleStandard/Article/detail/602983?ref=25 Wal-Mart pharmacy programs has industry rethinking benefit approaches. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/602983null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Women-missing-from-executive-suite/ArticleStandard/Article/detail/603007?ref=25 Women aren't making it to high levels in healthcare, so executives must review their succession plan and create an engaging culture. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603007null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Independence-Blue-increases-premiums/ArticleStandard/Article/detail/602980?ref=25 Independence Blue Cross premium increases illustrates the need for individual mandates and finding a way to level out risk pools. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/602980null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Retail-clinics-can-share-info/ArticleStandard/Article/detail/602989?ref=25 Providers would like access to patient data beyond their own EMRs from retail clinics. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/602989null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Early-details-pitch-public-plan-as-co-op/ArticleStandard/Article/detail/603463?ref=25 A proposal by Senator Kent Conrad (D-N.D), to establish member-run healthcare ?co-operatives? is gaining attention. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603463null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Employers-confidence-in-benefits-slipping/ArticleStandard/Article/detail/603033?ref=25 Employers still confident that they will be offering healthcare benefits a decade from now, but economic downturn and talk of healthcare reform shakes it. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603033null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Drug-benefit-cost-shift-reaches-its-limit/ArticleStandard/Article/detail/603045?ref=25 While evidence-based plan designs are still evolving, they are improving health outcomes, say experts 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603045null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Oral-cancer-drugs-warrant-equal-coverage/ArticleStandard/Article/detail/603012?ref=25 The disparity in coverage between oral and IV chemotherapy medication is a critical issue for patients and is being debated at the national and federal levels. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603012null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Blues-promote-cost-transparency/ArticleStandard/Article/detail/603040?ref=25 Five Blues plans collaborate to provide online, consumer-friendly healthcare cost information. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603040null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Vision-programs-contribute-to-overall-health/ArticleStandard/Article/detail/603004?ref=25 Executives are recognizing the importance of vision care and its contribution to overall health. 2009-06-12T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242009/603004null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Hospitals+%26+Providers+Strategy/Pay-claims-now-or-pay-later-with-dissatisfied-memb/ArticleStandard/Article/detail/601158?ref=25 Shifts in benefit design may have providers commiserating more with members about your payment practices 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601158null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Research+Briefs/Research-Briefs-June-2009/ArticleStandard/Article/detail/601149?ref=25 Summaries of recent research 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601149null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Rotating+Feature/The-Public-Plan-Option-Is-It-Dead-Yet/ArticleStandard/Article/detail/601153?ref=25 House and Senate leaders included a public plan in initial legislative framework, but few believe the policy holds a cure for healthcare 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601153/mhe0609Special_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/Objective-measures-define-EMR-adoption-levels/ArticleStandard/Article/detail/601154?ref=25 Providers jockey for the stimulus funds for the adoption of EMRs, few hospitals get beyond half-way through the EMR adoption stages. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601154null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/Adapt-to-changes-with-automation/ArticleStandard/Article/detail/601151?ref=25 Because healthcare is constantly in flux, organizations must have the agility to adapt and respond to continuously changing market conditions 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601151null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Medicare-insolvency-due-to-high-MA-payments/ArticleStandard/Article/detail/601156?ref=25 Private fee-for-service plans are under scruntiny as perhaps being partly responsible for skyrocketing Medicare expenditures. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601156null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/Leverage-clinical-decision-support/ArticleStandard/Article/detail/601165?ref=25 Empowering consumers with clinical knowledge assists in the delivery of safer, more efficient care that offers higher-quality outcomes. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601165null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Coverage-mandates-for-autism-debated-at-state-fede/ArticleStandard/Article/detail/601164?ref=25 At the heart of the debate are therapies that insurers consider educational in nature, and therefore, do not warrant health-benefit coverage 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601164null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Insurers-pledge-to-cut-spending-growth/ArticleStandard/Article/detail/601162?ref=25 Providers, plans and pharma companies promise to produce savings through tried and true methods, but skeptics doubt they'll make any sacrifices 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601162null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/EMRs-not-enough-Technology-changes-the-paradigm/ArticleStandard/Article/detail/601152?ref=25 Most projected models make the assumption that the EHR industry will continue as it has evolved to-date, with very expensive, proprietary, locally-installed client-server systems. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601152null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Drug+costs/Pharmacy-benefit-has-practical-advantages-for-spec/ArticleStandard/Article/detail/601163?ref=25 Utilization management will play a larger role, and a separate benefit will emerge specifically to manage high-cost specialty drugs 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601163null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/For+Your+Benefit/Spending-grew-74-from-2008-to-2009/ArticleStandard/Article/detail/601150?ref=25 Industry and members have two different perceptions about what they are paying for medical and pharmacy costs. It's your job to educate members about comparative effectiveness. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601150null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Policy+%26+Regulation/Insurers-pledge-to-back-health-system-reforms/ArticleStandard/Article/detail/601155?ref=25 Major concessions aim to dilute support for other, more onerous regulations 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601155null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Competition/Recession-hits-managed-care/ArticleStandard/Article/detail/601166?ref=25 Rethink benefit options and watch for new consolidations in your local provider market 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601166null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Managed+Care+Outlook/Medicare-could-benefit-from-radiology-management/ArticleStandard/Article/detail/601161?ref=25 A GAO report said Medicare spent $14 billion in five years on radiology. RBM could help reduce those costs. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601161null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/Its-time-for-a-new-model-of-health-management/ArticleStandard/Article/detail/601157?ref=25 A new personal health support model is emerging, a model that more accurately describes what we are able to do with individuals within the population. 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601157null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/State+Report/State-Report-Nevada/ArticleStandard/Article/detail/601159?ref=25 Commonwealth Fund State Performance Ranking (2007): 6 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601159null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Letter+of+the+Law/Mental-health-legislation-in-effect-for-most-in-20/ArticleStandard/Article/detail/601160?ref=25 Financial considerations, treatment offerings and networks must be comparable to medical benefits 2009-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/232009/601160null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Personalized-medicine-popular/ArticleStandard/Article/detail/597403?ref=25 For personalized therapies to be incorporated into a plan's coverage, a commercially insured enrollee would need to stay with the plan for many years, as more expensive therapies require longer member retention to break even, according to Deloitte. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597403null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Sebelius-confirmed/ArticleStandard/Article/detail/597327?ref=25 Kansas Governor Kathleen Sebelius is confirmed as HHS Secretary. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597327null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Stop-gap-care-needed-during-recession/ArticleStandard/Article/detail/597387?ref=25 As more Americans postpone healthcare due to the recession, Managed care executives need to get out in front of this issue now to start thinking about ways to provide monitoring and stop-gap care for those who need it most. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597387null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Swine-flu-response-grows/ArticleStandard/Article/detail/597326?ref=25 Health plan industry keeps stakeholders informed in the midst of the swine flu outbreak. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597326null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Benefits-for-same-sex-partners-debated/ArticleStandard/Article/detail/597378?ref=25 Federal government lags when it comes to domestic partners' equal treatment in benefit, but states make progress. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597378null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Washington-needs-focus-on-PHRs/ArticleStandard/Article/detail/597331?ref=25 New federal health IT leaders need to focus more on personal health records, says one expert. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597331null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Short-term-insurance-popular/ArticleStandard/Article/detail/597394?ref=25 Individual, or short-term insurance is on the rise as more Americans face transitions due to difficult economic times. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597394null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Hospital-quality-not-up-to-par/ArticleStandard/Article/detail/597371?ref=25 CPOE has received attention to reduce medication errors and adverse drug reactions, but adoption has been slow, according to data from the 2008 Leapfrog Hospital Survey. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597371null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Health-Net-reviews-businesses/ArticleStandard/Article/detail/597415?ref=25 Analysts speculate Health Net will sell off businesses in key states where it's not the market leader. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597415null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Red-flags-rules/ArticleStandard/Article/detail/597329?ref=25 FTC's August 1 enforcement of Red Flags rules to reduce identity theft requires healthcare providers to have written policies on how they will respond to the "red flags" of identity theft. 2009-05-15T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192009/597329null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health%2FDisease+Strategy/Occupational-therapy-has-broad-application/ArticleStandard/Article/detail/595826?ref=25 With its roots in psychiatric care, today's occupational therapy practitioners tackle myriad conditions while serving a mix of patients 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595826null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Policy+%26+Regulation/Senators-ask-CMS-for-innovative-MA-solutions/ArticleStandard/Article/detail/595834?ref=25 Medicare Advantage plans face a 4% reduction in payment for 2010, a major blow to the market 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595834null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Industry-analyzes-WellPoint-PBM-buy/ArticleStandard/Article/detail/595825?ref=25 United says it has no plans to follow suit by selling off its pharmacy benefit services. WellPoint will oursource now. 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595825null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Rotating+Feature/Unlocking-Primary-Care-CareOregons-Medical-Home-Mo/ArticleStandard/Article/detail/595822?ref=25 Family doctors are exhausted, but the emerging patient-centered medical home model might have the right combination of pay and support 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595822/ExecutiveProfile_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Research+Briefs/Research-Briefs-May-2009/ArticleStandard/Article/detail/595829?ref=25 Summary of findings in healthcare journals 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595829null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Bills-take-aim-at-deceptive-practices/ArticleStandard/Article/detail/595828?ref=25 Policy makers focus on consumer protection and health plan conduct 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595828null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Technology+Strategy/National-Health-Information-Network-test-shows-pos/ArticleStandard/Article/detail/595821?ref=25 As HIEs move forward with trials, the Federal Health Architecture links up government agencies 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595821null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health%2FDisease+Strategy/Targeted-programs-help-curb-overtreating-back-pain/ArticleStandard/Article/detail/595837?ref=25 Costly imaging and back surgeries contribute to the high cost of back pain treatment, but not all are medically necessary 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595837null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Quality+Strategy/Patient-experience-correlates-with-clinical-qualit/ArticleStandard/Article/detail/595838?ref=25 Measuring customer satisfaction presents challenges, but hospitals are collecting more data on their own 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595838null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Formulary/MCOs-make-their-mark-on-value-based-design/ArticleStandard/Article/detail/595827?ref=25 Reduced copays encourage patient compliance with drug regimens, but broader tagets are needed 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595827null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Medicare%2FMedicaid+products/New-York-the-model-for-overpayment-recovery/ArticleStandard/Article/detail/595823?ref=25 Medicaid compliance in other states expected to follow suit after New York recovers twice as much cash as originally expected 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595823null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Statistics/Diabetes-class-propels-drug-trend/ArticleStandard/Article/detail/595824?ref=25 Top 10 drug trend drivers in 2007 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595824null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Policy+%26+Regulation/For-healthcare-reform-its-all-systems-go/ArticleStandard/Article/detail/595833?ref=25 Cooperation, involvement and action mark the current reform atmosphere, which is a big surprise to me 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595833null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Medicare%2FMedicaid+products/Use-predictive-modeling-in-Medicare-populations/ArticleStandard/Article/detail/595835?ref=25 Health plans working with Medicare beneficiaries are being challenged to go beyond traditional utilization, case and disease management services with limited clinical resources. 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595835null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Audit-reviews-keep-costs-down/ArticleStandard/Article/detail/595832?ref=25 Employers' dependent eligibility audits find 5% don't belong on the plan. Next step is voluntary opt-out followed by removal. 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595832null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Drug+costs/Bisphosphonates-effective-in-treatment-of-osteopor/ArticleStandard/Article/detail/595836?ref=25 Vitamin D, calcium and exercise are helpful in preventing falls and injury, while bisphosphonates are first-line drug treatments 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595836null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/State+Report/State-Report-Florida/ArticleStandard/Article/detail/595830?ref=25 Commonwealth Fund State Performance Ranking (2007): 43 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595830null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Rotating+Feature/Treading-Lightly-Plans-go-easy-on-product-changes/ArticleStandard/Article/detail/595831?ref=25 With reform on its way, plans are keeping with wellness and value designs instead of wholesale product re-engineering 2009-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/182009/595831/SpecialReport2_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Value-is-king-with-consumers/ArticleStandard/Article/detail/591456?ref=25 As patient dissatisfaction grows with the U.S. healthcare system, consumers are shopping for value in all healthcare service areas. 2009-04-13T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591456null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Self-service-kiosk-use-grows/ArticleStandard/Article/detail/591454?ref=25 Efficiency and patient satisfaction are fueling the growth of self-service kiosks in ambulatory and ER settings. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591454null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/USF-Allscripts-head-regional-e-Rx-project/ArticleStandard/Article/detail/591449?ref=25 University of South Florida and Allscripts push paper-free prescribing while touting the availability of stimulus funding for e-health. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591449null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Coalition-to-push-quality-affordability/ArticleStandard/Article/detail/591451?ref=25 Stand for Quality, a public-private coalition, has developed a quality-improvement and affordability framework. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591451null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Adherence-compliance-key-with-underinsured/ArticleStandard/Article/detail/591453?ref=25 Prescription drug trends show that the underinsured may be voluntarily opting out of compliance due to affordability issues. Lower copayments may be key to curbing this. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591453null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/More-balance-needed-between-supply-demand/ArticleStandard/Article/detail/591447?ref=25 As community clinics in California struggle to meet patient needs, there's a realization that there needs to be a better balance between supply and demand. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591447null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Market-ripe-for-acquisition/ArticleStandard/Article/detail/591434?ref=25 Health plan industry is trading at a discount so rumor of Aetna acquisition of Humana may not be far off base. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591434null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Wal-Mart-EHR-not-necessarily-affordable/ArticleStandard/Article/detail/591436?ref=25 Wal-Mart's EHR package offered to physicians may require more than just its marketing presence. 2009-04-10T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/591436null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/Changes-to-workplace-encourage-healthy-lifestyle/ArticleStandard/Article/detail/590438?ref=25 Changing the work environment to encourage healthy eating and added activity encourages employees 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590438null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Provider+networks/Oncology-Overhaul-Survivors-need-more-practitioner/ArticleStandard/Article/detail/590427?ref=25 The shortage of oncologists and the increasing numbers of cancer survivors combine to produce a classic case of demand exceeding supply 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590427/SpecialReport_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Hospitals+%26+Providers+Strategy/Hospitalist-model-a-work-in-progress/ArticleStandard/Article/detail/590431?ref=25 More than half of all hospitals use the hospitalist model to deliver inpatient care 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590431null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Exclusives/Survey-reveals-EDI-claims-volume/ArticleStandard/Article/detail/590425?ref=25 A new released by the Cooperative Exchange (CE) sheds new light on claims transactions, revealing just how big a footprint EDI has 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590425null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Letter+of+the+Law/Healthcare-acts-signed-into-law/ArticleStandard/Article/detail/590437?ref=25 The reinvestment act contains more than $100 billion in federal funding for healthcare initiatives 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590437null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Pharmacy+Best+Practices/Market-calls-for-fewer-drug-reps/ArticleStandard/Article/detail/590429?ref=25 Specialty drugs bring about the need for a sales force with more clinical knowledge 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590429null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/State+Report/State-Report-Wisconsin/ArticleStandard/Article/detail/590432?ref=25 Commonwealth Fund State Performance Ranking (2007): 9 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590432null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Obama-health-policy-team-takes-shape/ArticleStandard/Article/detail/590433?ref=25 The White House is on track to place key thought leaders in pivotal positions to press healthcare reform 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590433null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Giving-it-away/ArticleStandard/Article/detail/590434?ref=25 There's a feeding frenzy in Washington as feds dole out the billions in funding from the reinvestment act 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590434null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/News+Analysis/Diabetes-drug-delays-stir-controversy/ArticleStandard/Article/detail/590435?ref=25 New preapproval safety data demands can mean millions of dollars and more years for development 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590435null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Quality+Strategy/AHRQ-uses-tools-to-educate-consumers/ArticleStandard/Article/detail/592262?ref=25 AHRQ has launched an advertising campaign to encourage consumers to ask questions in the doctor's office 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/152009/592262null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health%2FDisease+Strategy/Manage-heart-patients-5-ways/ArticleStandard/Article/detail/590430?ref=25 Heart disease is considered the costliest condition, outranking cancer. Some 80 million people require care for coronary heart disease 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590430null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Rotating+Feature/Spending-Wisely/ArticleStandard/Article/detail/590426?ref=25 Knowing what works will help the country direct its resources toward best buys in healthcare, according to economist Gail Wilensky 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590426/ExecutiveProfile_flash.gif XML http://managedhealthcareexecutive.modernmedicine.com/mhe/EMRs/EMRs-not-enough/ArticleStandard/Article/detail/590428?ref=25 The incentives and penalties for adopting EMRs might not help the small physician practices 2009-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142009/590428null XML