Managed Care Outlook - Managed Healthcare Executive
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Managed Care Outlook

Exchanges would need local participation

November 1, 2009

State-level insurance exchanges are more likely to thrive in the market by taking advantage of integration

Time to challenge ROI of medical homes

October 1, 2009

Reported outcomes from medical homes must be able to discern between true and preceived cost savings, and North Carolina is an example of what can go wrong

Medical home model invests in primary care

September 1, 2009

MCOs must evaluate outcomes of pilot programs before concluding that cost savings will follow quality trends

Information evolves for better decisions

August 1, 2009

Collaborative healthcare communities gather clinical and claims data to apply to real-world settings

No free lunch in Singapore

July 1, 2009

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.

Medicare could benefit from radiology management

June 1, 2009

A GAO report said Medicare spent $14 billion in five years on radiology. RBM could help reduce those costs.

New care sources offer opportunity

January 1, 2009

Some plans are responding to disruptive innovations with innovative delivery strategies

CLIA poses barrier to lab results in EHRs

December 1, 2008

Putting lab results into EHRs will clearly enrich data. However, CLIA and state laws pose a barrier that should be reconsidered.

Expect short-, long-term impact of financial crisis

November 1, 2008

Insurers are not immune to the financial crisis, but because of a positive cash flow and liquidity, they are stillattractive to investors

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Managed Healthcare Executive Issue
Managed Healthcare Executive
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