Articles by Barry Senterfitt - Managed Healthcare Executive
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Articles by Barry Senterfitt

Political maneuvering misses the point on rising costs

But no one is listening
Nov 1, 2009

Few are paying attention to the cost curve and the potential for state to enact their own reform measures

Silent PPOs under scrutiny

Keep with the contract
Oct 1, 2009

Model legislation adopted by NCOIL provides that the third party accessing the contract must comply with contacting terms

Employer-mandated spending requirement challenged

Questions in San Francisco
Aug 1, 2009

The Golden Gate Restaurant Association argues that contributions to San Francisco's Health Access Program under a 2006 ordinance are preempted by ERISA

Mental-health legislation in effect for most in 2010

Small employers exempt
Jun 1, 2009

Financial considerations, treatment offerings and networks must be comparable to medical benefits

Healthcare acts signed into law

SCHIP and COBRA affected
Apr 1, 2009

The reinvestment act contains more than $100 billion in federal funding for healthcare initiatives

Expect tighter solvency control

Do the math
Feb 1, 2009

Measurement tools used by state regulatory bodies evaluate MCO capitalization and investment

Economy causes greater scrutiny of insurers

There will be renewed interest in solvency regulation
Dec 1, 2008

In the midst of current financial turmoil, the industry entrusted with the greatest accumulation of funds is the insurance industry. MCOs and HMOs should expect greater scrutiny of their finances.

States decide business of insurance

Jul 1, 2008

Capitation and other risk-sharing arrangements have been pursued by provider organizations for the past two decades. Yet the law on whether such arrangements result in the provider organization being in the business of insurance has not fully evolved in all states.

Understand Public Information Act to protect records

Open records requests can be better handled when confidential and proprietary documents are subject to public disclosure
Jun 1, 2008

When companies interact with governmental bodies, issues related to the Public Information Act frequently arise. It is imperative for those companies to understand the Public Information Act as well as the internal procedures that may be developed to handle open records issues.

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