Managed Healthcare Executive, Mar 1, 2009 - Managed Healthcare Executive
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Managed Healthcare Executive, Mar 1, 2009
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Special Report
Middle Ground: Payers and providers collaborate on quality
By David Bennett
Payment structure among stakeholders must be equitable in order to avoid contract disputes and provide the highest quality of care to consumers.
Technology
Achieve near-term productivity gains
By Dennis Schmuland, MD, FAAFP
Your competitive edge can come from digitizing and automating labor-intensive processes to gain efficiencies
For Your Benefit
Consumer control will align supply and demand
By Julie Miller
Regina Herzlinger's prescription for reform calls for payment based on episodes of care.
Hospitals & Providers
FQHCs need more funding
By Michael McCue
Federally qualified health centers need $248 million to meet plan targets, much more than the proposed $100 million in the appropriations bill
Drug Class Overview
Triptans lead options for migraine
By Elaine Zablocki
Group sessions can also empower patients to cope with recurrence of painful headaches
Pharmacy Best Practices
CDHP members maintain levels of care
By Mari Edlin
One of the main criticisms of consumer-directed health plans questions whether members avoid needed medications to save money
Exclusives
How to implement value-based designs
By Cyndy Nayer
Organizations need to use levers to build financial value for health investments
Know where provider information stands
By Stephanie Rose-Belcher
Insist that the expected value of improvements in information quality is expressed in dollar figures
Strengthen your rescission strategy
By Rose Leidl
The problems exposed in California reveal the need for focus on state rescission guidelines
Telehealth yields value in managed care
By Randy Moore
The potential is there if you only seek the benefits
Medicare's P4P program aims to improve care
By Francis X. Campion
Performance registries are designed for data collection in reporting to CMS or potentially other payers
News Analysis
Drive more data
By Julie Miller
Payers have vast amounts of data that could be used in so many ways, if only HIPAA would allow it
Transparency takes flight
By Tracey Walker
Research must be actionable, relevant, timely, translated and transparent in its funding sources.
Down payment sets stage for reform
By Jill Wechsler
Key provisions include funding for Mediciad, COBRA subsidies, health records, NIH research, health centers, effectiveness research, and wellness programs.
Desktop Resource
Capital management critical
By Tracey Walker
Expected losses of delayed IT projects include improved quality, efficiency and care coordination
State Report
State Report: Washington
By Shelly Reese
Commonwealth Fund State Performance Ranking (2007): 17
Politics and Policy
Public plan pitched as alternative
By Jill Wechsler
One way to level the playing field is to offer the public plan through an administered market system.
Letter of the Law
Democrats frustrated with Part D plan oversight
By John Eriksen
Sponsors of Part D legislation believe private Medicare Part D plans have been less effective than the government could be in negotiating price concessions.
Health Management
Parity law questions what constitutes parity
By Shelly Reese
Some employers might need to adjust copay structures overall to achieve adequate compliance.
Managed Healthcare Executive Issue
Managed Healthcare Executive
Providing senior-level decision makers the comprehensive analysis, trends and strategies they need to innovate value in a rapidly changing healthcare landscape.
2008 Leaders in Disease Managment
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