HCPro Managed Care - October 24, 2007 | Rewarding Bad Behavior View as a Webpage | Subscribe for Free
October 24, 2007
Rewarding Bad Behavior
Brad Cain, Senior Editor-Managed Care

Why are we paying people for acting the wrong way? This in essence was the question raised by a caller on a recent HCPro audioconference that I moderated. The conference was focused on ways to get members to abandon bad habits and to lead healthier lives. The caller was frustrated with the seeming inequity of offering bonuses to people based on their poor life decisions, such as choosing to smoke, but offering nothing to those leading healthy lives. [Read More]

Editor's Picks
California HMOs not meeting national standards, report says
Californians enrolled in healthcare plans are oftentimes not receiving adequate preventive care, according to the California Office of the Patient Advocate's report, called the Health Care Quality Report Card. The nine largest plans in the state fail to ensure that their members are sufficiently tested and treated to prevent and detect major diseases and reduce expenses. [Read More]
To cure insurance woes, doctors try prepaid plans
Several hundred doctors across the country are offering flat-rate, pay-in-advance plans that they say cut costs and boost care. Proponents of the trend add that it also tackles other problems with U.S. healthcare, including the rapid decline of doctors practicing primary-care medicine and the growing number of uninsured and underinsured. (Subscription required to view full article.) [Read More]
Report: Medicaid pilot program expansion should be delayed
Florida should delay expanding its year-old Medicaid reform experiment until it can solve flaws hindering patients, according to a state evaluation of the program. Medicaid's inspector general reported that the new system makes it hard for low-income recipients to choose a suitable health plan, and as a result forces some to change doctors and run out of drug coverage. [Read More]
Health plan used by United States is debated as a model
Several of the leading Democratic presidential candidates are lobbying for the country to adapt the healthcare program that covers Congress and offer it to uninsured Americans. The program gives members of Congress and other active and retired government workers a wide array of private insurance offerings with fairly generous benefits. [Read More]
Managed Care Headlines
Medicaid changing in South Carolina
The State, October 24, 2007
Healthcare providers lose bid to toss antitrust lawsuit
Kansas City Star, October 24, 2007
Clinton health plan for Americans only
Reuters/Yahoo News, October 24, 2007
UnitedHealth's net rises 15 percent amid higher membership
Wall Street Journal (subscription required), October 24, 2007
California program to help 3,000 manage their conditions
San Diego Union-Tribune, October 24, 2007
Profession born to help people navigate the healthcare maze
San Francisco Chronicle, October 24, 2007
Labor group says healthcare plan doesn't address insurance
San Francisco Chronicle, October 24, 2007
Maryland county unveiling its health program
Washington Post, October 24, 2007
States may reduce number of children in insurance plan
Washington Post, October 24, 2007
Upcoming Events
Developments in DM

Cost Neutrality: Only a minority of 15 Medicare Coordinated Care Demonstration projects currently show signs of eventually becoming cost-neutral--one of the program goals for the demonstration. In addition, it's difficult to draw firm conclusions about what works from the overall program because no single characteristic seems to be associated with a greater likelihood of program success. [Read More]
Listen Up
Learning the System
Studies have shown that Americans simply do not understand the healthcare system. In this audio interview, Kara Trott, founder and CEO of Quantum Health, speaks about the subject of educating and empowering consumers. She was interviewed by Les Masterson, managing editor for HCPro's Disease Management Advisor. [Listen Now]
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