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March 19, 2008
Managed Care Can Improve Relations with Providers
Les Masterson, Senior Editor-Managed Care

No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey. [Read More]

Editor's Picks
Insurers, doctors at odds over 'concierge' care
Health insurance behemoths UnitedHealthcare and CIGNA are speaking out against concierge medicine, claiming that the annual retainers charged for such care violate contract terms. UnitedHealthcare has dropped four Houston area physicians from its network because of concierge services. While UHC and CIGNA have spoken out about the practice, other large insurers are okay with the idea as long as patients are told that the insurers will not reimburse for those services. [Read More]
New Jersey to consider health plan to cover all
New Jersey is looking to become the fourth state to require health coverage. A bipartisan effort that would require all residents have healthcare coverage within three years would first enroll more children into the NJ Family Care program and then cut costs and establish a self-financed state-run plan that would provide residents with health insurance on a sliding scale. [Read More]
Healthcare switch causing headaches in Philadelphia
If retired state employees in the Philadelphia area don't choose one of three health plans by Friday, they will soon find themselves forced into a plan that isn't accepted by most nearby hospitals. The shift from traditional Medicare to a private insurer is an attempt by the state of Pennsylvania to save $94 million annually. Area hospitals say the plan will pay them less and provide less care for patients, and two unions representing state employees have objected to the plan. [Read More]
Managed Care Headlines
Medicare, Medicaid managed care gets scrutiny for fraud
Wall Street Journal (subscription required), March 19, 2008
Kentucky House panel OKs expanding small biz health coverage
Louisville Courier-Journal, March 18, 2008
Pennsylvania House passes health-insurance bill
Philadelphia Inquirer, March 18, 2008
Florida governor's plan for health insurance for all can work, experts say
Orlando Sentinel, March 14, 2008
Hospitals to get $666 million from Medicare settlement
Wall Street Journal (subscription required), March 13, 2008
Heart scans still covered by Medicare
New York Times, March 13, 2008
Poll: More Americans trust Democrats on healthcare reform
Wall Street Journal (subscription required), March 14, 2008
Massachusetts health leaders seek to change payment system
Boston Globe, March 13, 2008
Two die each day in Michigan for lack of insurance
Detroit Free Press, March 13, 2008
Upcoming Events
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Listen Up
Improving Provider Relations
One of the biggest issues facing healthcare is the mistrust between payers and providers. Emad Rizk, MD, president of McKesson Health Solutions, gives his ideas as to how payers can create a more peaceful coexistence with providers. [Listen Here]
From HealthLeaders Media
Is P4P Working?
Well, that depends on what you mean by "working." Does P4P improve healthcare quality while holding down increases in cost? Does it bring better value for the healthcare dollar? The jury appears to be out on those questions. [Read More]
From HealthLeaders Magazine
Your Hospital, the Entrepreneur

HealthLeaders March 2008 Forget those fixed-income investments. Many organizations are funding early-stage healthcare ventures that can yield not only healthy financial returns, but also improved efficiencies and better quality care. [Read More]
Sponsor Health Plan Insider

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Resources From HCPro

Prove the ROI on your disease management program.
Find how why value-based insurance design improves medication compliance.
Discover checklists, forms, letters, and clauses to help you with managed care contracts.
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Learn about disease management and wellness offerings and uncover what your competitors are doing.
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