{"title":"New standard for pharmacy benefits.","authors":"C C Walgran","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 3","pages":"60-4"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21003044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case study of how a coalition finds solutions.","authors":"F B Forand","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A coalition formed by employers in Connecticut provides a case study of how businesses around the country can solve health care problems. Rather than turning to extensive government regulation, this is a solution developed in the private sector.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 3","pages":"10-5"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21003246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Questions employers should ask about managed care.","authors":"T Gajda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Managed care may be the best way to control employee health plan costs, but employers should qualify any plan they are considering to ensure that it will deliver what it promises.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 3","pages":"42-7"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21003031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How specialty contracts achieve savings.","authors":"N Rothenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preferred provider organization contracting for specialty care has become increasingly attractive for health care payers now taking a second look at expanding their role in cost containment.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 3","pages":"32-5"},"PeriodicalIF":0.0,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21003241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Access: the most critical issue facing reform.","authors":"W Curry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the present reform environment, businesses can effectively work with insurers and provider networks to construct and monitor a basic benefits design that would enlist the public more fully in providing universal health care.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost control without compromising quality of care.","authors":"R Campbell, T J Elkin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By focusing on creative options that meet the varied health care needs of a wide range of members, a multiemployer purchaser of health care in California is able to provide quality care at affordable prices to public employees.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21001084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physicians' resistance to claims automation.","authors":"T R Anderson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"54-6"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social context of the health care system.","authors":"C Singer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost-cutting opportunities through direct contracting.","authors":"L H Bradman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In summary, high-quality mental health care can be made affordable and obtainable for the average employee or dependent. The goal of ensuring ethical and appropriate mental health and substance abuse services can be achieved. The consequences of inadequate mental health services are higher usage of medical services and lower levels of employee satisfaction and performance. The direct contract approach offers the most viable alternative to achieving a sound, ethical, and cost-effective mental health care benefits program. Finally, in an era of rapid health care reform, it is important to ensure that the contracted provider group keeps fully abreast of and in compliance with emerging regulatory trends.</p>","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"57-60"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of managed care on providers.","authors":"I C Ellzey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79665,"journal":{"name":"Journal of health care benefits","volume":"3 2","pages":"61-4"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21002038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}