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Managed care quarterly最新文献

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Medicare pay-for-performance bill omits reimbursement formula fix. 医疗保险按绩效付费法案忽略了报销公式的修正。
Managed care quarterly Pub Date : 2006-01-01
Allan Fine
{"title":"Medicare pay-for-performance bill omits reimbursement formula fix.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"14 1","pages":"24-5"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26796103","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}
引用次数: 0
Costco offers health plan to some members in California. 好市多为加州的一些会员提供健康计划。
Managed care quarterly Pub Date : 2006-01-01
Allan Fine
{"title":"Costco offers health plan to some members in California.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"14 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26796106","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}
引用次数: 0
Medicare proposal may benefit insurers. 医疗保险提案可能有利于保险公司。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"Medicare proposal may benefit insurers.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The proposed guidelines from U.S. Pharmacopeial Convention Inc., which was assigned the task by last year's Medicare law, seek a middle ground between pharmaceutical companies and insurers. The USP proposal is expected to result in a final plan after the organization takes comments. It is also supposed to define a list of classes of drugs--more formally divided into therapeutic areas and pharmacologic subcategories.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 2","pages":"16-7"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24936276","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}
引用次数: 0
What health plans report. And don't report. 什么健康计划报告。不要报告。
Managed care quarterly Pub Date : 2004-01-01
Mark Hochhauser
{"title":"What health plans report. And don't report.","authors":"Mark Hochhauser","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 1","pages":"23-4"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24772130","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}
引用次数: 0
Member success management for health plans. 健康计划的成员成功管理。
Managed care quarterly Pub Date : 2004-01-01
Scott MacStravic
{"title":"Member success management for health plans.","authors":"Scott MacStravic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Like all organizations, health plans have the choice of investing in efforts that will reduce their costs, or enhance their revenues. Clearly adding benefits to consumer members, particularly those who are so healthy that they currently use little health care, hence derive little value from membership, beyond the security of coverage, would promote retention of the most valuable members health plans have. While this may not pay off as immediately and directly to the bottom line as do cost-cutting measures, it may have far greater long-term value. Only by testing its potential and discovering the member retention and revenue-adding returns from such efforts, can plans learn how great this value can be.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 3","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24949878","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}
引用次数: 0
Supreme Court limits HMO lawsuits. 最高法院限制HMO诉讼。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"Supreme Court limits HMO lawsuits.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>ERISA allows patients to recover the value af whatever test, drug, or treatment was denied, but not damages for any injuries that result from a lack of care.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 3","pages":"13-4"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24949881","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}
引用次数: 0
Employers shift costs for alternative medicine. 雇主转移替代医疗的费用。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"Employers shift costs for alternative medicine.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When considering a complementary and alternative medicine benefit, it is recommended that companies determine whether it is likely to improve productivity and help to attract and retain talented workers. Employers should also determine whether the CAM benefit is likely to reduce overall medical costs by decreasing use of treatments such as surgery, physical therapy, and pharmaceuticals.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 3","pages":"11-2"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24949880","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}
引用次数: 0
Canadian employees place high value on health care benefits. 加拿大雇员非常重视医疗福利。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"Canadian employees place high value on health care benefits.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Canadian employees place such a high value on their employer-sponsored health care benefits, that most would not trade the benefits for extra vacation time or even significant amounts of cash, according to the 2004 Aventis Healthcare Survey.</p>","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 3","pages":"17-8"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24949883","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}
引用次数: 0
California Public Employees' Retirement System (Calpers) recently approved a plan to drop 38 hospitals from a medical network used by more than a third of its 1.2 million beneficiaries. 加州公务员退休系统(Calpers)最近批准了一项计划，将38家医院从其120万受益人中超过三分之一使用的医疗网络中剔除。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"California Public Employees' Retirement System (Calpers) recently approved a plan to drop 38 hospitals from a medical network used by more than a third of its 1.2 million beneficiaries.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 2","pages":"iii-iv"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24936270","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}
引用次数: 0
Consumer-driven health plans are rapidly being added by the country's largest insurers and managed care organizations. 国内最大的保险公司和管理式医疗机构正在迅速增加以消费者为导向的健康计划。
Managed care quarterly Pub Date : 2004-01-01
Allan Fine
{"title":"Consumer-driven health plans are rapidly being added by the country's largest insurers and managed care organizations.","authors":"Allan Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79681,"journal":{"name":"Managed care quarterly","volume":"12 1","pages":"iii"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24772124","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}
引用次数: 0
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