{"title":"Handling risk. Proactive risk management spans the spectrum of care delivery.","authors":"C Marietti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Risk management has changed in recent years. What once was a paper-pushing, claims issue has become a more involved process. Today, proactive risk management spans the spectrum of care. This article addresses the needs now facing risk managers and others involved in the care of patients and members, the data they need and how they can collect it. Financial and clinical data are discussed as they relate to the management of risk in today's managed care organization. This, certainly, is not an easy industry to get one's arms around.</p>","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"44-6, 48"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049385","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":"Worker's comp meets managed care. In the quest for lower costs, a new niche emerges.","authors":"P V Schuckman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Niche markets such as Medicare, Medicaid and behavioral healthcare are looking to managed care to control costs and increase the quality of care provided. Now workers' compensation officials are looking to managed care with the same goals in mind. As managed care organizations begin marketing to these special populations, the information glut is growing. Information technology can aid managed care officials in the collection, organization and dissemination of the data.</p>","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"32-4, 36-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049378","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":"GIS: mapping the gap between providers and members.","authors":"M W Schriner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"26-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21049382","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":"Going global with information technology. Interview by Barbara Hesselgrave.","authors":"J Lewis","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"71-2"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21047439","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":"Realizing the promise of EDI.","authors":"A Kantor","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21047442","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":"Remedy register. Claims management information systems update.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"48-50, 52, 54 passim"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21047445","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":"The long road to home care automation.","authors":"M W Schriner","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"20, 23-4, 26"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048919","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":"Privacy. Are there any guarantees?","authors":"K O'Connor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many health plan members worry that their medical records no longer are kept securely in paper medical files. Electronic data, they argue, is too easy to access. But healthcare administrators often need to use personal medical information to follow trends in outcomes, quality management and utilization review. Is there a balance? Kathleen O'Connor reports that Donna Shalala, secretary of the Department of Health and Human Services, recently provided some suggestions for safeguarding medical privacy in the information age.</p>","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"30-6"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048921","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":"Feds stake a claim on standards.","authors":"C Marietti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the biggest challenges facing managed care organizations in the wake of The Health Insurance Portability and Accountability Act of 1996 is the lack of standards in the area of electronic claims. Administrative simplification--the federal government's plan to improve the transmission of medical data through the use of information technology--is putting pressure on payors, providers and vendors to come up with a standard set of rules before they begin to address other requirements of the new legislation. Article by Charlene Marietti.</p>","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"44-7"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048924","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":"Marching on with managed care.","authors":"L Paul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a matter of months, officials with Tricare--the military's answer to managed care--hope to have the operations and information systems in Region 1 up and running. Military officials plan to increase the use of technology in this region by connecting military healthcare facilities not only with each other, but eventually with civilian managed care organizations. Tricare administrators could be creating an ideal role model for the integration needs within the civilian sector.</p>","PeriodicalId":80002,"journal":{"name":"InfoCare : information strategies for healthcare networks","volume":" ","pages":"64-7"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21045364","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}