| | Web exclusives only seen here | |
| | | Attention Leaders in Disease Management: Submit your success stories to Managed Healthcare Executive by June 6!
Tell us about any leader in disease management, what they've accomplished and how in a few short bullet points. We'll follow up for more details. | | Medicare, Medicaid, and SCHIP Extension Act of 2007 have hidden impact on health plans
On Dec. 29, 2007, President George W. Bush signed the multi-faceted Medicare, Medicaid, and SCHIP Extension Act of 2007. Section 111 of the bill, titled, Medicare Secondary Payor (MSP), mandated that effective Jan. 1, 2009, all Group Health Plans (GHP) or any related entity (i.e. insurer or third party administrator) serving on behalf of the GHP will be responsible for identifying and submitting "situations where the group health plan is or has been a primary plan to the program," according to Medicare. | | Recognize value of certified case managers in managed healthcare environment
Case managers provide services at critical junctures, whether facilitating discharge from acute care to a sub-acute facility, or coordinating home healthcare services for an individual to prevent hospital readmissions. The value of case managers in the healthcare arena is well-recognized. | | How to survive healthcare's war for talent: Four paths to improvement
With fierce competition for candidates, it can be difficult to get even the wrong people for an open healthcare position. Attracting the right candidate and landing that talented employee for your organization are challenges. As the labor market continues to tighten, healthcare employers need to focus on long-term recruitment and retention strategies. | | Creating drug monographs and drug class reviews in an evidence-based formulary system
P&T committees can create evidence-based formularies with a variety of tools and proven methods of evaluation | | Unions retool message to organize nurses
Healthcare executives have seen a significant increase in efforts by unions to organize nurses in the last few years. The national rate of unionized nurses currently exceeds 23%; in 1998, that number was less than 17%. In contrast, the national rate of unionized workers is just 12%. | |
|  More Articles |
| | | | | Early Retirees: Consumer-driven options the plans of choice for young retirees
As employers continue to cut back on health insurance for retirees (and might even stop offering it to new employees), early retirees are stuck in an expensive conundrum. More and more this group of retirees is turning to consumer-driven solutions. | | Core Competencies: With many options, outsourcing enables plans to evolve
Few words have become as vilified as "outsourcing." For some Americans, it might bring to mind low-paid and poorly trained workers working at an overseas call center. As competition and cost pressures worsen and the talk of recession continues, outsourcing is becoming an increasingly attractive option for healthcare payers. When done correctly, it can be both efficient and cost-effective. Despite popular belief, outsourced work doesn't have to go overseas; in some cases, the work can go across the city, or even across the street. | | Emergency situation: Working harder unlikely to solve crisis in emergency room overcrowding
George Clooney's challenges make for good TV. While the former star of "ER" struggles with fictional patients, much of the drama in today's emergency department (ED) centers around the problems of overcrowding, increased utilization and increased wait times. | | The art of medicine: Applying evidence-based medicine drives improvements, creates partnerships
The healthcare industry has yet to use evidence-based medicine (EBM) to its fullest potential, despite studies suggesting the need for it. Wide variation in medical practice and resulting clinical outcomes is indicative of the not-yet completed journey toward implementing evidence-based medicine. | |
| | More Articles |
|
