Tracey Walker

She is senior editor of Managed Healthcare Executive.

Articles by Tracey Walker

Any bill paid on time means good news for an MCO, right? Not so fast. What if it wasn't paid properly? What if the provider or hospital facility was under- or overpaid? When processing medical claims, it pays-literally-for managed care organizations and providers to get it right the first time.

On the surfacE, ordering surgical gloves would seem to be a rather simple task for any hospital. But what happens when five or 10 hospitals merge and each facility has its own favorite type of glove, and each type of glove comes from a different vendor?

A Mutual Effort

All of the computer information technology in the world does no good if you don't have the discipline to act on what it's telling you to do. Not only does Kent Clapp, chairman, president and CEO of Medical Mutual of Ohio, apply this principle to running his own organization, he believes it's equally relevant to healthcare consumers.

There's an old fable about mortality where a man is granted one wish by a prophet. The man says, "I want to know where I'm going to die." Astounded, the prophet asks, "Why would you want to know that?" The man responds, "Because then, I'll never go there."