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Insurers rankled by health exchange launchSystem flaws, software problems deter beneficiary enrollment, undermine new coverage.
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Independence Blue Cross President: How We Curb the Opioid EpidemicPhiladelphia has the purest and cheapest heroin in the country and a long history of multigenerational heroin addicted families. Here’s what Independence Blue Cross is doing about it.
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Brief interventions reduce alcohol abuse and its effectsAmericans see alcoholic drinks nearly every day-on TV, at parties and even on the family dinner table.
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September DTR: top 25 national managed care firmsRanked by total HMO enrollment as of 7-1-2002
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New consumer health coaches begin preseason warmupConsumer driven health calls for outsourced coaching in provider networks, benefit plan design
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To speed up transactions, there's no time like real timePhysicians have historically been lacking in collecting on bad debt, and now the cost of tracking it down might not be worth it
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Auto-enrollment provisions direct new members into benefit poolA policy requirement that employers with more than 200 full-time employees must enroll their employees in a company health plan may not take effect until 2015.
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Bariatric surgery can help, but not cure, diabetesIn the short term, gastric bypass surgery can profoundly improve glycemic control in adults with type 2 diabetes.
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Employers weigh rising costs, overall coverage optionsEmployers weighing coverage options will continue providing healthcare benefits.
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News You Should Know: 3 Takeaways from Top Managed Care Articles MarchWe know you’re pressed for time, so we’re here to help. Listen to this two-minute podcast for critical takeaways from three of our top articles.
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3 Ways Health Insurers Can Prioritize Member Experience in 2021An industry-wide shift toward consumerism and value-based care reflects modern consumers’ desire for transparency around their healthcare coverage. In order to meet these heightened expectations, insurers must adapt and identify new ways to educate, engage and support members who are taking ownership of their options.
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EAM software managed thousands of access pointsExtranet access management allows precise control of which users can access which parts of a site
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The impact of EMRs can be felt right at the patient's bedsideIncreased patient satisfaction, improved performance and revenue become apparent as paper trails dwindle
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How to evaluate the readiness of users to deliver IT valueDelaying a project is far less costly to user management than an ill-conceived attempt that fails
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BLOG: Why we can't measure wellness outcomesYou will never be able to measure wellness and you actually don't want to
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MA plans taking a hitNetwork selection is one tool plans are using to overcome cost pressures
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How RA, Cancer, Hep C Drug Costs Will Change Over Next Five YearsExperts weigh in on the spending outlook for these high-cost conditions.
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State of the Industry 2005Managed care organizations, hospitals and providers evolve, responding to market influences, but some key issues still command attention.
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For whom the NPI tolls: Deadline for HIPAA compliance closes inThe deadline draws near for the healthcare industry to comply with one of the final regulations mandated by the Health Insurance Portability and Accountability Act (HIPAA) in the ongoing industrywide effort to get all arms on the same electronic page.
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Consumer resilience: Grace-Marie Turner advocates the free-market approachMany organizations believe a free-market system is the best approach to healthcare, but the free market struggles against lagging public policy. Especially as consumers are demanding greater control, advocates point to other industries in which competition has driven down prices and inspired higher quality.
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Integrated health and disability strategy helps maintain a healthier workforceWhen employees can't work because of sickness or injury, both employers and employees suffer. By using a holistic approach to maintaining a healthy workforce, employees are more secure, productivity improves and the cost of running a business can dramatically decrease.
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Case study: One medical center's experience with IT thresholdsWherever you go, you can see technology's impact on our society. Household bills are paid online, satellites can locate your home from space, and cell phones have the ability to send and receive e-mail. Another area of society seeing a surge in technological advancement is the healthcare sector. From applying transactional data management for disaster recovery to implementing real-time analysis software to improving systems management, hospitals are adopting technology to ensure that their most important information-patient data is accessible and secure.
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Plans begin ACO development in commercial marketsLarge health plans across the country are diving into accountable care with some degree of success.
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Comparing the Responses to COVID-19 in Israel, Canada and JapanInternational comparisons shed light on responses to pandemic and strategies for vaccination and reopening.
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Process upgrade solves consumer cash questionsOften when a patient walks into a provider's office, he or she might not have any idea about the total cost of the visit-except what the copay might be.
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Medical Jargon, Acronyms that Most Confuse PatientsHow skipping industry acronyms and jargon and using simple terminology will eliminate confusion and misinterpretation.
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Opinion: 5 Ways MCOs Can Address COVID-19 TransmissionPrincipals of DeltaSigma, LLC , Don Hall, M.P.H., and Sherry Rohlfing provide Managed Healthcare Executive an opinion piece on how managed care organizations can address COVID-19 transmission.
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Headed in the Right Direction: Cancer Mortality is Going DownPublic health policies and treatment advances have made a difference.
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Do pay-for-delay agreements buy antitrust uncertainty?Agreements must be judged by antitrust’s rule of reason to determine true consequences.
