Practice Management

Tools for each moment in care appeal to members who want to make smarter decisions

Physician advisor programs help with concurrent and retrospective appeals, length of stay management

Payers can process electronic claims faster if attachments include standard information

M+C plans eye expanded coverage for seniors if Congress boosts rates

Diagnostic Imaging is often the portal of entry for a patient into an integrated delivery system

Collective bargaining for better prices is among the many valuable benefits of creative partnering

Our recent "Prescribed Information is Powerful Medicine" article stirred up some response from readers.

Providers and payers benefit from efficient scheduling,vbalanced utilization and adequate staffing

Ask hard-hitting questions about data security, backup and recovery when outsourcing IT functions

Abt Associates chosen to evaluate Iraq's health system

Health reimbursement arrangements are the hot new idea in employee benefits. Put them through this third degree before you get burned.

Online tools lead to an increase in enrollment

HIPAA standardization provisions will streamline interchagnes of previously unwieldy processes

Medical malpractice reform and patient safety are front-burner issuesfor legislators

Need for rapid HIPAA compliance spurs Web-based curricula use for career mapping and development

Plans and providers jump through HIPAA hoops to meet compliance deadline

Are megabuck malpractice lawsuits a villainous attack on physicians or the inalienable right of every American?

The evolution of predictive modeling continues with integrated data sources and weighted variables

Practice Web sites, plan portals and e-prescribing resurface with thedrive to keep them going

Hartford, Conn. - After three consecutive years of pulling its MedicareHMO out of select markets, Aetna is boosting benefits in markets where itremains.

Initiatives that promote industry competition remain key to modernizingthe nation's healthcare system

Cutting back on basic health benefits goes against everyone's wishes,but that might be our only choice

Your benefits program may qualify as a health plan that&s subject to federal regulations that took effect in October. Check your status, review your options and get ready for the next wave?privacy and security rules?in the spring.

Three dozen states elected governors last month, and their policies will have a major impact on the cost and accessibility of health care. Here&s a rundown of the highlights plus a state-by-state chart of what could lie ahead from the National Academy for State Health Policy.

As plans address today's technology needs, conflicting functions create potentially disruptive technologies