SPOTLIGHT -
Some tips on deciding which plan or network will consistently produce better outcomes in specialized care.
Between physicians and payers: Physician executive in dual role seeks to build trust
Paul Handel, MD, has enjoyed a long, distinguished career as a physician in Texas, and now he wears two distinctive hats-neither of which is a Stetson.
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Built to scale: Ed Sellers leads BlueCross BlueShield of SouthCarolina
Every time a new stop light goes up in a growing neighborhood,BlueCross BlueShield of South Carolina (BlueCross) wants to have acustomer within a block of it. This health plan, nested withsubsidiary businesses, has prioritized growth through an aggressivebranching out from its core competencies. Half of its totalbusiness comes from selling products to other healthcareorganizations.
February 2006 FDA Pipeline
New molecular entities
Coming to Terms
Just mentioning "contract negotiations" can put plans and providers on the defensive or maybe even the offensive. The sometimes-contentious relationship between the two, triggered by the high cost of healthcare and complaints from providers about not being paid enough, escalates while both parties try to come to some kind of agreement.