Managed care organizations and the rationing problem.
By and large, neither bioethicists nor economists have offered a satisfactory account of how managed care organizations should ration health care. Both disciplines would like to guarantee adequate care to all without defining adequacy. But it cannot be done. The more we rely on market forces to distribute health...

Building research relationships with managed care organizations: issues and strategies. (Research Methods).
Managed care is now the dominant form of healthcare in the United States. The need for clinical research about the organization, delivery, and outcomes of primary care services in managed care models is high, yet access to managed care organizations as sites for clinical research may be problematic. The...

Coingate Phase II: managed care organizations: task force takes aim at its newest target in the workers' comp investigation.
There is no end in sight for the two-year-old investigation into the investment practices of the Ohio Bureau of Workers' Compensation--probably because new mini-scandals are regularly being added to the mix. The three most recent cases to be opened up by the inspector general's office are investigations...

Trends in managed care organizations: implications for the physician executive. (Beyond Managed Care).
TODAY'S MANAGED HEALTH care industry is in turbulence. However, this tumult is creating potential opportunities for future-oriented, flexible, and innovative physician executives of health care organizations. Certainly, the catastrophic operational failures of the Oxford Health Plan provide lessons that can be applied to new initiatives. These lessons, revolving around...

MEDecision Introduces CaseAlert(TM): Software Will Help Managed Care Organizations Identify High-Risk Patients.
Methodology Gives MCOs Highly Descriptive Analyses of Risk Factors WAYNE, Pa., April 2 /PRNewswire/ -- MEDecision, Inc., a market leader in medical management software, today announced the general availability of its latest product, CaseAlert. The software system enables managed care organizations to analyze provider, facility...

Everything4MDs.com Reflects Growing Demand for Automated Supply Chain Services at Group Medical Practices and Managed Care Organizations.
MARINA DEL REY, Calif., July 18 /PRNewswire/ -- Automating the supply chain processes among multiple trading partners is a trend that is expected to hit more than $80 billion in 2005 (IDC research, 6/01), forecasting accelerated growth for Everything4MDs (http://www.E4MDs.com), the largest privately-held B2B e-procurement company for...

Be tough in negotiating managed care contracts.
MIAMI -- Pediatricians typically undervalue themselves with managed care organizations but need to negotiate and fight for all the money owed them, according to Dr. Richard Lander. "Yes, you can make money today in the world of managed care," Dr. Lander said. "In the real world, we...

AHIP challenges next congress to tackle health care costs.
America's Health Insurance Plans, the trade association representing most health insurers and managed care organizations, is challenging Congress to set a 30% reduction target for future growth of costs in the U.S. health care system. AHIP said that without cost containment, universal coverage would be impossible. Unveiled...

Care to Care Announced Today That Barbara Kelman Has Joined the Organization as Senior Vice President/ Chief Operating Officer.
NEW YORK, Jan. 27 /PRNewswire/ -- Today, Care to Care announced Barbara Kelman has joined the organization as Chief Operating Officer and Senior Vice President. "Following an extensive search, we are fortunate to have Ms. Kelman join our team," says Martin Farbenblum, Chairman of the board of...

Gentiva(R) Health Services Sells Selected Pediatric Home Health Care Branches.
Move Increases Company's Focus on Skilled Geriatric Home Health Care MELVILLE, N.Y., Feb. 17 /PRNewswire-FirstCall/ -- Gentiva Health Services, Inc. , a leading provider of comprehensive home health services, announced today that it has entered into an Asset Purchase Agreement with Andventure Inc., doing business as Loving...