HMO draws plaudits for ending its utilization review

Harris, Paul
January 2000
Employee Benefit News;Jan2000, Vol. 14 Issue 1, p11
Unveils UnitedHealthcare's decision to stop micro-managing physician treatment selections. Medical costs in the United States in 1999; Remarks from Susan Pisano, vice president of communication for the American Association of Health Plans; What influences the decision of health maintenance organizations (HMO) to back away from appearances of managing medicine.


Related Articles

  • Health care service.  // Business Insurance;1/30/95, Vol. 29 Issue 5, p7 

    Reports on United Healthcare Corp.'s integrated total health care management service, Total Care Management. Services provided; United Healthcare's shared-risk relationship with employers; Toll-free number for employees; Contact information.

  • Creating a High-Performance Physician Group. Cejka, Susan; Hunter, Alex // Healthcare Executive;Jul/Aug2000, Vol. 15 Issue 4, p58 

    Examines how a healthcare executive can transform a physician group into a high-performing organization. Enhancement of physician productivity; Tip for maximizing revenues; Identification of top five priorities; Implementation of strategies to address them.

  • Lessons Learned From Three Physician-Equity Models. Kennedy, Kevin M.; Wofford, David A. // hfm (Healthcare Financial Management);Oct99, Vol. 53 Issue 10, p42 

    Focuses on physician-equity models implemented by healthcare systems. Discussion on third-party integration; Information on joint venture management services organization; Overview on physician-owned practice management company; Considerations in designing and implementing equity models.

  • With a bow to hospital concerns, insurer revises notification policy. Malamud, Matthew // AHA News;5/26/2008, Vol. 44 Issue 11, p6 

    The article reports that health insurance provider UnitedHealthcare has revised its inpatient admissions notification policy in response to hospital concerns. The revised policy stipulates the imposition of penalties for hospitals who fail to notify the insurer of all inpatient admissions within...

  • Developing disease management programs. Golembesky, Henry E. // Healthcare Executive;Sep/Oct1999, Vol. 14 Issue 5, p39 

    Asserts that disease state management (DSM) programs helps cost control efforts and provides opportunities for strengthening physician relationships. Positioning physicians in key development areas; Identification of targeted conditions; Disease models development; Tips on maintaining physician...

  • United States : Centura Health, Colorado Health Neighborhoods and UnitedHealthcare Collaborate to Improve Patient Care Management in Colorado.  // TendersInfo News;8/8/2014, p1 

    The article reports on the collaboration of Colorado Health Neighborhoods, Centura Health nonprofit organization and insurance company UnitedHealthcare to improve the management of patient care in Colorado. Topics discussed include the aim to improve the quality of service and reduce the cost,...

  • Medical group gets 600 percent ROI on self-pay plan. Blaine, Steven // MGMA Connexion;Sep2012, Vol. 12 Issue 8, p35 

    The article describes the self-pay segmentation model adopted by Vanguard Physician Support Services. It is inferred that the self-pay segmentation model increased the return on investment (ROI) by 600 percent. The self-pay segmentation model is based on the approach suggested by Elizabeth...

  • Threat to nurses' influence at strategic level as primary care trusts merge.  // Primary Health Care;Oct2006, Vol. 16 Issue 8, p5 

    The article focuses on concerns over nurses' influence at strategic level following the merger of primary care trusts in Great Britain, according to a government review of the composition and function of professional executive committees (PEC). Proponents say that PEC increases nurses' influence...

  • What Are IDSs Doing about Poorly Performing Physician Networks? Morrison, William H. // hfm (Healthcare Financial Management);Oct99, Vol. 53 Issue 10, p33 

    Presents the findings of a national survey of 105 healthcare organizations on the aspects of integrated delivery systems' networks of acquired physician practices. Information on capitation payments; Other findings of the survey.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics