When HMO's fight docs, there's blood on statehouse floor
Tags: HEALTH maintenance organizations; HEALTH insurance -- Government policy
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- THE HEALTH MAINTENANCE ORGANIZATION DUAL-CHOICE MANDATE: AN ANALYSIS OF FEDERAL AND STATE STATUTES. Thrower, Ellen; Boggs, H. Glenn // Journal of Insurance Regulation;Jun84, Vol. 2 Issue 4, p452
Provides an overview of health maintenance organizations (HMO) and the federal dual-choice mandate in the U.S. Definition and operation of HMO; Types of HMO offered; Analysis of the state dual-choice laws.
- Providers Lag in Assessment Efforts. // Health Management Technology;Oct2001, Vol. 22 Issue 10, p8
Reports on two surveys conducted in the United States on the compliance of healthcare providers with the Health Insurance Portability and Accountability Act. Key findings of the surveys; Factors preventing providers from complying with the deadlines; Effect of more delays in complying.
- The Evolution and Impact of State HMO Regulation: A Case Study. Ahem, Melissa // Journal of Insurance Regulation;Fall91, Vol. 10 Issue 1, p110
This article describes and evaluates the evolution of HMO regulation in Florida in the latter 1980s. Florida is representative of most other states in that it has implemented more stringent financial relation in response to HMO market volatility due to rapid HMO expansion in recent years....
- Hidden assets: Health insurance reform in New Jersey. Swartz, Katherine; Garnick, Deborah W. // Health Affairs;Jul/Aug99, Vol. 18 Issue 4, p180
Reports that New Jersey's individual health insurance market reform has unearthed ways for states to expand coverage. Administration of the Individual Health Coverage Program (IHCP); Health maintenance organizations' stance on IHCP; States' bargaining power with health care providers.
- On the BRINK. Wechsler, Jill // Managed Healthcare Executive;Jul/Aug2001, Vol. 11 Issue 7, p26
Discusses the impact of Medicare reform efforts on the provision of health care to seniors by health maintenance organizations in the United States. Need for health policy analysts to consider managed care to resolve the looming problems of the Medicare program; Overview on the Claims and...
- Two HMO Orders; One Mandates Continued Supplemental Coverage On Medicare Insureds; 2nd On Status Of Electronics. Morris, Barbara A. // Insurance Advocate;09/16/2000, Vol. 111 Issue 37, p60
Deals with the mandates issued by New Jersey Insurance Commissioner Karen Suter concerning health maintenance organizations. Insurance companies which are banned from discriminating against policyholders; Reporting of the computer status of health insurance companies to the insurance commission.
- Patients' Rights Bills and Other Futile Gestures. Angell, Marcia // New England Journal of Medicine;06/01/2000, Vol. 342 Issue 22, p1663
Editorial. Discusses health care reform which is at the top of the Unites States political agenda as of June 2000. Failure of health care reform; Discussion of patients' rights bills in US Congress and in state legislatures; Underlying problem that employers are not required to offer health care...
- HIPPA and MCOs: Administrative Simplifications or IT Modernization/. Kuriyan, Jacob // Health Management Technology;Oct2001, Vol. 22 Issue 10, p40
Discusses the Administrative Simplification Act, also known as the Health Insurance Portability and Accountability Act, which addresses electronic transactions, health insurance fraud and patient privacy in the United States. Impact of the legislation on health maintenance organizations and...
- Rough seas in US managed care. Hoey, John // CMAJ: Canadian Medical Association Journal;9/21/99, Vol. 161 Issue 6, p669
Discusses how health maintenance organizations (HMO) have been losing large amounts of money. Information about how health insurance in the United States is paid for mostly by the government; Dropping of elderly patients by HMOs to save money; Debate by US Congress over a Patients' Bill of...
