CONSUMERS
Tags: MANAGED care plans (Medical care); HOSPITAL patients; COST
Related Articles
- HMOs offer no savings for critical care: Study. // AHA News;10/07/96, Vol. 32 Issue 40, p5
Cites a study conducted by researchers at the University of Pittsburgh Medical Center on cost savings from managed care plans. Comparison of lengths of stay for managed care and nonmanaged care patients admitted to intensive care units.
- Positioning for capitation by redesigning internal processes. Gardner, Jerome R.; Maroney, Roxy // hfm (Healthcare Financial Management);Jul95, Vol. 49 Issue 7, p40
Looks at the internal processes needed to be redesigned in order for healthcare providers to be successful in the capitated or managed care environment. Healthcare industry consolidation; mechanism of capitated payment systems; Use of sophisticated information systems methods; Decentralization...
- Cost of Medicare managed care. // Health Care Financing Review;1996 Supplement, Vol. 18 Issue 1, p132
Presents statistics between 1988 and 1995 indicating the costs of Medicare's managed care plans. Amount of capitated payments for the period; Years experiencing an increase in managed care costs; Costs dependent on types of coverage.
- Contrasting RCC, RVU, and ABC for managed care decisions. West, Timothy D.; Balas, E. Andrew // hfm (Healthcare Financial Management);Aug96, Vol. 50 Issue 8, p54
Compares the ratio of cost to charges (RCC), relative value units (RVU) and activity-based costing (ABC) as methods of costing for managed care decisions. Primary advantages of each method; Importance of accurate costing in the managed care environment; Clinic site; Implications for managed...
- Wall Street analysts say pricing--not rising costs--is... Wechsler, Jill // Managed Healthcare;Jul98, Vol. 8 Issue 7, p18
Reports that pricing is more of a problem for managed care plans in the United States than rising costs, according to Norman Fidel of the Alliance Capital Management. Percentage increase in medical costs; Key factor in premium pricing; Reason behind the decline in the actual number of competing...
- Are drug costs to blame for health premium increases? Breu, Joseph // Drug Topics;2/15/99, Vol. 143 Issue 4, p61
Questions whether pharmaceutical costs are to blame for increases in managed care premiums. Statements by medical economist J.D. Kleinke on issue; Use of drug costs for strategic and financial incentives of health maintenance organizations; Factors that contribute to the increases of...
- New laws could strangle health care cost savings. Gradison, Bill // Best's Review / Life-Health Insurance Edition;Oct95, Vol. 96 Issue 6, p66
Discloses that costs to consumers alone could be as high as $63.3 billion from 1996 to 2002 if anti-managed care laws are enacted across the United States. How this figure is only part of a loss of savings totaling $92.8 billion, according to a study by Lewin-VHI Inc., a consulting firm hired...
- Managed care prescription: Cheaper medicine. Santiago, Raquel // Crain's Cleveland Business;12/01/97, Vol. 18 Issue 48, p15
Discusses the effect competition in managed care plans is having on pharmaceutical costs. Comments from Mike Graham, vice president of plan operations for Prudential Health Care Plan; Increase in total spending on prescription pharmaceuticals in the United States; Plans of Anthem Blue Cross and...
- Managed-care negotiation assisted by benchmarking. Williams, Melony // Health Management Technology;Mar95, Vol. 16 Issue 4, p8
Reports on the usefulness for managed-care negotiation of financial data derived from quality and clinical effectiveness benchmarking. Practice-guidelines systems as tools for cost management; Demonstration with two case studies; Indicators that a hospital managed-care contract negotiator...
