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Managed Care
The HCPro managed care department is devoted to showing health plans, population health companies, and related healthcare leaders how to maximize a company's bottom line through improved member outcomes and decreased costs.
Managed Care Headlines
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Top Stories
- Nursing excellence designation is a high-profile award
The growing interest in ANCC Magnet Recognition Program® (MRP) designation and the escalating rate of organizations applying for it can be attributed to a number of factors.
- Public Plan Would Stifle Innovation. Or, Would It?
Private insurers are on the verge of possible destruction. How they respond to the issues tearing down the industry will be a major factor in whether private insurance remains.
- Double-digit Rate Hikes Projected for Health Plans
Many popular private healthcare plans that cover nearly 100 million Americans will see double-digit rate increases into 2010, according to a national survey of more than 100 health insurers, HMOs, and third-party administrators.
- Limiting Employer Tax Exclusion May Help Pay for Health Reform
Congress may find it difficult to finance universal coverage unless it limits to some extent the exclusion of employers' health insurance payments from employees' income and payroll taxes, according to a new study.
- AHA and AMA Ask Health Plans: Can't We All Just Get Along?
Top officials for the American Medical Association and the American Hospital Association agreed yesterday that they should set aside their long adversarial history with health plans and work together, not for their own bottom lines, but to improve the health of their patients with by adhering to comparative effectiveness research.
- Ex-Governors Spar Over The Role of a Public Plan at AHIP Convention
Hundreds of health plan representatives heard three former governors—two of them physicians—argue over what role federal money should play in health reform as the America's Health Insurance Plans convention began its annual convention in San Diego on Thursday.
Managed Care Blog
The LeadTime blog, from HealthLeaders Media Editor-in-Chief Jim Molpus, finds the best ideas in business leadership and brings that discussion to healthcare. Politics, economics, management theory and quality improvement are all fair game for analysis and comment.
Recent Posts:
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CT Radiation Overdoses Caused by User Error, FDA Says
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MHA Bans Hiring of Tobacco Users
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Swallowed Foreign Objects Cost $2M at RI Hospital
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Suspicion of Medicare Fraud Triggers Most Reimbursement Suspensions
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MGMA: Practice Revenue Increases with EHRs
Spotlight
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Healthcare Price, Cost & Utilization Benchmarks, Volume VI
Whether you are a healthcare provider or a managed care organization, up-to-date benchmarks are critical to successful contract negotiations and performance improvement. Healthcare Price, Cost, and Utilization Benchmarks, Volume VI, offers the latest industry data and benchmarks for providers and managed care organizations alike.