Managedcaremag.com

The New Consensus Favoring IOM’s Definition of Quality

Today — more frequently than talking about a divisive issue like cost control or an evasive issue like patient satisfaction — health care … See more

Actived: Just Now

URL: https://www.managedcaremag.com/archives/0406/0406.quality_defined.html

Health Care Efficiency: Measuring the Cost Associated …

WEBThe AQA defines efficiency of care as the cost of care associated with a specific level of quality of care. Therefore, measurement of efficiency of care should …

Category: Health Go Health

Money Pit: Is Accreditation Always Worth the Cost

WEBThe number of sites is also factored in, so fees typically range from $40,000 to $100,000 for three-year accreditation. The cost of collecting HEDIS data, required for …

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The Great American Bed Shed: Hospital Beds Continue to Disappear

WEBBetween October 2015 and October 2018, MedPAC goes on to report, the national ranks of hospital employees grew from 4.9 million to 5.2 million. That 5.6% …

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Should Specialty Drugs Be Shifted From Medical to …

WEBMilliman’s analysis found that spending on self-administered specialty drugs (oral, inhaled, and injected) and those injected or infused by a provider together …

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Three Principles for Improving Health Care Delivery

WEB1. To ensure healthy patients, you must have healthy health care systems. In other words, to deliver true evidence-based care, evidence-based management is …

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What Makes Harvard Pilgrim So Good

WEBJ.D. Power’s National Health Insurance Plan Satisfaction Study gave Harvard Pilgrim a satisfaction index of 785 — the highest score of any plan in the nation — out of …

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Why Market Competition Will Not Mend Our Health Care …

WEBIn the early days of managed care, those who made policy held out hope that market competition would create a health care system that offered the best possible …

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Inter-Rater Reliability Testing For Utilization Management Staff

WEBAn inter-rater reliability assessment or study is a performance-measurement tool involving a comparison of responses for a control group (i.e., the “raters”) with a …

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A pocket guide to conservative think tanks

WEBHere’s a list, by no means exhaustive, of think tanks that have developed conservative and libertarian policies and principles in health care: AMERICAN …

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United HealthCare And Humana Plan $5.5 Billion Merger

WEBUnited HealthCare and Humana, two of the nation's largest for-profit managed care companies, have agreed to a $5.5 billion merger. The resulting company will …

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Value = (Quality + Outcomes) / Cost

WEBValue = (Quality + Outcomes) / Cost. March 1, 2024 by Paul Lendner. The search is on for ways to pay for health care that make value more important than …

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Provider-sponsored Organizations: The Next Generation of …

WEBThis reflects a net increase of 100,000 in the number of beneficiaries enrolling in managed care plans every month at an average Medicare payment of $500 per …

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With Direct Contracting Boeing Cuts Out the Middleman

WEBLast year, Boeing added contracts in St. Louis and Charleston, S.C., and, at the beginning of this year, the aerospace giant contracted with a large health system in …

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For ED, the Doctor Is in But the Men Are Staying Away

WEBExperts in men’s health say American men who have ED come in seeking prescriptions for one of the three medications available for the condition: Cialis, Levitra, …

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Medical Directors Explain Hows and Whys of Burnout

WEBThe main symptoms of burnout, says Marjorie Schulman, MD, a former medical director, are negativity and cynicism, often directed at the bureaucracy of one’s …

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Capitation Is for Specialists, Not for Primary Care Physicians

WEBThe IPA spends 23 percent of its capitation dollar on primary care, 56 percent on specialists, 14 percent on ancillary services and 7 per cent on administration. As you …

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Self-Funded HMOs on the Rise

WEBAlthough self-insured PPOs and point-of-service plans have been around for decades, self-funded HMOs are attracting increased attention as a way to reduce costs …

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