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At least 487 records · Page 27Linked to original sources
PubMed2001

Minnesota payers agree to work on same page with medical protocols.

In March, five of Minnesota's largest health plans--Blue Cross and Blue Shield of Minnesota, Medica, Preferred One, UCare Minnesota, and HealthPartners--agreed to work together as sponsors of the Institute for Clinical Systems Improvement to use best medical practice protocols developed at the institute.

Health Care Coalitions↗
PubMedDate not supplied

Defined contribution health plans--coming to a payer near you?

In a defined contribution health plan, the employer pays each employee a specified dollar amount as a subsidy for health insurance. The employee gets more control of the health coverage buying decision, choosing from a wide variety of employer-sponsored benefit and network options, and uses the employer dollars to purchase a coverage plan. For medical groups, defined contribution health plans pose a heightened risk of adverse selection and increase the influence of perceived provider quality on market share.

Community Participation↗
PubMed2001

Does pre-dialysis care management reap rewards for patients, renal staff, and payers.

This article describes one renal disease management organization's experience in implementing a pre-dialysis care management program to improve outcomes in patients who develop end-stage renal disease (ESRD). Optimal Renal Care, a national renal disease management company, has implemented care management programs for 600+ ESRD patients and 600+ pre-ESRD patients in Oregon (1998) and Hawaii (1999). This article describes our Oregon pre-ESRD program's start-up experience.

Disease Management↗
PubMed2002

Capitation declines, but payer mix remains steady.

Administrative base salaries for medical groups and IPAs ranged from $63,880 for business office managers to $215,948 for physician CEOs in 2001, according the American Medical Group Association's 2002 Medical Group Compensation & Productivity Survey. The survey also showed the percentage of revenue from capitated contracts continued to decline.

Administrative Personnel↗