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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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PubMed2003

Epidemic of obesity fuels demand among payers for alternatives to bariatric surgery.

Why? Because they're finding that obesity is a significant factor involved with many costly chronic diseases, and financial decision-makers are concluding that bariatric surgery--while successful in many cases--is simply too expensive and too risky to cover for the large numbers of individuals who are morbidly obese. See how one EAP is attempting to meet this challenge by designing a program that incorporates the psychological and medical components of weight management.

Counseling↗
PubMedDate not supplied

Behavior management conference panel II report--Third-party payer issues.

Panel II discussed key issues related to third-party payment for behavior management in pediatric dentistry and responded to a series of questions raised by the Conference Planning Committee. The panel was composed of individuals representing consumers (parents and caretakers), pediatric dentists, other health care providers, and a large dental insurance plan. They were charged with: (1) identifying problems related to third-party coverage and benefits for behavior management; (2) developing recommendations for the American Academy of Pediatric Dentistry; and (3) prioritizing the problems and recommendations.

Behavior Control↗
PubMed2003

Health care reform and the scope of independence in decision making by environmental/family nurses. IV. Contracts realized by the payer and occupational independence of nurses.

New legal and organizational conditions enabled nurses to sign contracts directly with the disposers of allocations. It was anticipated, among others, that contracting specific health services would result in the staff obtaining greater independence in the matters of nursing. Showing one's own initiative at work may lead to an increase in satisfaction among patients and nurses, as well as the strengthening of the occupational position of nurses in the future. For this reason, the study was undertaken to confirm whether PHC nurses perceive the relationship between actual independence and performing work activities within individual or group contracts. The study was conducted in a form of a diagnostic survey, and covered 120 environmental/family nurses from non-public and public health care units. The results were analyzed from the aspect of statistical differences between the experimental and control groups. A significantly greater number of staff employed on the new basis performed independent tasks in the environment, compared to nurses employed in traditional structures. Differences were also observed concerning respondents' opinions in relation to freedom in making decisions experienced in various organizational forms. According to the respondents of the experimental group, group contracts guarantee a greater autonomy, while those of the control group evaluate individual practices in more positive terms.

Community Health Nursing↗
PubMed2004

Reconcilable differences: mending payer-provider relationships.

The advent of real-time, web-based technologies is having a surprisingly positive impact on health plans and providers. By being "connected" to health plans, providers have the information they need to operate their practices, and they can do away with the time-consuming back-and-forth of paper pushing with multiple health plans.

Computer Communication Networks↗