Hospitals & Providers

Physician advisor programs help with concurrent and retrospective appeals, length of stay management

Automation and integration are the keys to better care

Consumer-centric concept empowers members, allows employers to predict costs and gives MCOs greater market visibility

One dedicated individual coordinates a single patient's overall clinical experience from admission to discharge.

The ideal system enables physicians to access the patient information they need, when they need it

Benefits choice centers can help MCO's achieve a consumer-directed strategy to meet needs of small or regional employer markets

Responsibilities are divided, so providers and insurers have reasonable guidelines for processing payment

Landmark example of hospital cost sharing proves to be a markedly different arrangement, satisfying anti-kickback statutes

Hospitals can expect change in Medicare reimbursement

These less-controlled studies help evaluate the actual benefits derived from a drug, as well as provide a preview of safety and patient compliance.

Commitment, strong leadership and smart legislation bring greater coverage, more choices in Columbia

New and improved healthcare system should focus on prevention, not cures

Healthcare environments are transcending the ordinary to enhance the patient experience

New tools that include IS, Internet processing, ASPs and outsourcing help manage transactions and free resources to focus on core competencies

Best practices make the best criteria when negotiating a contract with preferred provider organizations

Making information available at the point of care helps ensure proper treatment regimens and increases patient satiisfaction

Action against health plans has been rare, but the environment might be changing as state and federal regulators step up the stakes

Outpatient rehabilitation services in plans can keep older workers healthy and productive while helping to contain costs, create efficincies

Outpatient rehabilitation services in plans can keep older workers healthy and productive while helping to contain costs, create efficiencies

Quality outpatient care, better-integrated technology and an emphasis on privacy keep families happy at Childrfen's Hospital in Omaha

The marriage of health plans and PBMs can improve quality of care and prevent catastrophic events

Technology aids with negotiation, information exchange and organizational performance to control expenses against risk pool