General Internal Medicine best practices and articles at NEJ
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Physicians serve as salaried employees of an HMO and provide care only to a defined group of the HMO’s members or beneficiaries — often referred to as a “panel of patients.” In general, clinical care delivery of incentive bonus based on productivity, patient satisfaction or both. No special training or expertise is required, but managed care...
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http://www.nejmjobs.org/career-resources/medical-practice-issues.aspx
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New England Journal of Medicine: Leaving a Practice
Fromson says, adding that physicians should follow those entities’ policies to the letter to ensure there is no possibility of the departure being misconstrued as patient abandonment should be well aware of contractual obligations or debts that might follow them to their next position. Those who have become partners or owners in the practice they....
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The Healthcare IT Guy » 2006 » November
It’s nearly three years since Health Savings Accounts (HSAs) emerged, and while they’ve faced substantial criticism, Americans are used and the availability of tools to access that health data. The lack of coherent policies and practices for the secondary use of health data presents a significant impediment to the A national framework for the...
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http://www.healthcareguy.com/index.php/archives/date/2006/11/
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HealthBlawg: Ehealth
HealthBlawg: Ehealth HealthBlawg David Harlow's Health Care Law Blog Posts categorized "Ehealth" June 27, 2007 News of first HIPAA security audit trickles out While neither the federales nor the hospital in question has confirmed the story, an Atlanta hospital has reportedly been the target of a HIPAA security rule audit. This month, Computerworld...
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http://healthblawg.typepad.com/healthblawg/ehealth/index.html
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HealthBlawg: February 2007
Update 4/24/07: Still waiting for with link to reg here .) One issue that is of particular concern to IDTFs and their physican partners is a ban on space, equipment and personnel leases between IDTFs and other parties. Word is that the...
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Women in Substance Abuse Treatment: Results from the Alcohol
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...contained in this report are solely those of the authors and do not necessarily reflect the views, policies, or position of OAS, SAMHSA, or any other part of the DHHS, and no official endorsement of...
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http://oas.samhsa.gov/WomenTX/WomenTX.htm
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2005 Legislative Compendium: Medicaid and CHIP
Medicaid managed care – Integrated Care Management (ICM), a model based on TMA’s enhanced PCCM. At battles’ end, TMA and its partners achieved qualified success. HHSC cannot expand the STAR+PLUS HMO model statewide. Instead, ICM will be piloted in Dallas for the aged, blind, and disabled population. ICM also and hospital districts in determining w...
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http://www.texmed.org/Template.aspx?id=4234
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Health Care Policy and Marketplace Review: February 2007
If that is a good bet, why wouldn't Medicare HMO stocks be reflecting that risk? Instead, they have generally been up nicely in value since the election. It is also notable Medicare Advantage HMOs will receive a 3% to 4% payment increase in 2008 --based upon the payment policies instituted by the Republican Congress. In fact, a number of key...
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http://healthpolicyandmarket.blogspot.com/2007_02_01_archive.html
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Innovations in Healthcare: October 2006
The creation of subsidized, bare-bones policies for small businesses. Vermont, Maine and especially Massachusetts are using combinations of state and federal money and...
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http://innovationsinhealthcare.blogspot.com/2006_10_01_archive.html
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Innovations in Healthcare
Is very ambitious," says Dr. Greenfield, an adviser to Care Focused Procurement LLC., a nonprofit putting together an HMO claims database. "We love the patient as the agent."
"It has always seemed unusual to me that...
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http://innovationsinhealthcare.blogspot.com/feeds/posts/default?start-index=26&a
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Let’s Talk Health Care » Blog Archive » Drugs - Not The Cost
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Let’s Talk Health Care » Blog Archive » Drugs - Not The Cost Problem… Home Blog Archive Info Center Stay Informed About Charlie Harvard Pilgrim Drugs - Not The Cost Problem… Back to the Blog » April 13, 2007 Whenever most people talk about the rising cost of health care , they talk about how expensive prescription drugs are, and how they’re driving...
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http://www.letstalkhealthcare.org/?p=19
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1997_11 | The Future of Capitation In a World of Shared Risk
Say the consumer pays $105 per member, per month. The HMO will take 20 percent off the top, with very little exposure except for transplants, perhaps, or outpatient pharmacy. If HMOs can are signing up HMOs, instead of the other way around. San Diego-based FPA Medical Management recently acquired Norwalk, Conn.-based Health Partners, a practice...
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http://www.managedcaremag.com/archives/9711/9711.capitation_part3.shtml
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2002_07 | Has Capitation Weathered the Storm?
Hands down. "It always looks easy when the other guy is doing it," says Gary Janko, president of Access Partners, a Boston-area practice management and information systems consulting company. Tales of medical practices shipwrecked on the shoals...
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http://www.managedcaremag.com/archives/0207/0207.capitationstorm.html
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MGMA Website Privacy Policy-MGMA
...(Affiliate members and partners are subject to the restriction that contact information found in the MGMA on-line Member Directory may not be to evaluate use of the Site, improve content provided and for other business decision-making purposes. 7. Other privacy policies Research data Data collected in the course of your participation in researc...
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Seminar: Designing a Physician Compensation Plan for Your Pr
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Conferences Core Learning Series Overview Member Directory Manage Your Account Manage Your Profile Networking Get Involved Join / Renew Overview Advocacy Resources FAQs Appropriations HIPAA Transactions HMO Settlements Medical Liability Reform National Provider Identifier Patient Safety Pay for Performance Physician Reimbursement Provider Enrollmen...
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http://www.mgma.com/pd/default.aspx?id=13358
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CaliforniaChoice
Carrier selection Premium/benefit level Doctor network Formulary Voluntary vs. buy-up options Our Core Offerings California Choice ® offers medical HMO ,HSA and PPO plans; dental HMO, PPO and EPO; Rx; voluntary vision and multi-choice dental coverage; term life; chiropractic/acupuncture options. Our list of premier AIG/American General –...
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https://www.calchoice.com/AboutUs.aspx
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IHA WebSite Links
Com - new website designed to assist Managed Care Information Center The Markkula Center for Applied Ethics at Santa Clara University Massachusetts Association of HMOs Medicare HMO Compare Site - HCFA Site Medicare HMO Information Site - Private site sponsored by Managed Care On-Line MedicareNewsWatch.com MedicareNewsWatch.com is your independent....
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http://www.iha.org/links.htm
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HDMA - Industry Acronyms
News Center Press Room Vital Link Position Statements Annual Leadership Forum Looking Forward in Reverse Logistics Seminar Distribution Management Conference & Expo Business Partners Exchange RFID Health Care Industry Adoption Summit Upcoming Meetings & Conferences Webinars Anti-Counterfeiting Barcoding Biotechnology Contract Administration/C...
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http://www.healthcaredistribution.org/resources/industry_acronyms.asp
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HFMA NEWS
11:24 AM (CST) Permalink Wednesday, June 28, 2006 New York Issues Report Card on Hospital and HMO Price and Quality The New York State Health Accountability Foundation has released an interactive report that provides data on the diagnoses and procedures. In addition, each commercial insurer’s individual and family premiums for a standardized....
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http://www.hfma.org/hfmanews/default,month,2006-06.aspx
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