Health plans, general

Oct 2006 Issue
Managed Care Administrative Tasks: Cutting the Red Tape [Feature]

This article discusses the most significant hassle factors related to managing multiple managed care plans and describes best practices for dealing with them.

Jun 2006 Issue
Precertification, Denials and Appeals: Reducing the Hassles [Feature]

The author, who writes from experience inside a managed care organization, offers suggestions for making the precertification process easier.

Mar 2006 Issue
How Consumer-Driven Health Plans Will Affect Your Practice [Feature]

The article describes new insurance models that give more control to patients and describes how the trend will affect family physicians.

Jul-Aug 2004 Issue
Should You Charge Your Patients for "Free" Services? [Feature]

In this era of tightening reimbursements, it's difficult for family physicians to continue practicing, let alone afford to improve their practices. This article explains how family physicians are finding new sources of income in services they used to be able to afford to offer without charge.

May 2004 Issue
Simplifying the Credentialing Process [Getting Paid]

The author explains the Universal Credentialing Data Source, a system developed by the Council for Affordable Quality Healthcare to enable physicians to be credentialed or update their credentials by faxing or e-mailing their information to one place rather than having to send it to each insurance company they contract with.

Mar 2004 Issue
Getting Rewards for Your Results: Pay-for-Performance Programs [Feature]

The article examines the current status and future trends of pay-for-performance programs, which reward physicians for meeting defined performance/quality measures. The article also assesses whether such programs can help family physicians implement quality improvement strategies more broadly.

Sep 2001 Issue
Understanding Your Health Plan's Rules [Patient Education]

Patient education piece designed to help the patient identify the kind of managed care plan he is a member of.

Jun 2001 Issue
Understanding Your Insurance Coverage [Patient Education]

Jan 2001 Issue
The Future of Health Care Financing [Feature]

The article explores new models of health care financing, such as MyHealthBank, which are seeking to restructure the financing of health care by putting patients in direct control of their health care dollars.

Nov-Dec 2000 Issue
'My Insurance Changed': The Negative Effects of Forced Discontinuity of Care [Improving Patient Care]

The article, part of a continuing series on the Direct Observation of Primary Care Study, explores what effects forced disruptions in continuity (i.e., patient insurance changes) may have on quality of care.

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