ITEMS IN FPM ON TOPIC:
Health plans, general
The author, who writes from experience inside a managed care organization, offers suggestions for making the precertification process easier.
The article describes new insurance models that give more control to patients and describes how the trend will affect family physicians.
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.
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.
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.
Patient education piece designed to help the patient identify the kind of managed care plan he is a member of.
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.
The article will explain how physicians can pursue quality improvement (improving their practice systems and patient outcomes) without losing their shirts.