Managedcaremag.com

The New Consensus Favoring IOM’s Definition of Quality

Today — more frequently than talking about a divisive issue like cost control or an evasive issue like patient satisfaction — health care leaders are discussing how they can work … See more

Actived: Just Now

URL: https://www.managedcaremag.com/archives/0406/0406.quality_defined.html

Health Care Efficiency: Measuring the Cost Associated With Quality

WEBThe AQA defines efficiency of care as the cost of care associated with a specific level of quality of care. Therefore, measurement of efficiency of care should …

Category: Health Go Health

Should Specialty Drugs Be Shifted From Medical to Pharmacy …

WEBMilliman’s analysis found that spending on self-administered specialty drugs (oral, inhaled, and injected) and those injected or infused by a provider together …

Category: Health Go Health

The Great American Bed Shed: Hospital Beds Continue to Disappear

WEBBetween October 2015 and October 2018, MedPAC goes on to report, the national ranks of hospital employees grew from 4.9 million to 5.2 million. That 5.6% …

Category: Health Go Health

Cigna’s Eva Borden Champions ‘The Stepchild’: Behavioral Health

WEBBorden, a 40-year-old divorced single mother of three, has worked for Cigna for 18 years, beginning as a medical product actuary and controller for group insurance. …

Category: Medical Go Health

Three Principles for Improving Health Care Delivery

WEB1. To ensure healthy patients, you must have healthy health care systems. In other words, to deliver true evidence-based care, evidence-based management is …

Category: Health Go Health

Money Pit: Is Accreditation Always Worth the Cost

WEBThe number of sites is also factored in, so fees typically range from $40,000 to $100,000 for three-year accreditation. The cost of collecting HEDIS data, required for …

Category: Health Go Health

United HealthCare And Humana Plan $5.5 Billion Merger

WEBUnited HealthCare and Humana, two of the nation's largest for-profit managed care companies, have agreed to a $5.5 billion merger. The resulting company …

Category: Health Go Health

A pocket guide to conservative think tanks

WEBHere’s a list, by no means exhaustive, of think tanks that have developed conservative and libertarian policies and principles in health care: AMERICAN …

Category: Health Go Health

With Direct Contracting Boeing Cuts Out the Middleman

WEBLast year, Boeing added contracts in St. Louis and Charleston, S.C., and, at the beginning of this year, the aerospace giant contracted with a large health system in …

Category: Health Go Health

What Makes Harvard Pilgrim So Good

WEBJ.D. Power’s National Health Insurance Plan Satisfaction Study gave Harvard Pilgrim a satisfaction index of 785 — the highest score of any plan in the nation — out of …

Category: Health Go Health

Why Market Competition Will Not Mend Our Health Care System

WEBIn the early days of managed care, those who made policy held out hope that market competition would create a health care system that offered the best possible …

Category: Health Go Health

Medical Directors Explain Hows and Whys of Burnout

WEBThe main symptoms of burnout, says Marjorie Schulman, MD, a former medical director, are negativity and cynicism, often directed at the bureaucracy of one’s …

Category: Medical Go Health

Value = (Quality + Outcomes) / Cost

WEBValue = (Quality + Outcomes) / Cost. March 1, 2024 by Paul Lendner. The search is on for ways to pay for health care that make value more important than …

Category: Health Go Health

Inter-Rater Reliability Testing For Utilization Management Staff

WEBAn inter-rater reliability assessment or study is a performance-measurement tool involving a comparison of responses for a control group (i.e., the “raters”) with a …

Category: Health Go Health

Provider-sponsored Organizations: The Next Generation of …

WEBThis reflects a net increase of 100,000 in the number of beneficiaries enrolling in managed care plans every month at an average Medicare payment of $500 per …

Category: Health Go Health

How Plans Can Improve Outcomes And Cut Costs for Preterm …

WEBIf the baby is born at 26 weeks, the cost can quickly rise to $250,000 or more. Infants with a moderately low birth weight can cost 46 percent more than infants born at …

Category: Health Go Health

Concierge Care by Any Name Raises Ethical Concerns

WEBConcierge Care by Any Name Raises Ethical Concerns. March 2, 2024 by exp. Medical directors have been hard-pressed to come to a consensus on just how — …

Category: Medical Go Health