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Case study: Kaiser physicians go on sales calls

It's not often that prospective health plan members get pitched directly by a physician. But at Kaiser Permanente Colorado, that's exactly what's happening. The HMO has launched a program under which Read more...

ALSO NOTED: Tool calculates ROI on quality programs; Doctors resist e-mailing patients; and much more...

> A new tool could help health plans and providers demonstrate the return on investment from quality improvement. Read more...

Trend: Medical prices set to jump again

While medical prices fell for the fourth consecutive year in 2007, observers say that health costs likely will shoot up again, soon. According to an article in the journal Health Affairs by author Read more...

Cigna pays for more retail clinic services

Cigna has expanded the number of retail clinics for which it will reimburse services, making it more likely that its peers will add such clinics to their provider list. The health plan already Read more...

MD groups struggle with Medicare incentive goals

It looks like the initial stages of a new CMS demonstration project have turned out to be something of a disappointment. In April 2005, CMS began offering annual bonuses to 10 physician groups if Read more...

Case study:Hospital creates patient-sharing network

If you're a provider in the Boston suburbs, you stand a chance of losing your patients to the high-prestige hospitals and specialists found in the city--which houses, among other institutions, Read more...

Study: CMO compensation up in 2006

Total pay for chief medical officers was up across the board in 2006, though modestly within medical groups, hospitals and integrated health systems, according to a new study. CMOs with managed care Read more...

ALSO NOTED: WellCare faces shareholder suit; State OKs $1.8M for ex-U of Kansas CEO; and much more...

> WellCare's troubles keep mounting. The latest is a shareholder suit claiming that its directors misrepresented its financial condition. Read more...
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Texas doctors fight back in MD ratings dispute

Concerned about several health insurers' decision to rate and rank physicians, a Texas medical group has decided to fire back with ratings on insurers. The Harris County Medical Society, working with Read more...

CA accuses UnitedHealth of 'unfair' practices

The California Department of Managed Health Care (DMHC) has issued a cease and desist order against UnitedHealthcare division PacifiCare of California, contending the health plan engaged in "dishonest and unfair" business practices. While the scale of the case is relatively small--it involves about 500 patients enrolled with a medical group in Redwood City--the matter is significant. It's only the second time in the DMHC's six-year history that it has issued such an order. What's …

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