Rating Health Insurers' EfficiencyJanuary 1st 1970
Slow pay and no pay. Those are two of the most common complaints that doctors have about insurance carriers. They take too long to pay, they bounce too many claims back to be resubmitted, and they deny claims that doctors think should be paid. But some health insurers do a better job than others.
BP Patients Do Better with Online HelpJanuary 1st 1970
Medication, education, plus a dose of lifestyle changes like diet and exercise. That is pretty much the standard treatment for hypertension. But a recent study published in JAMA shows that patients with uncontrolled high blood pressure can do better with blood pressure self-monitoring and regular contact with a healthcare provider through the Internet—and they do it with fewer doctor visits.
Prescription drug abuse is a growing concern among healthcare and law enforcement officials, as more addicts get their high from legal drugs. Two recent events pinpoint both sides of the problem. In Florida, a report from the Florida Medical Examiners Commission revealed that three times as many Floridians died from abuse of prescription drugs as those who overdosed on illegal drugs like cocaine and heroin.
Physicians Find Opportunities in Growth of Urgent Care CentersJanuary 1st 1970
“I’m not sure if a lot of the phenomenality of [the growth] is due to recognition more than explosive, exponential growth,” says Lou Ellen Horwitz, executive director of the Chicago-based Urgent Care Association of America. “Definitely, there is growth. We probably see a new one opening up every week. But prior to people paying attention, there may have been one opening every other week, but it wasn’t on the radar.”
Health Net Members Get Mega-Dollar SettlementJanuary 1st 1970
A US District Court judge in New Jersey has approved a $255 million settlement in a class-action suit that involved members of California-based Health Net who used out-of-network physicians. The suit alleged that members who received care from out-of-network doctors and healthcare facilities got less money than they should have because the health insurer used an “invalid” database to determine reimbursement amounts. Under the settlement, Health Net will pay $215 million to the plaintiffs and make another $40 million worth of business practice changes.
Integration Puts Physician Practices at Busy IntersectionsJanuary 1st 1970
Webster’s dictionary defines ‘integration’ as “an act or instance of combining into an integral whole.” As the sports world has taught us many times over, the “whole” is often greater than the sum of the parts. It’s a simple concept, whether we’re talking sports or business. And yet when it comes to integrating healthcare services, there has been resistance to recognizing the inherent benefits.
For Better, for Worseï¿½and for Health InsuranceJanuary 1st 1970
According to a recent Kaiser Family Foundation poll, 7% of Americans surveyed said that they or someone in their household had married within the past year to get access to their spouseï¿½s health insurance policy. Unlike a ï¿½green cardï¿½ marriage, however, where two strangers marry so that one can stay in the country legally, health insurance unions are mostly between two people who have been in a long-term relationship. Many never intended to marry or didnï¿½t plan on getting married so soon, until health circumstances made marriage an almost inevitable fiscal choice.