Managed Care Articles

Addressing Pharmacy Costs in the Managed Care Environment
By Jack Raber, Pharm.D.
January 1998—Vol. 47, No. 1

Assembling a High Performance Management Team in a Managed Care Era
By Henry E. Golembesky, M.D., FAAP
February 1998—Vol. 47, No. 2

Breaking the Managed Care Logjam with a Specialist Physician Organization
By Robert P. Driscoll, M.D.
November/December 1999--Vol. 48, No. 10

Community-Based Managed Care Networks: A Strategic Alternative to Third-Party Systems
By David Vincent
November/December 1994—Vol. 43, No. 6

Faculty Practice in the Era of Managed Care
By L. Gregory Pawlson, M.D., M.P.H.
January/February 1996—Vol. 45, No. 1

Good-bye Gatekeeper
By Francine R. Gaillour, M.D.
November/December 1996—Vol. 45, No. 6

How Capitated Entities Are Applying Risk-Based Capital Strategies for Profitability
By Charles Crispin
September 2002-Vol. 51, No. 8

Identifying and Reducing Health Care Fraud in Managed Care
By M. Nicholas Coppola, M.S.A., M.H.A. (abd), C.H.E.
March/April 1997—Vol. 46, No. 2

Improving Patient Service and Satisfaction in Managed Care
By Michael Alper
March 2003-Vol. 52, No. 3

Just Because It Says Managed Care Doesn’t Mean It Is
By James O. Hillman, C.P.A.
September/October 1996—Vol. 45, No. 5

Keeping IPAs in the Risk Contracting Game through Contact Capitation
By Clifford R. Frank
September 1999--Vol. 48, No. 8

Loyalties: Changing Relationships in the Managed Care Environment
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
September 1998—Vol. 47, No. 8

Managed Care Contract Revenue Recovery: Developing a Plan
By Terri Welter and Paul Stevenson
October 2000—Vol. 49, No. 9

Managed Care and "ME" or Managed Care and "US"?
By Marvin A. Klemes, M.D.
November/December 1996—Vol. 45, No. 6

Managed Care and the Master Facility Process
By Bernice C. Marquart
January 1998—Vol. 47, No. 1

Managed Care Contract Compliance: Are You Getting Paid Properly?
By Terri Welter and Paul Stevenson
September 2000-Vol. 49, No. 8

Maintaining Critical Focus in Authorization Decisions
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
July/August 1999—Vol. 48, No. 7

The Medical Director’s Challenge
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
October 1999—Vol. 48, No. 9

Medical Groups Accept and Manage Risk under Managed Care Contracts
By Elaine Zablocki
January/February 1997—Vol. 46, No. 1

Medicare Risk Contracting: Ingredients for Success
By Henry E. Golembesky, M.D., FAAP
July/August 1996—Vol. 45, No. 4

The MSO-Group Practice Tie: A Basic Managed Care Building Block
By J. Mark Waxman, Esq.
November/December 1994—Vol. 43, No. 6

An Obituary on Capitation: Its Rise, Its Demise, and Its Legacy
By Albert E. Barnett, M.D., Thomas Mayer, M.D., and Gloria Mayer, Ed.D.
July/August 2002-Vol. 51, No. 7

Out-of-Network Referrals: Special Situations and the Issue of Competence
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
June 1999—Vol. 48, No. 6

A Payer Scorecard—Accountability for Payers
Changing the Payer-Provider Environment
By Karen J. Sohr, R.N., BSHA
September 2001—Vol. 50, No. 8

The Physician/Administrator Partnership
By James O. Hillman, C.P.A.
November/December 1996—Vol. 45, No. 6

PPMC Blowout: How Medical Groups Can Respond
By Jeffry Peters
March 1999—Vol. 48, No. 3

Prepare for Changes in Coding and Billing for Laboratory Services
By Lester E. Wold, M.D.
January 2000—Vol. 49, No. 1

Preparing for a Manage Care Organization’s Office Audit
By Steven Chinn, D.P.M., M.S.
July/August 2000—Vol. 49, No. 7

The Possibility of "No": Denials in Value-Laden Coverage Conflicts
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
February 2000—Vol. 49, No. 2

Professionalism: Physician Relationships in the Changing Managed Care Environment
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
October 1998—Vol. 47, No. 9

Providing Services That Are Not Medicare Allowable
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
May 1999—Vol. 48, No. 5

Recruiting and Training Physicians to Achieve Their Full Potential as a Partner in Managed Care
By Gregory W. Pilgrim, M.B.A., M.H.A.
November/December 1998—Vol. 47, No. 10

The Renewed Challenge of Managed Care
By Stephen F. Messinger, MHSA, and Terri L. Welter, M.S.
July/August 2001-Vol. 50, No. 7

Resolving Disputes with Managed Care Plans—The Mediation Alternative
By Michael A. Duncheon, J.D.
June 1998—Vol. 47, No. 6

Risk Involved with Managed Care Contracts: What Providers Don’t Know Can Kill Them
By Charles Crispin
November/December 1999—Vol. 48, No. 10

A Step-by-Step Guide for Medical Groups Interested in Designing a Health Plan Product
By Susan S. Brown, Ph.D.
February 1998—Vol. 47, No. 2

Strategic Errors in Seeking Sources of Value under Managed Care: Part I—Distribution Value
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
March 1998—Vol. 47, No. 3

Strategic Errors in Seeking Sources of Value under Managed Care: Part II—Brand Equity
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
April 1998—Vol. 47, No. 4

Strategic Errors in Seeking Sources of Value under Managed Care: Part III—Capabilities and Assets
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
May 1998—Vol. 47, No. 5

Succeeding in Managed Care—A Managed Ethics and Design Approach: Part 1, Foundation
By Bruce D. Feldstein, M.D.
June 1998—Vol. 47, No. 6

Succeeding in Managed Care—A Managed Ethics and Design Approach: Part 2, Case Studies
By Bruce D. Feldstein, M.D.
July/August 1998—Vol. 47, No. 7

Success in Pharmacy Risk Management: A Case Study
By David Calabrese, R.Ph., M.H.P.
October 2001—Vol. 50, No. 9

Surviving in the Managed Care Environment: The Push for Physicians to Combine
By Lori J. Braender, J.D.
March/April 1997—Vol. 46, No. 2

Targeting Specific High-Risk Groups: Kaiser Permanente’s Program in Improve Prevention of Teen Pregnancies
By Richard C. Boise, M.D., M.P.H., and Maria X. Borquez, M.D., M.P.H.
October 1999—Vol. 48, No. 9

There’s No Place Like Home: The Perils of Geographic Distribution in Full-Risk Contracts
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
January 2000—Vol. 49, No. 1

What Are the Boundaries of Managed Care?
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
November/December 1999—Vol. 48, No. 10

What Creates Medical Group Success?
By Gerald S. Benedict, C.P.A.
July/August 1996—Vol. 45, No. 4

Will There Be a Role for Indemnity Insurance in the 21^st Century?
By James Burke
January/February 1997—Vol. 46, No. 1

You Get the Pain When They Do the Mambo
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
September 1999—Vol. 48, No. 8

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