Managed Care Articles
Addressing Pharmacy Costs in the
Managed Care Environment
By Jack Raber, Pharm.D.
January 1998Vol. 47, No. 1
Assembling a High Performance
Management Team in a Managed Care Era
By Henry E. Golembesky, M.D., FAAP
February 1998Vol. 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 1994Vol. 43, No. 6
Faculty Practice in the Era of Managed
Care
By L. Gregory Pawlson, M.D., M.P.H.
January/February 1996Vol. 45, No. 1
Good-bye Gatekeeper
By Francine R. Gaillour, M.D.
November/December 1996Vol. 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 1997Vol. 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
Doesnt Mean It Is
By James O. Hillman, C.P.A.
September/October 1996Vol. 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 1998Vol. 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 1996Vol. 45, No. 6
Managed Care and the Master Facility
Process
By Bernice C. Marquart
January 1998Vol. 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 1999Vol. 48, No. 7
The Medical Directors Challenge
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
October 1999Vol. 48, No. 9
Medical Groups Accept and Manage Risk
under Managed Care Contracts
By Elaine Zablocki
January/February 1997Vol. 46, No. 1
Medicare Risk Contracting: Ingredients
for Success
By Henry E. Golembesky, M.D., FAAP
July/August 1996Vol. 45, No. 4
The MSO-Group Practice Tie: A Basic
Managed Care Building Block
By J. Mark Waxman, Esq.
November/December 1994Vol. 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 1999Vol. 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 1996Vol. 45, No. 6
PPMC Blowout: How Medical Groups Can
Respond
By Jeffry Peters
March 1999Vol. 48, No. 3
Prepare for Changes in Coding and
Billing for Laboratory Services
By Lester E. Wold, M.D.
January 2000Vol. 49, No. 1
Preparing for a Manage Care
Organizations Office Audit
By Steven Chinn, D.P.M., M.S.
July/August 2000Vol. 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 2000Vol. 49, No. 2
Professionalism: Physician
Relationships in the Changing Managed Care Environment
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
October 1998Vol. 47, No. 9
Providing Services That Are Not
Medicare Allowable
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
May 1999Vol. 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 1998Vol. 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
PlansThe Mediation Alternative
By Michael A. Duncheon, J.D.
June 1998Vol. 47, No. 6
Risk Involved with Managed Care
Contracts: What Providers Dont Know Can Kill Them
By Charles Crispin
November/December 1999Vol. 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 1998Vol. 47, No. 2
Strategic Errors in Seeking Sources of
Value under Managed Care: Part IDistribution Value
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
March 1998Vol. 47, No. 3
Strategic Errors in Seeking Sources of
Value under Managed Care: Part IIBrand Equity
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
April 1998Vol. 47, No. 4
Strategic Errors in Seeking Sources of
Value under Managed Care: Part IIICapabilities and Assets
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
May 1998Vol. 47, No. 5
Succeeding in Managed CareA Managed
Ethics and Design Approach: Part 1, Foundation
By Bruce D. Feldstein, M.D.
June 1998Vol. 47, No. 6
Succeeding in Managed CareA Managed
Ethics and Design Approach: Part 2, Case Studies
By Bruce D. Feldstein, M.D.
July/August 1998Vol. 47, No. 7
Success in Pharmacy Risk Management: A
Case Study
By David Calabrese, R.Ph., M.H.P.
October 2001Vol. 50, No. 9
Surviving in the Managed Care Environment: The Push for Physicians to
Combine
By Lori J. Braender, J.D.
March/April 1997Vol. 46, No. 2
Targeting Specific High-Risk Groups:
Kaiser Permanentes 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 1999Vol. 48, No. 9
Theres 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 2000Vol. 49, No. 1
What Are the Boundaries of Managed
Care?
By Daniel G. Harwitz, M.D., and Laurie Rosenblatt, M.D.
November/December 1999Vol. 48, No. 10
What Creates Medical Group Success?
By Gerald S. Benedict, C.P.A.
July/August 1996Vol. 45, No. 4
Will There Be a Role for Indemnity
Insurance in the 21st Century?
By James Burke
January/February 1997Vol. 46, No. 1
You Get the Pain When They Do the Mambo
By Laurie Rosenblatt, M.D., and Daniel G. Harwitz, M.D.
September 1999Vol. 48, No. 8
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