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Article Abstract:

Several states have introduced or passed bills which require health insurers to offer specific benefits to policyholders. One focus in the trend of health insurance micromanagement is the extension of maternity stays in hospitals. While many legislators and lobbyists are concerned the growing influence of managed care, critics say that the laws focus too much on specific diseases or problems.

Author: Hudson, Terese
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1995
Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Insurance Regulation ex Auto-State, Laws, regulations and rules, Political activity, Managed care plans (Medical care), Insurance law

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Not ready for prime time

Article Abstract:

Many health systems do not keep accurate data on utilization rates for their health plan members, according to a survey of 200 health systems conducted by Ernst & Young. The study indicates that many health networks may be in placing themselves in financial jeopardy by unknowingly participating in risk-taking activities. Inadequate information systems are also common among health networks.

Author: Hudson, Terese
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1996
Surveys, Health services administration

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Patrick Hays: CEO, Blue Cross and Blue Shield Association of America

Article Abstract:

Blue Cross and Blue Shield Assn of America CEO Patrick Hays said that the Blue Cross/Shield plans can be more effective participants in managed-care and could help solve some of the healthcare system's problems. Hays also discussed the association's changing role and his move from Sutter Health, a healthcare provider, to Blue Cross/Shield, an insurer.

Author: Hudson, Terese
Publisher: Health Forum
Publication Name: Hospitals & Health Networks
Subject: Health care industry
ISSN:
Year: 1996
Management, Interview, Blue Cross and Blue Shield Association, Hays, Patrick

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Subjects list: Insurance industry, Health insurance
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