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Managed care across borders; two New England Blues unveil regional plan

Article Abstract:

Blue Cross & Blue Shield Plan of Massachusetts and Healthsource New Hampshire will be joint owners of NHM LLC, the New Hampshire Massachusetts Limited Liability Corp., which is expected to yield more efficient and cost-effective health care. The 1.8-million-member Massachusetts plan lost $53.5 million in the first six months of 1996. The partners hope to draw other New England Blues into the network and compete with HMOs such as Harvard-Pilgrim Health Care, which also crosses state borders.

Author: Scheier, Ronni
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1996
Planning, Regional medical programs, Blue Cross and Blue Shield of Massachusetts Inc., Healthsource New Hampshire Inc.

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Mandating coverage

Article Abstract:

The 104th Congress passed legislation addressing maternity and mental health benefits, but failed to pass a measure restricting "gag" clauses in managed care contracts. Additionally, Congress approved a provision spearheaded by Rep Greg Ganske and Sen Bill Frist which renders patents on medical procedures virtually unenforceable.

Author: Gianelli, Diane M.
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1996
Administration of Public Health Programs, Health Programs, Laws, regulations and rules, Health care industry, Political activity, Social policy, Public health, American Medical Association, United States. Congress, Maternity benefits, Mental health benefits

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Subjects list: Insurance industry, Medical care, Health insurance
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