Primary care nurse: Oxford pilot project to give nurse practitioners gatekeeper role - and pay

Article Abstract:

Oxford Health Plans Inc. will begin offering patients the option of using nurse practitioners as their primary care providers. The pilot program is an outgrowth of a program initiated in 1995 and utilize nurse practitioners on staff at Columbia-Presbyterian Medical Center in New York, NY. The American Medical Association is concerned that nurse practitioners may not possess the training necessary to managed patient's primary care.

General Medical and Surgical Hospitals, General medical & surgical hospitals, University Medical Centers, Management, Practice, Contracts, Nurse practitioners, Health services administration, University hospitals, Columbia Presbyterian Medical Center

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Connecticut to audit Oxford

Article Abstract:

The Connecticut Dept of Insurance will audit Oxford Health Plans of Connecticut to assure that the HMO is upgrading its computer systems and has enough money to pay its claims. The department's Louis Scotti explained that auditors will make sure that Oxford's assets are correctly valued and will examine the company's information systems. The audit is the latest sign of concern over Oxford's operational problems.

Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Insurance Regulation ex Auto-State, Investigations, Accounting and auditing, Insurance law, Connecticut. Department of Insurance

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Rising medical costs cut '97 HMO profits; '98 may be better

Article Abstract:

Profits at health maintenance organizations (HMO) dropped to an average of negative 1.2% in 1997, but profitability should rise in 1998. Declining profits are attributed to a 3% growth in medical costs with only a 0.5% increase in premiums. Profits are expected to improve in 1998 because of HMOs increased purchasing clout and improved premiums.

Finance

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