Managed care: the dream and the reality

Article Abstract:

Managed care was supposed to reduce health care costs and improve the quality of medical care. However, businesses saw managed care as a means to escape the double-digit increases in health insurance plans. Managed care brought down costs and provided for big indemnity-style deductions and coinsurance provisions. However, industry analysts point to the failure of managed care. It did not bring down health care costs and there were reports that patients were denied care or were not given proper medical attention.

Health Care, Health care reform

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Preparing for health plan administrative simplification: the impact of HIPAA 261 - 264

Article Abstract:

The regulations of Sections 261 to 264 of the Health Insurance Portability and Accountability Act of 1996 will oblige the Department of of Health and Human Services to create provisions for the use of electronic data transfer by February 1, 2000. The rules are intended to assure patient privacy and confidentiality of health care information. Health care providers will also be required to secure their own National Provider Identifier IDs, while employers will be issued Employer Identification Numbers.

Administration of Public Health Programs, Medical & Health Services, Health Programs, Usage, Laws, regulations and rules, Health care industry, Technology application, Public health, Electronic data interchange, EDI (Electronic data interchange), United States. Department of Health and Human Services

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Validating managed care: the case for data analysis

Article Abstract:

Health plan sponsors can can determine the efficacy of their managed care plans by conducting a health service analysis (HSA). An HSA applies quantitative and qualitative health data analysis methods to the management of employer-sponsored health benefit plans. It provides a holistic perspective of the use of health care products and services by a covered group.

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