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Physician's Managed Care Report 1999 Index

December 1, 1999

Physician's Managed Care Report 1999 Index

Accreditation

AMA, NCQA standardize credentialing, OCT:156

AMAP program expands, SEP:142

JCAHO network surveys, AUG:118

NCQA standards for PPOs, OCT:155

Preparing for the JCAHO, AUG:123

Standardizing performance measures, JUN:94

Capitation

Building in incentives, JAN:5

'California blend' uses both FFS and capitation methods, DEC: 183

Choosing software, JUN:87

Choosing your partners, AUG:119

Cost-saving strategies, MAY:71

DCG model, FEB:24

DCG time line: FEB:25

Ethics committees, AUG:120

Glossary of Terms: JAN:insert

HCFA'S DCGs, FEB:23

IPAs defect from pure capitation for primary care, DEC:184

Market capitation plans, SEP:137

Medicare changes, APR:55

Pharmacy capitation, JUL:103

Pharmacy cost groups, OCT:151

Pharmacy price caps, JUN:90

Physician reaction, OCT:153

Percent-of-premium, JAN: 7

PPO contracts, MAR:40

Quantifying cost savings, MAY:72

Rationale for DCGs, FEB:25

Risk adjustment system, JUL:104

Technology systems, JUN:88

Tracking financial trends, MAR:39

Varied categories, JAN:9

Computer technology

Choosing capitation software, JUN:87

Information in treatment room, DEC:182

Patients keep computerized records, OCT:157

Continuing education

Clinical improvement project, APR:63

Graduate programs for doctors, MAY:70

How on-line courses work, AUG:126

Managed Care College, APR:62

On-line CME courses, AUG:125

Options for graduate study, MAY:75

Physician MBA programs, MAY:69

Sources for CME courses, AUG:125

Contracting

Choosing HMO partners, AUG:119

Long-term implications, JUN:82

OIG compliance proposals, AUG:122

Questions to consider, JUN:83

Think before you sign, JUN:81

Cost-saving strategies

Measuring success, MAY:72

Specialized discharge management, MAY:71

Disease management

Analyzing the benefits, NOV:163

Assessment, education, NOV:164

CHF program, NOV:164

Improving your bottom line, NOV:161

Drop-in Group Medical Appointments (DIGMAs)

Eliminating backlogs, NOV:165

How they work, NOV:171

Setting up a DIGMA, NOV:172

Tweaking the model, NOV: 166

Efficiency measures

Benefits of case managers, APR:61

Care improvement project, APR:64

Case management assessment, APR:60

Case management incentives, APR:59

Group medical appointments, NOV:165

Physician assistants, AUG:113

Starting a group appointment model, NOV:166

Reducing hospitalization days, MAR:45

Tracking length of stay, MAR:44

Using flowcharts, JUL:109

Government investigations

Coalition to restore gainsharing, OCT:159

Durable goods warning, MAR:38

OIG forbids gainsharing, SEP:129

Health Insurance Portability and Accountability Act

Background information, DEC181

Cost-saving possibilities, DEC:180

List of resources, DEC:182

Security issues, DEC:178

Steps for preparing, DEC:177

HMO negotiations

Doctors admit to exaggerating conditions, NOV:173

HMO drops downcoding, JAN:13

Web site controversy, MAY:77

Internet

On-line CME courses, AUG:125

Patient records on-line, OCT:157

Patients go on-line, AUG:127

Tracking CHF patients, JUN:91

Managed Care Organizations

Aetna physician relations unit, NOV:175

Alabama regulations FEB:20

California HMOs sued, OCT:149

IPA failures, OCT:150

MedPartners reimburses MDs, NOV:174

New product lines, FEB:21

Pru-Aetna merger, FEB: 17

Surviving mergers, FEB: 19

Universal credentialing, NOV:173

Managed care trends

Capitation epidemic, NOV:167

Capitation rivals fee-for-service, SEP:135

Capitation on the increase, JUL:105

HMO enrollment grows, FEB:31

Larger practices predicted, AUG:116

New physicians avoid heavy MCO markets, MAR:48

Physicians key to plan success, MAY:78

Provider pressures, FEB:22

Reader predictions, JAN:15

Marketing

Advertising campaigns, JUL:107

Developing a campaign, JUL:108

Medicare

Capitation payment changes, APR:55

HCFA posts MCO ratings on Internet, MAR:43

HCFA warns HMOs, NOV:169

Lawsuit on fee schedule, NOV:170

Legislation on risk plans, JAN:14

Medicare+Choice pressures, APR:57

Plans reducing Medicare+ Choice, SEP:137

Reform in the works, SEP:138

Senior care coordinators, MAY:68

Miscellaneous

Little savings for drive-through deliveries, MAY:76

Study disputes drug abuse treatment costs, JUN:95

Study shows benefit of follow-up calls, DEC:188

Outcomes management

Improving infant mortality, JUL:110

Tracking referrals, JAN:11

Patient satisfaction

Better scheduling, SEP:133

Indicator for success, JUL:97

Improving communication, JUL:100

Key issues, JUL:107

Methods to try, JUL:102

Waiting time, JUL:100

What to ask, JUL:101

Using data, JUL:99

Physician assistants

Partners with MDs, AUG:113

Profession expands, AUG:115

Reimbursement issues, AUG:115

Physician organizations

AMA's employed physician organization, OCT:158

Houston insurance firm, FEB:28

High-tech approach, FEB:30

History of Houston firm, FEB:29

Setting up a network, SEP:132

Specialist network, SEP:131

Practice management

OB/GYN offers expertise to others, JAN:4

Practice management companies

California IPA failures, OCT:150

Evaluating the offers, JAN:3

PPMCs less alluring, JAN:1

Professional organizations

Groups oppose hospitalists, JUN:94

Reimbursement

Avoiding denials, MAY:67

Billing audits, MAR:46

Cash reserve for Y2K, APR:53

Checking MCO payments, MAR:41

Handling claims denials, MAY:65

Reasons for denials, MAY:66

Scheduling

Analyzing CPT codes, SEP:139

Causes for backlogs, SEP:134

Easing backlogs, SEP:139

Improving satisfaction, SEP:133

Keeping patients informed, SEP:141

Patient flow analysis, SEP:141

Simplifying scheduling, SEP:140

Staffing

Capacity analysis, MAR:36

Choosing a case manager, APR:62

Communication helps efficiency, JUL:108

Cross-training, JUN:92

How to cross-train, JUN:93

Physician assistants, AUG:113

Reimbursement for PAs, AUG:115

Staff satisfaction, JUL:101

Technology

Automated practice, JUN:84

Saving time, money, JUN:85

Y2K

Compliance checks, APR:51

Contingency plans, APR:52

Effect on practices, MAR:33

Equipment checklist, APR:50

Financial planning, APR:53

Handling glitches, OCT:148

How to check, MAR:34

Last-minute steps, OCT:146

Planning ahead, APR:49

Practice check list, OCT:147

Resources, MAR:35

Software suit settled, MAR:35

Sources for help, APR:54

Speed up claims processing, OCT:145