Managed Care Challenges vs. Physicians' Abilities to Provide the Care Their Patients Need March 2005
An overview of the existing major health insurance entities and how they will, and do affect your daily practice. Subject areas: major private payors/insurance in the United States, pharmacy benefit management, and prior authorization and major PBMs.
Evaluating Third Party Performance
May 2004
Maybe its time to identify and cancel (or renegotiate) those managed care contracts that are more trouble than they are worth. Subject areas: examine the hassle factor, review payer performance reports, and assess reimbursement rates.
