Can managed care be used to control rising health costs in the Medicaid market? The answer involves key legal issues, including eligibility and benefits standards, safe-harbor rules, and antitrust considerations.
Can managed care be used to control rising health costs in the Medicaid market? The answer involves key legal issues, including eligibility and benefits standards, safe-harbor rules, and antitrust considerations.
Enlisting the support and participation of physicians is vital if formulary and drug-use review programs are to achieve their full potential for cost savings and quality improvement.
A computer-based monitoring program combined with medical consultation effectively controlled workers' compensation costs in the Phoenix area and, as a result, is being expanded statewide.
To contain medical costs, Salomon Brothers is implementing a number of managed-care initiatives, coupled with a comprehensive health promotion program for employees and their families.
Borgess Medical Center's application of "clinical pathing" has enabled the institution to take a business approach to its operating procedures that has proven highly effective in achieving cost savings and improving delivery of services.