Seven HMOs are collaborating with NCQA to ensure that members with asthma, diabetes, depression, and heart disease receive quality care through the course of their lives.
Seven HMOs are collaborating with NCQA to ensure that members with asthma, diabetes, depression, and heart disease receive quality care through the course of their lives.
Congress is debating the future of the popular, but expensive, Medicare program. The HMO community wants lawmakers to expand the options available to seniors.
HealthPartners' "Partners for Better Health" program brings physicians and other health care professionals, members, and the community together to prevent illness and improve health status.
Unlabelled: HMOs and PBMs are implementing electronic prescription processing systems, linking doctors and pharmacies and moving the DUR process to the point of care.
The results: improved quality, efficiency, and patient satisfaction.
Risk-based capital: it's a complex formula that few people understand. But state regulators believe it's key to protecting consumers before a health plan becomes insolvent.