Exact(1)
Benefit and cost-sharing indices were developed because some managed plans, such as preferred provider organizations, control costs partly through greater patient cost-sharing.
Similar(59)
There are already several online tools that help manage 401(k) plans, such as Personal Capital and FutureAdvisor.
For example, the health management organization (HMO Research Networkk combines data maintained by several managed-care health plans (such as Kaiser Permanente or Harvard Pilgrim Health Care).
Other companies created subsidiaries to develop disease management services for managed care organizations and big employers that manage their own health insurance plans, such as Ford and General Motors [ 14].
Employer-based managed care plans have been designed such that employees have been trained for the past two decades not to be good consumers of health care," says Jeffrey Rice, a Nashville physician who runs HealthCareBlueBook.com.com
An Op-Ed article on Aug. 22 about college tuition payment plans misstated the name of a company that manages such plans.
As a result, many private managed care plans withdrew from participation in public managed care programs with high risk populations such as the elderly (Medicare) and the indigent (Medicaid).
As the focus on continuity of care and regulation of utilization diminished, managed care plans became more like other types of insurance such as indemnity plans and preferred provider organizations.
By contrast, only 40.8percentt of patients in managed care plans had the procedure in hospitals with such lower rates.
To replace these utilization control mechanisms, many managed care plans introduced mechanisms that included more interaction with subscribers, such as case management and electronic information exchange.
The most recent average rate reported by the NCQA for commercial managed care plans publicly reporting their HEDIS data was approximately 70% in 2008, and the 90th percentile rate for such plans was approximately 80% [ 35].
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