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Managed Care Weekly Digest

Susan Hasty, Publisher

Table of Contents . . . March 29th, 2004

Non-Subscriber - Summaries Only

Related Areas: Other Issues in Managed Care Weekly Digest | Other Publications

Medicare - Health insurance plans moving forward on drug discount card for beneficiaries

Myocardial Infarction - Hospitals following heart attack guidelines have better outcomes

Healthcare Benefits - Uninsured not willing to pay what it costs to insure themselves, economist says

Myocardial Infarction - Community hospitals do not transfer high-risk heart patients for aggressive therapy

Myocardial Infarction - Following care guidelines reduces risk of death within 1 year of heart attack

Pediatrics - Clinical judgment as good as guidelines for treating febrile infants

Adolescent Health - Study links teens' "sense of self" to alcohol, drug use, and sex

Arrhythmias - Implanted defibrillators not covered for patients who could benefit

Assisted Reproduction - Study to explore use of PGD in lowering multiple birth rates

Breast Cancer - Black women in U.S. more likely to have delayed diagnosis, treatment

Breast Cancer - Patients switched from tamoxifen to exemestane more likely to stay cancer-free

Breast Cancer - Radiologists with higher mammogram "recall rates" find more early cancers

Breast Cancer - Study: Self exam increases women's concerns, has no effect on mortality

Business & Finance - Audit criticizes Hawaii Health Department's financial practices

Business & Finance - Genetic research planned at Cincinnati's new $115 million research facility

Business & Finance - Hawaiian insurer reports $10.8 million profit, but still pushes rate hike

Business & Finance - Kaiser achieves operating margin of 3.9%, announces upgrades

Business & Finance - Network of rehabilitation providers posts $162 million in national claims

Business & Finance - WebMD reports increased fourth quarter revenue

Business Update - American Retirement Corporation cooperates in Medicare probe

Business Update - Delaware commissioner mulls dissolution of insurer affiliation

Business Update - HMO upgrades management software to offer members broader products, services

Business Update - Healthcare lobby group changes name

Business Update - Initiate Systems provides fourth quarter healthcare-practice update

Business Update - Insurer offers new 3500 Deductible PPO Plan with no copays, coinsurance

Business Update - Johnson & Johnson CEO's bonus jumped by more than half in 2003

Business Update - National Medicaid service provider buys Michigan Medicaid managed care plan

Business Update - Specialty insurance companies announce five-state renewal rights transaction

Cancer Outcomes - New statistics show poverty gap in cancer survival has widened

Cancer Prevention - Advocacy group to accelerate the attack on cancer

Catheter Care - Articles by nurses describe StatLock benefits

Children's Health Insurance - Participation limit lifted on Idaho program

Collaborations - Apollo Telemedicine Partners with MicroBrightField

Collaborations - Lexington Medical Center signs cost-management agreement

Collaborations - QMed, Inc. to provide diabetes and coronary disease management to WHA

Contraception - Denver branch of Catholic Charities cuts birth control insurance

Electronic Medical Records - CareCert electronic form processing agreement announced

Electronic Medical Records - Gamewood's EMR enhancements help with nephrology reimbursement

Electronic Patient Records - InforMedix selects healthcare IT veteran to roll out ePRO device

Employee-sponsored Health Insurance - Soaring costs prompt small firms to drop health benefits

Employer-sponsored Health Insurance - Businesses decry rising hospital costs in Maine

Employer-sponsored Health Insurance - General Motors says healthcare obligation hit $67.5 billion in 2003

Employer-sponsored Health Insurance - Self-insurance group sets legislative and regulatory agenda for 2004

Employer-sponsored Health Insurance - Senate bill would give small businesses government bargaining power

Endometriosis - New publication helps women get diagnosis and treatment they need

Finance - 22% increase in revenues reported by lab services company

Finance - Blue Cross and Blue Shield of North Carolina reports growth

Finance - HMS Holdings Corp. announces profitable fourth quarter and fiscal year 2003

Finance - HealthGate Data Corp. reports $1.4 million loss in 2003

Finance - MIM reaches tentative agreement with founder; settlement to be recorded in Q4

Finance - Odyssey reports annual revenue increases 41%; net income increases 48%

Finance - PPO introduces financial services product

Finance - ProCyte announces 2003 financial results

Finance - SRI/Surgical Express, Inc., reports 2003 financial results

Finance - Specialty pharmacy completes $150 million credit facility

Finance - State-supervised rehabilitation ends for insurance company

Finance - U.S. Physical Therapy announces 2003 financial results

Finance - Unilens reports improved operating results

Geriatrics - Obesity could wipe out older Americans' health gains

Geriatrics - Tennessee orders admissions halted at nursing home

HIPAA - National medical privacy law makes health research harder, more expensive

HIPAA Compliance - HMSA selects CA eTrust solutions to help with HIPAA compliance

HIV Diagnosis - CDC reports that OraQuick test produces fewer false positive HIV-1 results

Health Care - Regency Hospital Company announces long term acute care hospital

Healthcare & Politics - Australia's government announces major funds injection into healthcare

Healthcare & Politics - United HealthCare leads Minnesota in soft money donations

Healthcare & Politics - Vermont senate gives preliminary approval to hospital whistleblower bill

Healthcare Access - Detroit nursing facility offers compassionate care for uninsured

Healthcare Access - Missouri committee votes to keep health labs open

Healthcare Access - New veterans' clinic to open in Mississippi

Healthcare Access - Termination of contract could hurt Phoenix-area Medicaid patients

Healthcare Benefits - Georgia insurer establishes high-deductible health plans compatible with HSAs

Healthcare Benefits - Insurer combines health, disability management for employer plans

Healthcare Coverage - Healthcare corporation to implement discounts for uninsured patients

Healthcare Coverage - Kryptiq unveils new solution for managing healthcare insurance contracts

Healthcare Coverage - Louisiana lawmakers looking again at insurance plans for the poor

Healthcare Coverage - Magellan Health Services awarded contract for Iowa Medicaid program

Healthcare Coverage - New Mexico's governor signs AFSCME contract, health bill

Healthcare Coverage - Premera Blue Cross and Molina Healthcare of Washington announce agreement

Healthcare Economics - Northwest U.S. businesses' healthcare costs predicted to rise 14% this year

Healthcare Economics - Prescription drugs inflation down from 6.2% to 2.2% in just over 2 years

Healthcare Economics - Rhode Island has highest insurance premiums in U.S., study says

Healthcare Economics - Rising cost of healthcare premiums may slow in North Carolina

Healthcare Fraud - Healthcare group proposes plan to fight unlicensed insurance scams

Healthcare Spending - Hospital CFOs predict double-digit increase in capital spending

Heart Disease Therapy - Baseline data from heart protection trial reveal dramatic shift in treatment

Hospitalization - Questions raised about do-not-resuscitate orders and shorter hospital stays

Hypertension - Study looks at cost of high blood pressure therapy

ICU Standardization - Avera Health offers eICU care in Dakotas

Information Technology - Allscripts announces new e-prescribing solution for physicians

Information Technology - Anthem Blue Cross Blue Shield in Colorado Launches RelayHealth service

Information Technology - Bradley Memorial Hospital selects Eclipsys Outsourcing

Information Technology - East Jefferson General Hospital to adds clinical IT solutions

Information Technology - HealthPartners Clinics introduce online appointment scheduling

Information Technology - Healthaxis augments marketing and sales team with two new appointments

Information Technology - MEDecision delivers integrated medical management to BCBS of Massachusetts

Information Technology - Network to allow electronic exchange of prescription information

Information Technology - New Jersey center joins ranks of ProSolv CardioVascular users

Information Technology - Pilot program aims to prevent Medicaid fraud, abuse, waste

Information Technology - Polly Ryon Memorial Hospital selects Amelior ED patient care system

Information Technology - Web-based retail pharmacy network enrolls with RxScan to minimize errors

Information Technology - Wireless solutions help improve patient care

Injury Prevention - Alcohol-related emergency department visits more frequent than believed

Internet - Online hospital access draws critics

Kidney Disease - African Americans unaware of high kidney disease risk

Laboratory Services - Swedish Medical Center inks lab-services agreement with LabCorp

Legal Issues - Pennsylvania sues drug makers over pricing practices

Legal Issues - Suspended psychologist loses Ohio license

Legislative Issues - Any-willing-provider law back under wraps in Arkansas

Legislative Issues - Bill encourages retired physicians to volunteer services

Legislative Issues - Iowa Senate passes bill encouraging long-term care insurance

Legislative Issues - Kentucky seeking to lure more health insurers

Liver Cancer - Radiofrequency ablation liver treatment establishes reimbursement policies

Liver Disease - Hepatitis C virus carriers need access to quality, continuous care

Market Analysis - Americans might be getting better deal on pharmaceuticals than Europeans

Market Analysis - Twenty-two year analysis shows overall media coverage of HIV/AIDS decreasing

Medical Errors - New Mexico doctors face license loss

Medical Errors - Talking chips invented for prescription bottles

Medical Malpractice - Debate over limiting jury awards comes to Pennsylvania Senate

Medical Malpractice - Doctor suspended after allegedly showing up for surgery drunk

Medical Malpractice - Insurer to leave Wyoming

Medical Malpractice - Pennsylvania Senate approves bill to cap liability awards

Medical Malpractice - Pennsylvania doctor convicted in drugs-for-sex trial

Medical Malpractice - Prosecutors say dentist performed unnecessary surgery

Medicare - Florida doctor convicted of fraud

Medication - Doctors say take medication with milk when food is unavailable

Mental Health - Maine's court master says courts should no longer manage psychiatric facilities

Mental Health - Oregon settlement sends 69 patients home from mental hospital

Mergers & Acquisitions - Amedisys finalizes deal to purchase home care agencies from Tenet

Mergers & Acquisitions - Anthem-WellPoint merger wouldn't hurt consumers, regulators say

Mergers & Acquisitions - Attentus Healthcare reiterates interest in acquisition of SunLink

Mergers & Acquisitions - Holding company acquires Skyline Orthopedics, Inc.

Mergers & Acquisitions - Invacare acquires California seating-products maker

Mergers & Acquisitions - LabOne completes acquisition of Northwest Toxicology

Mergers & Acquisitions - Molina Healthcare to acquire Health Care Horizons in New Mexico

Mergers & Acquisitions - MultiPlan closes acquisition of BCE Emergis U.S. provider network operations

Mergers & Acquisitions - RehabCare Group, Inc., announces acquisitions

Mergers & Acquisitions - SHPS Holdings, Inc., and Landacorp, Inc., sign merger agreement

Military Health - Report says U.S. Defense Department failed to bill private insurers for millions

Myocardial Infarction - Beta blockers usage low despite insurance

Myocardial Infarction - Emory researchers find race and gender gaps in treatment of heart attack

Myocardial Infarction - State-required CME: No effect on heart attack care, boosts use of branded drugs

Myocardial Infarction - State-required continuing medical education does not affect heart attack care

Nursing Practices - Delnor-Community Hospital wins "magnet" designation from ANA

Obesity Therapy - Web-based assessment tool targets bariatric surgery program analysis

Osteoporosis - Vertebral fractures are under-reported in elderly patients

Palliative Care - Hawaii house tables measure on 'death with dignity' proposal

Partner Abuse - Nurses urged to increase safety-promoting behaviors of abused women

Patient Monitoring - FDA clears monitoring system

Patient Privacy - Group testifies against creating database of the disabled

Patient Privacy - New Mexico hospital criticized for patient information handling

Patient Safety - Care of patients who transition across healthcare settings needs improvement

Personnel - Baptist Health System chairman resigns

Personnel - Consumer health organization names new chairman of the board

Personnel - Daniel Wiens named executive VP of operations, MED3OOO Group, Inc.

Personnel - Healthcare company announces new member of board of directors

Personnel - Neonatologist to join Pediatrix as vice president, research and education

Personnel - New Center for Medicare Management administrator named

Personnel - New chief administrative officer named for South Pointe Hospital

Personnel - New leader named for Nebraska's Health and Human Services Department

Personnel - Northwestern Memorial names Patrick McCarthy as chief of cardiac surgery

Personnel - Obourn named senior VP at health insurance firm

Personnel - Pharmacy benefits management company names new vice president, customer care

Personnel - VitalWorks appoints new member to board of directors

Prescription Drug Benefits - United Methodist Church offers discounts on prescription medications

Preventive Medicine - Panel discusses new "before-onset care" paradigm

Professional Training - Insurer announces $3 million in nurse training scholarships

Public-Employee Health Insurance - Albuquerque city employees on military duty receive insurance warnings

Quality Assurance - Insurance complaints in Oregon for second year

Quality Assurance - STAT Care Inc. announces clinical software to reduce ER medical error risk

Quality Assurance - Stark differences in care revealed at top U.S. hospitals

Quality Assurance - Strategic alliance helps health plans monitor quality of network care

Radiology Resources - Cardiac imaging digital community launched

Regulatory Issues - 'Certificate of Need' laws lead to improved patient outcomes for some procedures

Reimbursement - AMA panel agrees to establish Category I CPT code for Essure

Respiratory Therapy - Rotech Healthcare announces new agreements with Gentiva Health Services

Spinal Surgery - Abington Memorial Hospital orthopedists testing new surgical materials

Staffing - MT Ultimate Healthcare signs with CABS Nursing Home

State Medicaid - Budget tug-of-war threatens Medicaid program funding in Georgia

State Medicaid - Florida KidCare bill signed, removing 90,000 kids from waiting list

State Medicaid - Governor looks to university medical center to help reform TennCare

Stroke - Association tools help hospitals improve stroke care

Weight Reduction - Group calls for comprehensive solutions to help reduce obesity

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