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Managed Care Weekly Digest

Susan Hasty, Publisher

Table of Contents . . . April 12th, 2004

Non-Subscriber - Summaries Only

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

Disability - New program developed to bring disability knowledge to managed care industry

Regulatory Issues - Report finds problems with regulated premiums proposal in California

Employer-Sponsored Health Insurance - Older workers choose managed care, study finds

Healthcare Access - Report says 36 million Americans are medically underserved

Hypercholesterolemia - Outcome improvement program designed to lower LDL cholesterol levels

Allergy Medicine - New research on the treatment of anaphylaxis presented 2004 AAAAI meeting

Asthma - Greater acetaminophen use associated with newly diagnosed asthma in women

Behavioral Healthcare - Firms join forces to focus on quality initiatives

Business & Finance - Healthcare International Inc. secures Texas contract

Business & Finance - Pharmaceutical company exploring strategic financial alternatives

Business & Finance - XGear Technologies processes millionth transaction

Business Update - Agreement creates health insurance program for local government in southern NH

Business Update - Agreement will bring disease management services to PPO's customers

Business Update - Blue Cross wins $125 million state contract from BlueShield

Business Update - Co-marketing agreement enhances health plans' online service capabilities

Business Update - Hanger Orthopedic Group enters managed care arena, forms subsidiary

Children's Insurance - Texas CHIP could drop thousands for nonpayment

Collaborations - Aetna signs 3-year agreement with Inova Health System

Colorectal Cancer - Simple changes may help improve colorectal cancer screening rates

Contraception - Legislation would require New Jersey insurers to pay for birth control

Depression - Employees with depression view illness as roadblock to career success

Depression - Physicians watch for increased suicide risk in children on antidepressants

Dermatology - VeriCenter to manage online teledermatology platform

Diagnostic Imaging - Advanced technology a factor in health costs

Diagnostics - IMPATH announces distribution agreement for QCA system

Diet & Nutrition - Program boosts rate of breastfeeding by mothers of very low-birth-weight babies

Digital Medicine - Number of electronically integrated doctors has grown by 48,000 in 2004

Disabilities - Insurer lowers prices on disability benefits purchased with medical coverage

Disability - New program integrates medical, disability, behavioral health, pharmacy data

Disability Coverage - New CIGNA study uncovers relationship of disabilities to total benefits costs

Disease Management - Chronic disease healthcare initiative launched in Missouri

Disease Management - Prescription requirement for OTC medicines aimed to help Nez Perce tribe

Electronic Medical Records - EMRs prove to pay at a higher rate than paper claims

Electronic Medical Records - H-Quotient announces OB/GYN contract

Electronic Medical Records - Massachusetts General Hospital selects Misys Pharmacy and Misys Insight

Employee Assistance Program - Coaching program enhances EAP, behavioral offerings

Employer-Sponsored Health Insurance - Businesses take new approach to rising costs

Fetal Alcohol Syndrome - High cost of alcoholism in pregnant women can be prevented

Finance - California physician groups to promote chronic disease care

Finance - Four Neoforma executives enter into rule 10b5-1 trading programs

Finance - Healthcare firm ranked as Ohio's top company

Finance - Independent PPO releases 2003 year-end results

Finance - Mariner Health Care reports improved 2003 fourth quarter results

Finance - National Home Health Care revenues decrease 7% for the quarter

Finance - Omega Healthcare announces sale of senior notes and common shares

Finance - PPO reports second-quarter diluted earnings, revenue increase

Finance - Technology company's 10-K filing reflects revisions

Fitness - Health Options to offer SilverSneakers Fitness Program

Fitness - New study directly links physical fitness to work performance

Geriatrics - New Jersey's Governor orders provides more health care options for seniors

Geriatrics - Project aims to help nursing homes residents live on their own

Health Insurance - Enrollment in consumer-directed health plans growing rapidly

Healthcare & Politics - Missouri governor slams proposed state Medicaid cuts

Healthcare & Politics - Poll: Rhode Island voters want cheaper healthcare

Healthcare Coverage - Blue Shield of California offers tax deductible savings account

Healthcare Coverage - Commission: More data needed on hospital care for minorities

Healthcare Coverage - Company announces additional reimbursement coverage for suspected Crohn disease

Healthcare Coverage - HMO enrollment in Wisconsin drops as employers seek other options, report shows

Healthcare Coverage - Health department says Hispanics straining Durham, North Carolina, resources

Healthcare Coverage - Insurer introduces health benefit plans for Maine small business

Healthcare Coverage - Kentucky Governor's insurance bill passes Senate

Healthcare Coverage - Low-income workers in Oregon might lose health insurance

Healthcare Coverage - Lutheran Medical Center outsources ambulance billing operation to Accordis

Healthcare Coverage - MCOs re-evaluating role of OTCs in healthcare plans

Healthcare Coverage - New PPO plans offered for individuals, families in Pennsylvania, Delaware

Healthcare Coverage - Onyx introduces Group Enrollment Manager for health insurance market

Healthcare Coverage - Oxford Health Plans and Middlesex Professional Services announce agreement

Healthcare Coverage - PPOs employ diverse approaches of preventive care, study shows

Healthcare Coverage - SCAN to offer Medicare Drug Discount Card program

Healthcare Coverage - UNICARE announces new health plan option for Iowa Medicare beneficiaries

Healthcare Economics - Atlanta's Grady Hospital lays off 226 employees to cut costs

Healthcare Economics - Healthcare debit-card spending expected to triple in 2004

Healthcare Reform - Maine outlines universal health package; seeks vendor

Heart Disease Risk - Inpatient cardiac risk management program promotes lifestyle changes

Hospitalization - West Virginia medical center to give bigger financial break to uninsured

Hypertension - One-third of ER patients don't know they have high blood pressure

Hypochondria - Cognitive behavior therapy effective

Information Technology - Adventist selects MEDai's software for system-wide outcomes analysis

Information Technology - Nashville General expands supply-management agreement with McKesson

Information Technology - PegaHEALTH to help healthcare payer organizations reduce operational costs

Information Technology - Physicians offered online access to pharmacy benefit management services

Information Technology - Siemens and Nebraska Heart delivering measurable workflow improvements

Information Technology - Vitria launches healthcare/health insurance applications in Europe

Information Technology - Web site lets consumers compare, make informed decisions about hospitals

Internet Pharmacy - AMA condemns illegal pharmacies, stresses patient-physician relationship

Kidney Diasease - Study to test whether more frequent dialysis will improve outcomes

Legal Issues - AIDS care group sues drug company for false advertising

Legal Issues - Supreme Court seems cool to laws allowing more suits against HMOs

Long-Term Care - AARP unveils plan to rebalance long-term care for New Jersey

Macular Degeneration - CMS raises Medicare allowable reimbursement rate for Visudyne

Medicaid - Professional groups oppose program cuts

Medical Errors - Baltimore homeless advocate concerned about hospital's suspect lab results

Medical Imaging - Partnership formed to enhance educational opportunities in medical imaging

Medical Malpractice - Controlled-substance license revoked for dentist who admitted drugging woman

Medical Malpractice - Mississippi Governor speaks at health summit

Medical Malpractice - Some Illinois doctors find liability costs cheaper in Missouri

Medicare - Insurers will offer prescription-drug discount card

Medicare - More than two dozen companies to offer prescription drug discount cards

Medicare - Official tells Congress about alleged efforts to hide cost of legislation

Medicare - Oregon seniors paying more, receiving less

Medicare - Report says program will go broke by 2019 if no changes are made

Medicare - Three convicted in Texas Medicare fraud case

Mental Health - Community mental health clinic opens in New York, New York

Mental Health - Mental health reform agreement reached in Nebraska

Mergers & Acquisitions - Blue Cross body approves Anthem-WellPoint merger

Mergers & Acquisitions - Hanger Orthopedic Group, Inc., announces acquisition

Mergers & Acquisitions - MT Ultimate Healthcare to acquire BP Senior Care

Mergers & Acquisitions - Merit Health Systems acquires Nix Health Care System

Nursing Home Care - Federal report cites Portland, Maine, nursing home's care

Obstetrics - Clear information, privacy vital when informing women of fetal abnormalities

Patient Care - Columbus Children's Hospital selects perioperative automation system

Patient Safety - Institute becomes sponsor of Continuity of Care Record

Patient/Physician Relationship - Study examines medical decision-making by African American patients

Personnel - HealthSouth names Gregory L. Doody executive VP, general counsel, and secretary

Personnel - Joel Chan, MD, joins lab as VP and medical director of hematopathology

Personnel - John R. Roberts elected to Centene board of directors; Steve Bartlett nominated

Personnel - Long-term-care company announces senior executive appointment

Personnel - Metropolitan Health Networks names new general counsel, Roberto L. Palenzuela

Personnel - Neil Agate named general manager of NetHealth Trust division

Personnel - Priority Healthcare announces retirement of chief operating officer

Personnel - Radiologix, Inc., appoints new chief financial officer

Personnel - Sight Resource Corporation announces new chief financial officer

Personnel - Vermont's largest hospital appoints new CFO

Pharmacy Management - Baptist Medical Center expands contract for supply services

Pharmacy Management - SafeDose's automated multidose packaging system gets upgrade

Prescription Drug Coverage - Medicare-approved discount cards available soon

Prescription Drug Coverage - Network issues seven millionth electronic benefits card

Prescription Drug Importation - Among pharmacy complaints in Minnesota, none are about Canadian imports

Prescription Drug Importation - Consumer Advocates: Importing drugs a reality in U.S.

Prostate Cancer - Low awareness of prostate cancer among African American men, survey shows

Quality Assurance - Behavioral health program earns URAC accreditation

Quality Assurance - British health system improving, prime minister says

Quality Assurance - Disease management may help maintain racial equity in healthcare outcomes

Quality Assurance - Integrated healthcare network in Illinois retains Top 5 national ranking

Quality Assurance - Rural Idaho hospitals collaborate on improved care

Regulatory Issues - CMS issues guidance for exceptions to specialty hospital moratorium

Spinal Surgery - Miniature robot installed in U.S. to assist spine surgeons

Staffing - MT Ultimate Healthcare signs first high-tech nursing services contract

Staffing - Mayo Clinic completes Lawson e-Recruiting implementation

State Medicaid - Nursing group in Iowa seeks more funding for program

State Medicaid - Pharmacists sue New Hampshire over cut in drug payments

State Medicare - Two insurers selected to provide new prescription drug benefits for Alabama

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