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Managed Care Weekly Digest

Susan Hasty, Publisher

Table of Contents . . . April 19th, 2004

Non-Subscriber - Summaries Only

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

Healthcare Coverage - Papers compare costs of universal coverage with social costs of uninsurance

Osteoporosis - Project finds pharmacy-based testing may help reduce fracture risk

Electronic Health Records - Initiative to provide affordable, standards-based EHRs enters next phase

Healthcare Economics - Co-pays for brands, generics up along with employee deductibles, contributions

Healthcare Models - Family physicians in group model HMO feel powerless, undervalued

Medical Errors - Family physicians not using EMRs identified errors in almost 25% of visits

Accreditation - Central DuPage Hospital becomes second accredited chest pain center in Illinois

Accreditation - Cigna Behavioral Health earns URAC accreditation

Alcoholism - Time for coordinated action on alcohol, says U.K. group

Breast Cancer - Data shows mammography rates are stagnant in Florida

Breast Cancer - Many women covered by Medicare are not having mammograms

Business & Finance - Three U.S. health plans to implement InformedRx pharmacy benefits services

Business Update - Consultants less critical but still not recommending Washington insurer's plan

Business Update - Eastern Washington hospitals threaten to cancer contract with insurer

Business Update - Humana finalizes purchase of Louisiana managed-care business

Business Update - Insurance company president's benefits included loan forgiveness

Business Update - Nurses, Cooper Hospital reach tentative contract

Business Update - Preferred provider organization launches fee negotiation program

Cancer Therapy - Multimodality therapy for rectal cancer led to massive iliac artery bleeding

Cancer Therapy - New radiation treatment system installed at UC Davis Cancer Center

Collaborations - Disease management firm announces StatusOne agreement

Collaborations - NursesSTAT adds services to maximize new business opportunities

Critical Care Medicine - End-of-life ICU use may require re-evaluation, study suggests

Crohn Disease - Insurer updates reimbursement policy for capsule endoscopy

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

Depression - Home-based program effective in treating minor depression in older adults

Diabetes Mortality - High death risk found among young people in hospital with diabetes

Diabetes Therapy - National trial to study best treatment of type 2 diabetes in youth

Drug Discount Cards - CMS selects Medco for Medicare discount drug card program

Drug Discount Cards - Elderplan expands prescription drug benefits for members

Electronic Medical Records - Kryptiq joins AAFP Partners for Patients in EHR movement

Electronic Medical Records - Software developer to provide EMR technology for medical practices

Electronic Patient Records - Memorial Hermann implements Quovadx technology

Emergency Medicine - California emergency departments have maintained patient access, capacity

Employer-Sponsored Health Insurance - Cap on premiums for small business insurance criticized

Employer-Sponsored Health Insurance - North Carolina paper mill will open in-house clinic to control health costs

Employer-Sponsored Health Insurance - Senator says small businesses should be able to pool insurance

Employer-Sponsored Health Insurance - Small businesses launch initiative for bare-bones health plan

Endometrial Cancer - Active lifestyle reduces risk of most common gynecologic malignancy

Family Medicine - Study produces recommendations to transform and renew family medicine

Finance - Fund manager names likely healthcare stock winners in wake of Medicare reform

Finance - Gentiva Director Stuart Olsten adopts 10b5-1 trading plan

Finance - HMOs in Missouri gain record profits

Finance - Hearing aid company reports record $70.5 million 2003 revenues - up 23%

Finance - Highmark healthcare operations post loss in 2003; vision and dental post gains

Finance - I-trax announces actual and pro forma results for 2003

Finance - Medical supply distributor reports increase in net loss

Finance - Metropolitan Health Networks reports full year of profitability

Finance - Michigan managed-care plans' gains may temper premium increases in coming year

Finance - Omega Healthcare announces closing on private offering

Finance - Safescript Pharmacies, Inc., files for Chapter 11 bankruptcy protection

Finance - Uniphyd engages advisor to raise debt and equity financing

HIPAA - Judge tosses out lawsuit challenging medical privacy rules

HIPAA Compliance - Employers offering health plan benefits subject to HIPAA deadline

Healthcare & Politics - Price tag of Kerry health plan drops in new analysis

Healthcare Coverage - Aetna introduces PPO plans for individuals, families in Pennsylvania, Delaware

Healthcare Coverage - Alabama Governor loses in Senate committee on health insurance issue

Healthcare Coverage - Auditor gives Vermont mixed review of insurance premium program

Healthcare Coverage - Benemax provides online second-opinion service

Healthcare Coverage - HealthPartners to offer Medicare-endorsed drug discount card

Healthcare Coverage - Insurer tailors website to give members more control over healthcare benefits

Healthcare Coverage - Maine becomes model as universal health plan takes shape

Healthcare Coverage - Maryland House votes to offer medical care to 280,000 uninsured

Healthcare Coverage - Medicare to cover wound-treatment system

Healthcare Coverage - Missouri legislators endorse bill expanding high-risk health insurance pool

Healthcare Coverage - PreferredOne offers TriZetto consumer-directed application

Healthcare Coverage - Program for chronically ill elderly patients cuts healthcare costs

Healthcare Coverage - UnitedHealth Group issues electronic benefits cards

Healthcare Coverage - Walgreens Health Initiatives to offer Medicare-approved drug discount card

Healthcare Coverage - WellCare to offer Medicare drug discount cards in Florida and New York

Healthcare Coverage - Wisconsin BadgerCare extension approved

Healthcare Economics - South Dakota legislator wants healthcare providers to publicly list prices

Healthcare Training - Additional online training available for Triage Cardio ProfilER

Heart Attack - Cardiac device firm launches completely automatic AED

Heart Disease - Central Ohio hospital granted designation of Accredited Chest Pain Center

Heart Disease Risk - New tool predicts and manages cardiovascular disease risk

Information Technology - DeKalb Medical Center selects HEALTHvision for clinical IT system

Information Technology - Electronic Home Health Care Form 485 under development

Information Technology - Frankford Hospitals activate Sunrise Clinical Manager software solution

Information Technology - Greenwich Hospital signs with MEDai to use Pinpoint Quality solution

Information Technology - Most hospitals continue to track dispensable drug assets with bar codes

Information Technology - POH Medical Center installs Rhapsody Integration Engine

Lab Technology - Wireless, barcode technology for lab departments launched

Legal Issues - Court upholds VA's selection of McKesson as prime pharmaceutical supplier

Long-Term Care - Study reports that California has best cities for nursing-facility care

Medicaid - Alaska's House Finance Committee restores program funding

Medical Equipment - Blood volume analyzer purchased by NYU Medical Center Tisch Hospital

Medical Malpractice - Doctors in Missouri form malpractice insurance company

Medical Malpractice - New York court rules on stillborn death damages

Medical Malpractice - South Dakota's governor proposes changes to monitoring practices

Medicare - CMS increases payments to rural and small urban hospitals

Medicare - Former senator promotes awareness of new benefits

Medicare - Medicare Advantage capitation rates in 2005 expected to rise 6.6%

Medicare - U.S. HHS approves 28 private sponsors to provide drug-discount cards

Mental Health - Advocates concerned about putting services in Florida HMOs

Mental Healthcare - Bill would require more insurers to cover care for mental illness

Mergers & Acquisitions - AdvancePCS stockholders approve merger with Caremark Rx

Mergers & Acquisitions - Cancer-care services company signs merger agreement

Mergers & Acquisitions - I-trax and CHD Meridian complete merger

Mergers & Acquisitions - Pediatrix acquires neonatal, pediatric specialty care group practice

Mergers & Acquisitions - Pharmaceutical distributor merges with and Familymeds Group

Minimally Invasive Surgery - Laparoscopic instruments implemented in fifteenth university hospital

Obstetrics - Guidance issued on treatment of morning sickness during pregnancy

Obstetrics - Program enhances birth weight for at-risk pregnant women

Pediatric Obesity - Massachusetts insurer expands campaign to fight childhood obesity

Personnel - Connextions Health appoints senior VP, corporate medical director

Personnel - Health Net appoints Theodore Craver and Frederick Yeager to board

Personnel - Jay Picerno named Centura COO

Personnel - Keenan joins Adaptis as director of implementation

Personnel - NDCHealth elects Charles W. Miller as president of the company

Personnel - Pharmacy Care Alliance names new president

Personnel - Specialty Laboratories announces executive management change

Personnel - Surgical Services Inc. names new chairman

Personnel - UPMC names new chief financial officer

Pharmacy Management - Baylor All Saints implements automated carousel system in pharmacy

Prescription Drug Benefits - Low reimbursement rates prompt hospitals to end drug program

Prescription Drug Benefits - Wisconsin SeniorCare can continue along with Medicare drug program

Prescription Drug Importation - Canadian health groups call on Canada to ban Internet pharmacies

Prescription Drug Importation - State to plans to add more pharmacies to drug website

Prostate Cancer - Black men less likely to be treated for aggressive prostate cancer

Public Health - Minorities and poor at greatest risk of dying from cancer

Pulse Oximetry Technology - Childrens Hospital Los Angeles chooses OxiMax Pulse Oximetry System

Quality Assurance - Dramatic health gains predicted for Texas Medicare Demonstration Project

Quality Assurance - Pennsylvania's HMOs performing well, report says

Quality Assurance - Prosecutors charge nurse in Pennsylvania patient's death

Regulatory Issues - CMS issues interim final rule addressing physician self-referrals

Regulatory Issues - House panel would increase oversight of Rhode Island Blue Cross

Regulatory Issues - Insurer links high premiums to subscribers' unhealthy habits

Regulatory Issues - New York HMOs get low grades for poor sharing of coverage information

Rehabilitation - PTS, Inc., purchases 100 Flexiciser units

Schizophrenia - Patients don't take antipsychotic medications regularly

State Medicaid - In North Carolina, officials have hope that program will be within budget

State Medicaid - Judge orders people reinstated to Kentucky's program

State Medicaid - Medi-Cal fraud savings of $1 billion significantly overstated, audit shows

State-Employee Healthcare Benefits - Nevada state workers get break on health insurance rates

Substance Abuse - First appointment after discharge is key to kicking drug habit

Telemedicine - "3-D telepresence technology" research to aid medical professionals at remote sites

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