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  • Evolution of Managed Care

    Although the term “managed care” has been utilized since the first generation HMOs were put into place over 40 years ago, over time the meaning of these two words has evolved since they were first coined. In today's world these words may have returned to what the originators of the term had in mind. A health maintenance organization as it was originally conceived was an organized ...
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  • Value Based Payments. What Does It Mean?

    The latest hot topic in healthcare seems to be “value-based” payments. What this mean? Does it mean the current/historical payment methodology isn’t value based? If that’s really the case, I’m not the one to dissect all the issues that might entail. I’ve read some accounts that allude to the fact that healthcare is shifting from being volume driven to value ...
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  • Is the Patient Losing Out Once Again?

    The Texas Medical Board (TMB) on April 10, 2015, voted to accept a proposed rule change that would prohibit physicians licensed in Texas from prescribing medicine over the phone or by video conference to a patient they have never seen before in person. This change will undoubtedly affect the use of telemedicine as we know it today as a tool to care for patients in their homes, retirement ...
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  • The Three "I's" of Decision Making

    There is unanimous agreement that healthcare leaders are facing significantly complex challenges today that all require solutions to be put into place as quickly as possible. The identification of these solutions require a sound decision-making process by the CEO, the Leadership Team, and the Board. Although making these decisions might seem at times ominous, the task can be made easier by ...
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  • Operations

    In January 2015 a Forbes’ magazine article headline, “UnitedHealth’s $43 Billion Exit From Fee-For-Service Medicine” for some reason struck me as funny. It’s not as though it was new information. Back in July 2014, Forbes ran an article, “Blue Cross’ $65 Billion Move Away From Fee-For-Service Medicine.” Both articles discussed the transition to ...
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