GLG News by Experts on Pay-for-Performance Plans

Managed care can have a positive impact in the Medicaid market if done correctly.  There needs to be strong oversight in the development process and once operational to ensure that services are delivered. Other States have been doing this for years with varying degrees of success. There are some...

We are reaching a tipping point where health plans are no longer able to raise rates quickly enough to cover their increasing Medical Loss Ratios in the commercial market. As the commercial sector becomes tighter, plans have expanded into Federal and State contracts with Medicare and Medicaid to maintain...

Primary care access will be a growing need, with or without "healthcare reform" as is currently understood--extending coverage or re-arranging financing. Without better primary care of chronic conditions and preventive services, procedural and "rescue" costs will drive US care expenditures. There are...

Chronic diseases account for an ever growing majority of the US health care spend.  Controlling these costs through better management is not easy, but can be done. Whether that will lower total health care costs is debateable.

Safety and extreme efficacy are what MDs thqat treat Asthma are searching for.  Not a novel approach , but rather a sure, safe bet.  Jacqueline Proner, MD  Board Certified Allergist/ Immunologist  Private Practice Queens, NY

The CBO has stated that Medicare Advantage Plans are being payed 12% more than Fee for Service programs. Typically plans that contract for these government funded programs offer additional benefits at the same or even lower costs.  There is also some confusion on behalf of clients, enrollment...

This article identifies the issues associated with race and the hidden biases that impact the care given by providers. To improve this situation one must first identify it as a problem, as has been done here, develop educational programs for providers to assist them in identifying and changing this...

The Initial concept introduced by Governor Bush was an innovative and functional concept.  Some of the changes introduced at a Special Session placed limitations on the scope of providers and implementation schedules. While there are some early problesm cited int his article they are not that different...

Providing incentives for people to engage or maintain healthy lifestyle choices is a good idea. Those who are already doing the right thing will see an immediate benefit while those who are not will see that there are direct cost consequences associated with their lifestyle. This type of program...

Hybrid Record Systems can be an intermim step to enable rapid deployment of an EMR A plan for completing the transistion needs to be in place or implementation will be prolonged. Enterprise Document Management Services such as OnBase will benefit in the short term from these types of implement...