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All GLG News Analyses Filed Under: Healthcare Services

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Posted February 29, 2008

Managed-care company sees benefits of pay-for-performance
Analysis of: Managed-care company sees benefits of pay-for-performance | www.tennessean.com
Author: GLG Member Program Contributor

The life of a member with a managed care plan may only be 12 months and then their employer may select another Payor. In tracking the progress of a member's health, there is a delay of at least 90 days to capture the claims data. Analyzing the data for a true improvement...

Posted February 29, 2008
Pay for Performance Can Drive Physician Behavior, but don't Forget the Patient
Analysis of: Managed-care company sees benefits of pay-for-performance | www.tennessean.com
Author: Frederic Goldstein, President and Chief Operating Officer U.S. Preventive Medicine, Inc.

Using appropriate Pay for Performance programs can drive physician behavior and results in changes in utilization, these should be continued but the patient component is a larger issue.

Posted February 29, 2008
Can Technology Slow the Growth in Health Care Costs
Analysis of: As Healthcare Spending is Predicted to Exceed 4 Trillion in Less Than 10 Years, Technology will be Called upon to Stem the Tide | biz.yahoo.com
Author: Frederic Goldstein, President and Chief Operating Officer U.S. Preventive Medicine, Inc.

Technology is proposed as a means to control health care costs through making the system more efficient. While a more efficient system will certainly be helpful, our current population needs a change in behavior in a societal way if we truly hope to bend the trend.

Posted February 29, 2008
Changing the Society is the Way of the Future to Bend the Medical Trend
Analysis of: New York using "green carts" in latest obesity fight | news.yahoo.com
Author: Frederic Goldstein, President and Chief Operating Officer U.S. Preventive Medicine, Inc.

We are beginning to see the changes required to create a movement around the idea of prevention. Companies that can focus on this space and produce results will be the future of health care.

Posted February 28, 2008
One Homebuilder's Auction and the Front Page
Analysis of: New-home bargains few at live auction | www.azcentral.com
Author: Jim Belfiore, President Belfiore Real Estate Consulting

Apparently, front page “news” is one way to boost new home sales. Cachet’s inventory home auction, in which the builder reportedly sold 37 of 41 homes it hoped to sell, appears to have been a huge success. New home auctions will likely gain traction in metro Phoenix in the coming months. ...

Posted February 27, 2008
AT&T becomes more than an access provider for Tennessee
Analysis of: AT&T, Tenn. Create Medical Info Exchange | biz.yahoo.com
Author: Gregg Kail, Former Reseller Manager AT&T Corp

The AT&T and Tennessee state initiative for eHealth combines these advantages: 1) AT&T protects its network contract; 2) State government involved as an active participant; 3) Patients and providers both gain benefits.

Posted February 26, 2008

Healthways Questions CMS' Conclusions with Regard to Company's MHS Phase I Pilot
Analysis of: Healthways Questions CMS' Conclusions with Regard to Company's MHS Phase I Pilot | biz.yahoo.com
Author: GLG Member Program Contributor

A contributing factor to this issue is the fact that this type of program is intended to deliver results on three areas: Financial, Quality of Care and Customer Satisfaction. However, this demonstration only focused on one dimension. The publicity associated with this demonstration project...

Posted February 21, 2008

Time to contact: Plans make efforts to enroll patients in disease management programs earlier
Analysis of: Time to contact: Plans make efforts to enroll patients in disease management programs earlier | www.managedhealthcareexecutive.com
Author: GLG Member Program Contributor

To be successful enrollment will have to be done in a mildly involuntary mannner. ie "You will be enrolled but can opt out by doing xyz." The ultimate test of such plans will be the willing acceptance by patients of disease management programs. Occasional inducements such as discounts...

Posted February 14, 2008
Healthways Fires Back Over CMS Release of Phase I Results
Analysis of: Healthways Questions CMS' Conclusions with Regard to Company's MHS Phase I Pilot | biz.yahoo.com
Author: Frederic Goldstein, President and Chief Operating Officer U.S. Preventive Medicine, Inc.

Healthways has apparently decided that it is in their best interest to fight back against CMS over the recently released CMS report stating that vendors in Phase I of the Medicare Health Support Projects did not meet outcome or cost results. This may prove short sighted, and is certainly no way to make...

Posted February 13, 2008
Will TRICARE Boost WAC for PBM Pricing?
Analysis of: TRICARE Pharmacy Program Services Solicitation | www.tricare.mil
Author: Adam Fein, Founder & President Pembroke Consulting Inc

Last week, the Department of Defense (DoD) gave a big boost to Wholesale Acquisition Cost (WAC) as a pricing benchmark for pharmacy reimbursement, breathing new life into this alternative list price. While the DoD validates WAC for now, I still expect computed (non-list) benchmarks to become the...

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