Word: hmos
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Dates: during 2000-2009
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...Last week, President Bush threatened to veto the Kennedy-McCain bill, which provides patients with a great deal of leeway in suing their HMOs, casting his lot instead with a more HMO-friendly version sponsored by GOP Senator Bill Frist. It sounds like a recipe for stalemate, but after years of arguing and finger-pointing over their failure to compromise, Capitol Hill lawmakers can scarcely afford to let a chance for indemnification pass them by. White House observers say Bush is open to negotiations...
...problems that Carson might take on in his speech-- which he says will not be "canned" or "jelled" until he gives it--is the increasingly common struggle between health maintenance organizations (HMOs) and doctors...
...first new business to come up after the Memorial Day recess, Daschle vows, will be the patient's bill of rights--not the version Bush touted as a compromise, but the one Daschle wants, which gives patients vastly greater leeway to sue their HMOs. After the Senate passed the McCain-Feingold campaign-finance-reform bill in April, Lott refused to send it to the House. Daschle told TIME, "I'll hand-deliver it if I have...
This summer a new outfit called MedUnite will try to close the loop. Formed by large insurers, including Aetna, Cigna and Oxford, that didn't like the idea of WebMD coming between them and their core customers, MedUnite will try to offer intelligent connectivity to doctors and HMOs in order to speed claims, referrals and eligibility checks--and to cut costs. "Who better to work out the relationship with HMOs than the HMOs themselves?" asks Dave Cox, MedUnite...
Most physicians have a quick answer: almost anybody else. Given managed care's sorry record, it's easy to see how doctors might be just a bit skeptical. While the administrative savings could be big for HMOs, they still earn 10% to 30% of their profits from the float--the interest on holding onto their premiums for an extra 30 to 90 days. At the same time, industry coalitions like MedUnite often collapse...