Word: patients
(lookup in dictionary)
(lookup stats)
Dates: during 1990-1999
Sort By: most recent first
(reverse)
...rapidly. In 1990 he didn't have a single capitated contract with an HMO. Today capitation governs half his practice. So far, he says, he has not felt pressed to scrimp on care but is worried that managed care is eroding satisfaction with the process of medicine, especially among patients with complex and emotionally wrenching diseases such as cancer. The inability to get things done quickly can be "horrendous," he says. Recently he needed three or four weeks of effort--"I'm calling every few days, my receptionist is calling, the family is getting nervous"--just to get a leukemia...
...Northern California. To best grasp Hasan's delight in bold business maneuvers, one need only know that as a young medical student in Pakistan in the late 1950s he made roughly $10 million selling land along the anticipated rights of way of new highways revealed to him by a patient who happened to be a public-works surveyor. Dr. Hasan, a neurologist, says he was once "rabidly anti-managed care." He built his first HMO to counter a health plan that moved into Pueblo and sapped revenue from the city's specialists. But suddenly he saw opportunity...
...agreed she ought to consider a bone-marrow transplant. At the least it might provide a period free of disease and debilitating chemotherapy. He suggested she get an evaluation at the UCLA Medical Center. To Dr. Schinke, whether Health Net would pay was a side issue. "When the patient comes to me, I'm still going to tell them about what I think may help," he says. "That's the ethical thing...
Health Net's Dr. Ho called Dr. Schinke, who in a deposition and interview says he found the call coercive. "I didn't understand an administrator calling up and in an abrupt tone saying, 'Why in the world, what was your thinking, why are you recommending this patient consider such an option?'" But Dr. Ho, now with another HMO, says the call was "simply to remind him" that a transplant in a case like deMeurers' "is not indicated...
...distrustful that they decided not to tell UCLA that Christy was a Health Net subscriber. Says Alan: "We wanted to find out what your average citizen would learn without insurance." Christy got an appointment to see Dr. John Glaspy, an oncologist who prides himself on being a fierce patient advocate. "They were suspicious, and they were in pain. Psychic pain," says Dr. Glaspy. Still, he says, "the first step in our relationship was a lie. There really isn't any other...