Managed
Care Discussion Group
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| Managed
Medicare Report (12
Monthly Issues)
The
Only Newsletter Dedicated to Medicare+Choice Plans and Providers Medicare+Choice
is still big business, and even as hundreds of plans drop their M+C offerings
and thousands of Medicare beneificiaries lose thier HMO coverage, savvy health
plans and health care providers can still reap rich rewards in this huge market.
The Managed Medicare Report will show you how. Assembled
by our experienced team of attorneys and researchers, the Managed Medicare
Report covers all the bases for successful senior care management. Executives
and administrators with MCOs, hospitals, physician practices, and any other provider
in the M+C business need the guidance found only in the biweekly Managed Medicare
Report for keeping senior care costs down while still adhering to strict program
rules and tight reimbursement. Every
issue of the Managed Medicare Report brings you money-saving, revenue-generating,
results-oriented ideas and tips to help you win in M+C:
What
to expect on an ACR audit. CMS will let you use your own auditors, if you know
the ropes. Surefire way to keep drug costs in line when managing a
senior population. UR trick most providers miss. Is patient compliance
costing you a fortune? Quick way to find out. 6 data mining pitfalls
that could land you in hot water under HIPAA. One iron-clad way to avoid them.
The tug-of-war between plans and providers over on-time payments: where
CMS draws the line. Nutraceuticals: what works, what doesnt,
and what an M+C population should be using today. Telltale signs that
someone has cooked the books on outcome measures. CMS mandates new
M+C contract provisions: 9 areas most plans and providers overlook.
5 field-tested ways to boost your profits under risk management. 11-point
checklist keeps your marketing practices in compliance with CMSs M+C regs.
Hospitalist programs could be big time money savers in managing senior
populations, if you know how to use them. 
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