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Health Maintenance Organizations

BUSINESS
June 14, 2003 | From Reuters
Some of the largest U.S. health insurers said they would pay for an expensive pacemaker-like device despite Medicare's refusal to cover it for all the patients who might benefit from it. The $25,000 stopwatch-sized device, the implantable cardioverter-defibrillator, can restart a stopped heart or shock a failing heart back into rhythm. Only the sickest one-third of patients who device makers say can benefit from defibrillators won coverage last week from the U.S.
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BUSINESS
April 26, 1990 | LESLIE BERKMAN, TIMES STAFF WRITER
A bid by Cypress-based PacifiCare Health Systems Inc., to expand in Southern California by acquiring bankrupt Maxicare Health Plans Inc. of Los Angeles ran aground Wednesday after negotiations broke off. In separate statements, both health maintenance organizations confirmed that the talks ended abruptly and that no further discussions are contemplated on PacifiCare's preliminary offer. Neither company would disclose details of the offer, which was made public last Thursday.
NEWS
December 27, 1993 | From Times Staff and Wire Reports
Clinton Administration officials say they will not push Medicare patients to join health maintenance organizations, partly because the government loses money on them, the New York Times reported. Bruce C. Vladeck, head of the agency that runs Medicare, said he would not aggressively promote HMOs until he could guarantee consistent high-quality care and a better way of paying for it, the newspaper reported.
BUSINESS
September 25, 2002 | Bloomberg News
Health-maintenance organizations that withhold poor performance ratings are distorting results of a system that compares the quality of U.S. health-care plans, researchers said. A review found that a quarter to a half of health plans that gave their scores to the National Committee for Quality Assurance in the late 1990s didn't make them public the next year. Those with the worst rankings were as much as five times more likely to withhold results the following year.
BUSINESS
January 24, 1989
The financial solvency of 80 California health maintenance organizations will be examined by Arthur Young & Co. under a contract from the state Department of Corporations. Under the agreement, the audits--required by state law--will be performed over a two-year period. The accounting firm will be paid about $784,000 for the first year.
BUSINESS
December 10, 1998 | Bloomberg News
Chief executives of the nation's largest health maintenance organizations are among the most highly paid CEOs in the country, when their compensation is judged relative to company size and stock performance, a new survey says. The Crystal Report on Executive Compensation established a series of benchmarks for CEO pay after looking at the pay packages of 1,568 CEOs in 31 industries.
BUSINESS
August 16, 1994
Ultralink Inc., a health care network manager, has been selected by Ameritech, a telecommunications company in the Midwest, as the planning and network manager for Ameritech's health benefits programs. Ultralink, in conjunction with the Kennedy Consulting Group in Chicago, will develop a network of health maintenance organizations to serve Ameritech's employees in five states. Ameritech has 68,000 employees and 50,000 retirees.
BUSINESS
May 2, 1997 | (David Olmos)
Health regulators announced fines totaling $227,500 against 25 health maintenance organizations for failing to notify members about their right to register complaints through a toll-free 800 telephone number. The largest fine issued was a $40,000 penalty against CaliforniaCare Health Plans of Woodland Hills. Since January, state Department of Corporations Commissioner Keith Bishop has levied similar fines against 80 of the state's 116 HMOs.
HEALTH
September 29, 1997
Two health maintenance organizations, Blue Shield of California and Health Net, have joined the growing ranks of medical groups offering alternative care. In January, employers can purchase acupuncture riders to their health plans from both groups. Blue Shield also will launch Lifepath, a network of chiropractors, acupuncture practitioners, massage therapists and stress management seminars, as well as discounts at fitness clubs and services. Health Net has included chiropractors since 1990.
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