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Health Maintenance Organizations

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.
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.
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.
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.
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.
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.
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.
The Davis administration indicated Monday that it wants to gut a bill that would allow independent doctors to bargain collectively with health maintenance organizations. That effectively shuts the door on Assembly-passed legislation that would have exempted doctors from federal antitrust laws. In its place, the California Department of Managed Care is proposing a voluntary process in which individual doctors and HMOs can submit contract disputes to an outside expert.
October 1, 2003 | From Associated Press
California's health maintenance organizations do a good job caring for heart patients and providing immunization for children but don't do as well serving the needs of the mentally ill, according to a state survey released Tuesday. The annual HMO "Quality of Care Report Card," from the state's Office of the Patient Advocate, ranks the 10 largest health maintenance organizations based on 39,000 customer reports. The survey also includes some of the larger doctor groups in metropolitan areas.
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