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Healthcare Management, Managed Care, and Policy

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Searches

  • Medical Coverage Policies at Blue Cross of California
    5 star rating A directory of Blue Cross's general medical policies regarding procedures and technologies that provide guidance and support for patient benefit determinations. Each policy includes a description section, a statement regarding medically necessity, patient selection criteria, and references.
  • Medline Free Full Text Journals Search -
    5 star rating Free, full-text, clinically-focused journal articles indexed in Medline with "Health Care" as a subject focus.
  • The Federal Register
    4 star rating The official daily publication for Federal rules, notices, executive orders, and other presidential documents including updates from the Food and Drug Administration, Drug Enforcement Administration, Centers for Medicare and Medicaid Services, etc.
  • Modern Healthcare Article Archive Search
    3 star rating A weekly business news magazine written for physician executives who lead America's major medical institutions. Free search of full text articles for the most current four issues. Fee subscription for the multiyear article archives. Crain Communications.
  • Healthcare Review Online Search
    1 star rating Access to monthly articles dedicated to reviewing and interpreting significant developments in health care delivery. An article title is "Managed Care options for New Zealand". Full text. Enigma Publishing Limited, New Zealand.

News

  • Health Forum - Healthcare Industry News
    5 star rating Full text articles and news on the healthcare and hospital industry. American Hospital Association.
  • HospitalConections - Hospital Management Newsletter
    4 star rating Articles, forums, and archives cover business transactions, policy changes, and trends that affect healthcare organizations. An article title is "Has Managed Care Lost Its Soul?". Full-text. American Hospital Publishing, Inc.
  • Kaisernetwork Healthcare News
    4 star rating Timely, reliable, and non-partisan news reports, articles, and videos on national health issues for policymakers, the media, and the general public. Searchable. Archived. Kaiser Family Foundation.
  • American Hospital Association News
    4 star rating Articles and archives cover policy developments, industry updates, and AHA resources and people. An article title is "Hospitals, health plans delay Medicare bidding project." Full text.
  • BlueCross BlueShield Health Issues.
    4 star rating Free news updates on health policy issues.
  • Health Care News at Yahoo
    4 star rating Corporate announcements and product updates from various news services.
  • Health Care/Hospital News at Yahoo
    4 star rating Hourly industry news updates from national wire services including PRNewswire and the Business Wire.
  • Healthcare Information and Management Systems Society News
    4 star rating Daily news updates regarding the healthcare industry and information management.
  • Kaisernetwork.org's HealthCast Webcasting Service
    4 star rating Webcasts of seminars, meetings, press conferences, and congressional hearings. Health policy issues covered include Medicare, children's health, reproductive health, HIV/AIDS, consumer health, patients' rights, etc. Kaiser Family Foundation.
  • Trustee
    4 star rating A monthly magazine which provides boards and advisory councils of health care providers with the information they need to improve their institutions' operations and the health of their communities. Health Forum and the American Hospital Association.
  • Health Policy and Public Health Grey Literature Reports
    3 star rating A database of "informal" articles and publications released in the fields of health policy and public health. An archive of quarterly newsletters announcing new additions to the database is offered. New York Academy of Medicine.
  • Health Policy Newsletter at TJU
    3 star rating Articles that deliver research and education regarding health policy for healthcare providers, policy makers and consumers. PDF file format. Office of Health Policy and Clinical Outcomes of Thomas Jefferson University.
  • Moving Ideas Network - Health Policy
    3 star rating News, articles, discussion forumsm, and reports about healthcare policy in America. The material is from a consortium of policy research and advocacy organizations such as the AARP's Public Policy Institute.
  • PR Newswire Health & Biotech News
    3 star rating An archive of press releases arranged alphabetically by company. Up-to-date company news for marketing professionals in the pharmaceutical and biotech industry. PR Newswire Association Inc. .
  • Health Care at NewsTrove.com
    1 star rating A directory of headline weblinks to US newspaper articles on Health Care.
  • Healthcare Management News Headlines
    1 star rating Selected headline links from Healthcare Data Management, city newspapers, and trade publications. Moreover.com.
  • This Week's Health Care Management News
    1 star rating Information updates for healthcare managers on managed care, capitation, and physician management. Offers practical information on managed care, capitation, government compliance and physician management. TrendsAtlantic Information Services, Inc.

Full Text / MultiMedia

  • Health Services Research
    5 star rating Full text articles that examine policy and practice issues in the healthcare industry. Published by the American College of Healthcare Executives and provided online by Findarticles.com. American College of Healthcare Executives.
  • Managed Care Magazine
    5 star rating Searchable archive of articles that advises physicians and HMO plan executives about capitation, reimbursement, contracting and forming networks in the transition period from fee-for-service medicine to managed care.
  • Medical Economics Magazine
    5 star rating Articles cover practice management and physician oriented financial management issues. Searchable archives. Medical Economics Company.
  • Medicare Test and Procedure Coverage Policies
    5 star rating Notes on the rationale for Medicare coverage of various diseases and procedures. Describes diagnostic and treatment approaches, the history of policies, and relevant scientific literature.
  • PhysiciansPractice.com
    5 star rating Provides timely practical full-text of articles on practice management, managed care, legal and legislative issues, and personal finance.
  • State Health Facts Online at Kaiser
    5 star rating Users access state data on disease incidence, demographics, health status, health policies, health coverage, access issues, financing, and state legislation. Documents include tables, rankings, graphs, and color-coded maps. Kaiser Family Foundation.
  • ACP Managed Care Resources
    4 star rating Articles and a managed care FAQ cover managed care issues. American College of Physicians.
  • ACP Observer Monthly Newspaper
    4 star rating A monthly newsletter that covers managed care developments, computers in medicine, and clinical issues from the society that serves United States internal medicine specialists. full-text articles and a past issues archive. American College of Physicians.
  • Association of American Medical Colleges Publications
    4 star rating News, documents, and articles that cover teaching innovations and the medical education industry.
  • Business of Medicine Articles from Medscape
    4 star rating Features peer-reviewed articles, graphics, CME self-assessment tests, news, literature searches and associated links.
  • Dartmouth Atlas of Health Care in the United States
    4 star rating A set of interactive tools that graphically represents studies of regional variations in healthcare over the past 20 years.
  • HCUPnet Hospital Statistics Database
    4 star rating A searchable database of hospital statistics on diseases, length of stay, rank order of total charges, death rates, and outcomes. Healthcare Cost and Utilization Project (HCUP) of the Agency for Healthcare Research and Quality.
  • HealthPartners Medical Coverage Criteria
    4 star rating A directory of services for which HealthPartners provides insurance coverage. This site offers considerations for coverage of medical procedures, durable medical equipment, behavioral health services, etc.
  • Managed Healthcare Executive
    4 star rating News updates, reports, and briefs on disease management, managed care, and pharmacoeconomics. A title is "An employer perspective on pain". Advanstar Communication Inc.
  • Modern Physician
    4 star rating REG Business news stories for the executive physician. Full text. Free registration.
  • Publications of the JCAHO
    4 star rating News, articles and documents that address issues such as health records, the licensing of practitioners, and network responsibilities to members. Joint Commission on Accreditation of Healthcare Organizations.
  • Business & Health Magazine
    3 star rating REG Covers health economics, quality, industry developments, and regulation issues. An article title is "Labor-management group targets same-day surgery." Searchable archives. Restricted registration or content areas. Medical Economics Company.
  • MD Options Website
    3 star rating Articles that focus on practice management and marketing, informatics, Internet, e-mail communication, information systems, managed care, and health care law and regulations.
  • Medicare Guide and Documents at Noridian
    3 star rating State specific provider updates, a participating physician directory, provider information, bulletins, policies, manuals & updates. Noridian Mutual Insurance - Government Services HCFA contracted.
  • Modern Healthcare
    3 star rating A weekly business news magazine that offers daily news briefings and articles for healthcare management. Full text. Crain Communications.
  • National Center for Health Statistics News
    3 star rating Current and archived news releases and fact sheets that interpret statistical data on the health of the American people.
  • Premier Healthcare Resource Articles
    3 star rating A database of articles on the business of medicine specific to physicians and how health care purchasers measure and monitor health care.
  • UCLA Center for Health Policy Research
    3 star rating Full text UCLA publications on health policy.
  • Health Facilities Management
    2 star rating Monthly magazine that covers the complete scope of responsibilities facing facility management administrators and directors in health care institutions. Health Forum.
  • HealthExecOnline
    2 star rating Reviews and commentary on healthcare management, finance, administration, and information systems. Phoenix Health Systems.
  • Managed Care Digest Series
    2 star rating Full-text articles, slide presentations, statistics, special supplements, and updates regarding IPAs, HMOs and PPOs, and healthcare delivery systems. Hoechst Marion Roussel USA.
  • Whitehouse Healthcare Statistics Briefing Room
    2 star rating Charts and tables present U.S. leading causes of death, visits to physicians offices by specialty, use of health services, statistics on substance abuse, chronic illness data, healthcare expenditures paid out-of-pocket vs. private insurance, etc.
  • Materials Management in Health Care
    1 star rating Read by health care executives responsible for purchasing, managing, and using supplies, equipment, and resources Health Forum.

Journals

Textbooks

Major Sites / Home Pages

  • Health Forum - Healthcare Industry Metasite
    5 star rating Full text articles and news on the healthcare and hospital industry. Collects articles from the journals" Hospitals & Health Networks", "American Hospital Association News", "Trustee", "Health Facilities Management and Materials Management in Health Care". Includes statistics, surveys, conference updates, etc.
  • American College of Medical Quality Professionals
    4 star rating ACMQ's website offers statements and documents that support scientifically based decision making, clinical quality improvement, cost-benefit analysis, etc.
  • Centers for Medicare & Medicaid Services
    4 star rating The agency responsible for administering federal healthcare programs. This website offers documents regarding physician fees, Medicare Participation, Medicare Coverage, Medicaid, the State Children's Health Insurance Program (SCHIP), HIPAA, and CLIA.
  • Joint Commission on Accreditation of Healthcare Organizations
    4 star rating JCAHO is the nation's predominant standards-setting and accrediting body in health care. The Joint Commission evaluates and accredits more than 16,000 health care organizations and programs in the United States.
  • National Association of Managed Care Physicians
    4 star rating Press releases, meeting updates from this organization for physicians that work in managed care environments.
  • American Association of Health Plans
    3 star rating AAHP's website describes the organization's activities, meetings, and publications.
  • Center for Health Care Strategies
    3 star rating An organization that examines health programs and implements strategies to service vulnerable patient populations.
  • Directory of Managed Care Organizations from MDNetGuide.com
    3 star rating An annotated direcotry of managed care company web sites. Companies offer information about member services, features about their products, and details regarding health management programs.
  • Health Management Technology Web Site
    3 star rating Full text articles that cover health administration technologies. The website includes a newsletter, a bulletin board, an "ask the authors" feature, a list of upcoming events, and a "Hotlist" of companies that provide products and services in key healthcare information technology categories.
  • HIPAA Advisory
    3 star rating REG Comprehensive health industry resource on HIPAA privacy and security regulatory issues and compliance. Restricted registration or content areas. Phoenix Health Systems.
  • Manitoba Centre for Health and Policy Evaluation
    3 star rating The centre presents population-based health services research and policy analyses. This website offers reports, newsletters, presentations, software, papers presented and published, and a data repository. University of Manitoba.
  • Physicians for a National Health Program
    3 star rating A website for an organization dedicated to examining the feasibility of a national health insurance program. Covers health care financing and health insurance.
  • The Center for Medical Consumers
    3 star rating Updates from an organization active in efforts to improve the safety and quality of health care. Supported by Judson Memorial Church and others.
  • American College of Physician Executives
    2 star rating The College's members are physician executives with management or administrative responsibilities in hospitals, group practices, managed care, government, universities, the military and industry
  • HCPro - Healthcare Publications
    2 star rating $  REG A collection of abstracts for articles and news itemson healthcare management. Fee registration for full text. Free abstracts.
  • Hospitals & Healthcare Management Associations at Medbioworld
    2 star rating A comprehensive directory of weblinks for associations in this specialty.
  • Health Information Management Association of Australia
    1 star rating REG Professional association for health information management in Australia. Information about distance education, membership, HIM & clinical coder jobs, calendar of conferences etc. Restricted registration or content areas. Health Information Management Association of Australia Ltd.
  • The American College of Managed Care Medicine
    1 star rating Press releases, membership, conferences and seminars, journal information, board certification and surveys.

Procedures

Practice Guidelines / FAQs

  • National Quality Measures Clearinghouse
    2 star rating A public repository for evidence-based quality measures and measure sets. Sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

CME

  • CMEList Online CME Sites - Quality/Management
    5 star rating A searchable, well-annotated, and constantly-updated directory of web links to online CME opportunities. The directory entries include credit hours, sponsors, cost, lecture format, target audience, and accrediting organization. Bernard Sklar, MD, MS.
  • Tufts Health Care Institute CME
    4 star rating Online courses that address systems-based practice and practice-based learning and improvement for physicians.
  • Healthcare Management University
    3 star rating Streaming video and slideshow and lectures on healthcare delivery systems and healthcare finance. Proprietary downloadable software is required. Manchester Center for healthcare Management.
  • Disease Management Conferences
    1 star rating Allows viewers to browse a list of upcoming conferences.

Directories

  • Managed Care Organization Contracting Database
    3 star rating $  REG A searchable directory of U.S. managed care organizations that provides enrollment information, financial summaries, utilization data, contract information, and reimbursement and capitation rates. Fee subscription. Axon Health Information Services. Inc.$ Fee registration. Subscription fee.
  • MedWeb Healthcare Web Directory - Health Care Reform
    3 star rating Well-maintained links to guides, sites, journals, organizations, and documents for a general audience.

Educational Materials

  • Healthcare Cost and Utilization Project Web Site
    4 star rating HCUPnet is a tool for identifying, tracking, analyzing, and comparing statistics on hospitals at the National, regional, and State level. The Agency for Healthcare Research and Quality (AHRQ).
  • Managed Care Contracting Guide
    3 star rating Tips to help the reader understand the legal terms and concepts found in managed-care contracts. Ohio State Medical Association
  • Medicare Physician Fee Payment
    2 star rating The amounts paid for various levels of services under Medicare.
  • The National Directory of Managed Care Organizations Online Database
    2 star rating $  REG Fee access to MCO company name, plan type, model type, state(s) served, the plan's total enrollment and state enrollment. The database contains information on all aspects of managed care, HMOs, PPOs, POSs, PSOs, and specialty MCOs. Fee registration.
  • Healthcare Leadership Trend Watch
    1 star rating $  REG A weekly e-mail update of current issues in healthcare delivery. Fee registration.
  • American Hospital Association Health Forum Online Data
    1 star rating $  REG Online data for healthcare providers from the American Hospital Association's Annual Survey. Restricted registration or content areas. Fee transactions.
  • Case Management Resource Guide
    1 star rating Search access to contact information and web links for disease management organizations. Includes manufacturers of assistive technology, program vendors, self-help groups, government agencies and clearinghouses.
  • Cyberspace Health Fraud Hotline
    1 star rating A phone and email service that forwards complaints about inappropriate web-based healthcare practices to the FTC, the National Association of Attorneys General and the FBI. 1-800-876-7060. The National Consumers League.
  • E-Care Management News
    1 star rating $  REG A free online newsletter on the business and clinical aspects of managed care and care management. Better Health Technologies. Fee registration. Free trial.
  • Handbook of Physician Office Letters
    1 star rating Downloadable excerpts from The Handbook of Physician Office Letters, an effective tool to make letter writing fast and easy. It has over 175 sample letters, including letters to patients, suppliers, insurance companies and hospitals.
  • HCPro Credentialing Info
    1 star rating $ Free abstracts of subscription articles on credentialing and privileging. Fee transactions.
  • HCPro Healthcare Corporate Compliance
    1 star rating $  REG Offers abstracts of articles on healthcare quality compliance. An article title is "Interventional procedures cause coding confusion". Fee registration for full text. Free abstracts.
  • Healthcare Intelligence Network
    1 star rating REG News briefs from 50 of the nation's leading healthcare publications on the healthcare and managed care industry, hospital and health system management, health law and regulation, behavioral healthcare, and long-term care. Free registration.
  • Healthcare Management Articles from Brown-Spath
    1 star rating An assortment of articles on clinical paths, outcomes management, and related topics. Brown-Spath & Associates.
  • Managed Care & Cancer
    1 star rating REG Articles about socioeconomic \, quality of care, legal, legislative, and business issues that may affect the delivery of care to patients with cancer. Free registration.
  • Managed Care Information Center
    1 star rating $  REG News flashes and market updates that provide management information for managed care executives and other healthcare professionals. Fee registration for full text.
  • Managed Care Information Center
    1 star rating REG Updates that provide management information for healthcare executives. Free registration.
  • Medicare DRGs Table
    1 star rating A list of diagnosis related groups, relative weighting factors, geometric mean length of stay, and length of stay outlier cutoff points used in the prospective payment system.
  • Medicom Managed Care News Items
    1 star rating $  REG Cover topics of interest in the industry for managed care decision makers. Medicom International. Fee registration for full text.
  • MediQual Outcomes Database
    1 star rating $  REG A fee based service that offers benchmarks for treatments associated with severely ill patients. The databank addresses appropriate lengths of stays and the outcomes of alternate treatment programs. Fee registration. CIC - MediQual Division.
  • NCQA Managed Care Performance Measurements
    1 star rating REG Managed care quality improvement activities including accreditation standards and the HEDIS performance measurement set. Allows on-line search for the accreditation status of individual plans. Restricted registration or content areas.
  • Officemed Health Care Insurance Verification
    1 star rating $  REG Retrieves patient insurance eligibility and benefits information. Fee registration.
  • Physician Orientation Guide at Duke
    1 star rating An on-line guide to establishing and operating a clinical practice for a university-affiliated medical center. Covers risk management, appointment scheduling, referrals, managed care, reimbursement, compliance, charge capture, and processing. Duke University Medical Center.

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