The Executive Report on Managed Care
2002 Index

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Acquisitions Advisory

Organized by Month

May 2002, Second Issue
June 2002, First Issue

Organized Alphabetically by Company

Cardinal Health Inc. and Boron, LePore & Associates Inc., June 2002, First Issue
With Acquisition, Consumer Health Network Expands in New England, April 2002, First Issue
First Health and Healthcare Value Management, June 2002, First Issue
Province Healthcare Company and Memorial Health System Inc., May 2002, Second Issue
Laboratory Corporation of America Holdings and Dynacare Inc., May 2002, Second Issue
North Carolina Blue To Integrate PARTNERS' Plans, February 2002, First Issue
Oxford Acquires MedSpan, January 2002, Second Issue
SurgiCare Inc., June 2002, First Issue
Wellpoint Starts Year with Fourth Major Acquisition, March 2002, First Issue
Wellpoint Sets The Standard In The Art Of Acquisition, August 2002, First Issue
Wellpoint Firm On Acquiring CareFirst, October 2002, Second Issue

Contracts Awarded

Organized by Month

May 2002, First Issue
May 2002, Second Issue
July 2002, First Issue
October 2002, First Issue
November 2002, Second Issue
December 2002, First Issue

Organized Alphabetically by Company

Aetna, University of Virginia Medical Center, and University of Virginia Health Services Foundation, November 2002, Second Issue
ChoiceCare Network and Laboratory Corporation of America Holdings, May 2002, First Issue
HIP Health Plan and Alere Medical, December 2002, First Issue
Humana Inc., July 2002, First Issue
Magellan Behavioral Health and CareFirst BlueCross BlueShield, June 2002, First Issue
Matria Healthcare Inc., July 2002, First Issue
Oxford Health Plans and Subimo, October 2002, First Issue
Prescription Solutions and MedE America Corporation, October 2002, First Issue
State Teachers Retirement System of Ohio and LifeMasters Supported SelfCare, November 2002, Second Issue
Sedgewick Claims Management Services Inc. and Preferred Works Inc., July 2002, First Issue
UTMB HealthCare Systems and Magellan, June 2002, First Issue
Unity Health Systems, December 2002, First Issue

Cost Controls

Long Island Plans Test Fraud-Stopping Program, January 2002, Second Issue
'Political Scape-goating' Drives Costs, Says AAHP, February 2002, First Issue
New Group To Explore Solutions to Healthcare Costs, February 2002, First Issue
Estimating Preventable Claims Is the First Step in Medical Cost Control, March 2002, Second Issue
Higher HMO Premium Costs Driving Employees To Choose PPOs, April 2002, Second Issue
Major Employers Seen Passing Along Higher Healthcare Costs, April 2002, Second Issue
Multiple Factors Responsible For Healthcare Premium Hikes, May 2002, First Issue
HMO Increases "Unprecedented" for 2003, June 2002, First Issue
Increasing Costs Tops List Of Healthcare Business Concerns, Survey Reveals, July 2002, First Issue
More Double-Digit HMO Rate Increases In Store For 2003, July 2002, First Issue
Outcomes Management Model A Tool To Slash Healthcare Costs, Improve Patient Care, July 2002, Second Issue
Employees Key To Controling Health Benefits Costs, Expert Says, July 2002, Second Issue
How Consumers Are Partly To Blame For Explosion In Healthcare Costs, September 2002, Second Issue
How To Tell Employees Their Healthcare Costs Are Going Up, September 2002, Second Issue
Two Firms Team Up To Help Health Plans Cut Costs of High-Prices Drugs And Injectibles, December 2002, First Issue
Managing Health Costs Starting To Count More Than Employee Relations, Study Finds, December 2002, Second Issue

Consumer-Driven Healthcare

Consumers Haggling for Cheaper Health Prices, April 2002, Second Issue
Consumer-Driven Health Plans Still In Fledgling Stage, May 2002, Second Issue
New IRS Guidelines May Help Spur Growth Of Consumer-Driven Health Plans, July 2002, First Issue
MCOs Not Ready For Consumer-Driven Plans Yet, Survey Reveals, August 2002, First Issue
Consumer-Driven Health Movement Not A Panacea, September 2002, First Issue
American Postal Workers Union To Offer Consumer-Driven Option, October 2002, First Issue
BlueCross BlueShield Of South Carolina Launches Consumer-Driven Plan, November 2002, Second Issue
Popularity Of Consumer-Driven Plans Growing, But Plans No Panacea, December 2002, First Issue
Key Issues For Employers When Considering Consumer-Driven Healthcare, December 2002, First Issue
Factors Affecting Financial Results In Consumer-Driven Healthcare, December 2002, First Issue

Disease Management

URAC Releases DM Standards, January 2002, Second Issue
URAC/American Accreditation HealthCare Commission, February 2002, First Issue
Disease Management Company Walks Away From Aetna Contract, April 2002, Second Issue
Arizona Medicare+Choice Plan Adopts Pilot Disease Management Program, May 2002, First Issue
Health Plans Taking Closer Look At Rare Disease Programs, May 2002, Second Issue
Three Agencies Offer Accreditation For DM Programs, June 2002, First Issue
URAC Accredits First Six Healthcare Plans For Disease Management Program, August 2002, Second Issue
Neonatal Disease Management Program Yields Promising Results, December 2002, First Issue
DM Industry Hopes To Establish Universal Outcomes, DMAA President Says, December 2002, Second Issue

Organized by Month

January 2002, First Issue
January 2002, Second Issue
February 2002, First Issue
May 2002, First Issue

Organized Alphabetically by Company

Aetna Inc. and Life Masters, May 2002, First Issue
American Healthways and Providence Health, May 2002, First Issue
Blue Cross Blue Shield of South Carolina and American Specialty Health, January 2002, First Issue
Companion Health, January 2002, First Issue
Centers For Medicare And Medicaid Services Launches Disease Management Projects, November 2002, Second Issue

HIPAA

Head Start, Teamwork Put Blue on Track To HIPAA, February 2002, Second Issue
HIPAA Tops HIMSS Survey Two Years Running, April 2002, First Issue
Duke University and Cap Gemini Explore Funding Approaches for HIPAA, April 2002, First Issue
How HIPAA Could Affect: Disease Management, Address Lists, CRM, June 2002, First Issue

Innovative Partnerships/Plans

Organized by Month

January 2002, First Issue
January 2002, Second Issue
February 2002, Second Issue
April 2002, Second Issue

Organized Alphabetically by Company

Aetna Inc., April 2002, Second Issue
CIGNA To Launch Hybrid Health Savings Account, March 2002, First Issue
Humana Health Plan of Ohio Inc. and Humana Inc., May 2002, First Issue
Humana Inc., January 2002, Second Issue
Independence Blue Cross, April 2002, Second Issue
Johns Hopkins University School of Medicine, April 2002, Second Issue
M-CARE, January 2002, First Issue
Rhode Island Blue Tests e-Presciption Program, February 2002, Second Issue

Legal Update/Developments

Organized by Month

February 2002, Second Issue
April 2002, Second Issue

Organized Alphabetically by Company

OIG To CMS: Watch ECT Use, February 2002, Second Issue
The Centers for Medicare and Medicaid Services, April 2002, Second Issue

Legislation/Regulations Affecting Managed Care

Patients' Rights Law Revived As High Court Ponders Case, February 2002, Second Issue
In Late Winter, Cherry-Picking Accusations Increase, March 2002, First Issue
Mixed Views on Supreme Court HMO Decision, June 2002, Second Issue
HHS Favors Republican Medicare Prescription Plan, Pharmacy/Consumer Advocates Oppose, June 2002, Second Issue
Aetna, United Healthcare Settle With New York Over Insurance Law Violations, August 2002, Second Issue

Making Managed Care Work

Aetna Builds a New Provider Network, January 2002, Second Issue
Eli Lilly Offers Prescription Drug Coverage for Seniors, April 2002, First Issue
Blue Cross Blue Shield Of Michigan Launches New Care Management Program, November 2002, First Issue
2002: A Tumultuous Year For Managed Care, December 2002, Second Issue

Managed Care Market News

Organized by Month

January 2002, First Issue
January 2002, Second Issue
February 2002, First Issue
February 2002, Second Issue
March 2002, First Issue
March 2002, Second Issue
May 2002, First Issue
June 2002, First Issue

Organized Alphabetically by Company

Academy of Managed Care Pharmacy, April 2002, Second Issue
Aetna, January 2002, First Issue
Beech Street Corporation and Ohio State University Medical Center, February 2002, Second Issue
Blue Cross and Blue Shield of Florida, February 2002, First Issue
Blue Cross and Blue Shield of Louisiana and Landacorp Inc., March 2002, First Issue
Blue Cross and Blue Shield of Massachusetts, June 2002, First Issue
Blue Cross and Blue Shield of Minnesota and American Healthways, February 2002, First Issue
Blue Cross and Blue Shield of Minnesota, March 2002, First Issue
Blue Cross and Blue Shield of New Jersey, June 2002, First Issue
Blue Cross and Blue Shield of North Carolina, January 2002, Second Issue
Blue Cross and Blue Shield of South Carolina, March 2002, First Issue
Blue Cross and Blue Shield of Wisconsin, June 2002, First Issue
Blue Shield of California and ePocrates, January 2002, First Issue
Centers for Medicare and Medicaid Services, March 2002, First Issue
Children's Hospital of Pittsburgh and Aetna Inc., February 2002, First Issue
CIGNA HealthCare, January 2002, First Issue
CIGNA HealthCare of California, April 2002, Second Issue
Elderplan, April 2002, Second Issue
Empire Blue Cross and Blue Shield and RMS Disease Management Inc., February 2002, First Issue
Hamot Medical Center and Aetna, February 2002, Second Issue
Harvard Pilgrim Health Care and Perot Systems Corporation, February 2002, Second Issue
Health Net Inc., May 2002, First Issue
HealthCare Partners, January 2002, First Issue
HealthNet of the Northeast Inc. and Health Net Advantage Gold, May 2002, First Issue
Horizon BlueCross and BlueShield of New Jersey and HealthHelp, January 2002, Second Issue
Horizon BlueCross BlueShield of New Jersey and Siebel Systems Inc., January 2002
Horizon BlueCross BlueShield of New Jersey and AdvancePCS, February 2002, Second Issue
Horizon BlueCross BlueShield of New Jersey, June 2002, First Issue
Humana Inc. and Cogent Healthcare Inc., January 2002, First Issue
Humana Inc. and Accordant Health Services, February 2002, First Issue
Humana Inc., March 2002, First Issue
Kaiser Permanente of the Mid-Atlantic States, February 2002, First Issue
PacifiCare Health Systems and SimplyHealth, January 2002, Second Issue
Partners National Health Plan of North Carolina and O'Pin Systems, January 2002, Second Issue
Neighborhood Health Plan of Rhode Island and Beacon Health Strategies, January 2002, First Issue
Oxford Health Plans Inc., February 2002, First Issue
PacifiCare Health Systems Inc. and M.D. On-Line Inc., March 2002, First Issue
Priority Health Managed Benefits of Grand Rapids, March 2002, First Issue
Regence BlueCross BlueShield of Oregon, March 2002, First Issue
Saint Francis Hospital and Blue Cross and Blue Shield of Oaklahoma, January 2002, Second Issue
The TriZetto Group Inc. and Premera Blue Cross, March 2002, First Issue
UPMC Health Plan, March 2002, First Issue
Wellpoint Health Networks, April 2002, Second Issue

Market Partnerships

Cogent Healthcare and Pharmaceuticals, November 2002, Second Issue
Blue Cross and Blue Shield of Georgia and Memorial Health, November 2002, Second Issue
Health Plan of Nevada and Valley Health Systems, October 2002, First Issue

Market Withdrawals

Health Plan of the Redwoods, November 2002, Second Issue

Medicare/Medicaid

Program in Place To "Modernize" Medicare, Says HHS, January 2002, First Issue
HHS Delays OPPS Rates, January 2002, Second Issue
The Centers for Medicare and Medicaid Services, May 2002, First Issue
AMERICHOICE of New Jersey and UnitedHealthcare of the Midwest, May 2002, First Issue
Medicare Not Ready For New Rule, OIG Says, March 2002, First Issue
New Medicare Part B Appeals Outpace Pending Caseload, March 2002, First Issue
"Crunch Time" For Medicare+Choice; CMS, Congress Face Reimbursement Pressures, March 2002, Second Issue
OIG Targets Adminstrative Expense Costs, March 2002, Second Issue
More Limitations Put on Medicaid Loophole, April 2002, First Issue
New Regulation Proposed Concerning Medicare Drug Discount Program, April 2002, First Issue
Expand Medicare Part B for Prescription Drugs, Senior Advocates Say, May 2002, First Issue
Audit Slams Poor Documentation In Pennsylvania Medicaid, August 2002, Second Issue
Medicare+Choice Pilot PPO Program To Debut In 23 States, September 2002, First Issue
AMERIGROUP To Buy Florida Medicaid Managed Care Company For $121 Million, September 2002, First Issue
Medicare+Choice Withdrawals Fewer Than Expected For 2003, October 2003, Second Issue

Member Retention

Ohio HMOs Shrank in 2001, February 2002, First Issue
Number of Workers Irked With Health Plans Grew in 2001, February 2002, Second Issue
Fallon Community Health Plan Branches Out Into Tiered HMOs, July 2002, First Issue
BlueCross BlueShield Of Arizona Ends Referrals To Network Specialists For HMO Members, July 2002, First Issue
UnitedHealth Group Soars To First Place In Health Plans With Highest Revenues, August 2002, First Issue
Managed Care Backlash Beginning To Ebb, But Consumers Still Wary, Study Finds, September 2002, First Issue

Network Developments

Aetna, December 2002, First Issue
Aetna and Optimal Renal Care, October 2002, First Issue

New Products

Organized by Month

May 2002, Second Issue
July 2002, First Issue
October 2002, First Issue
November 2002, Second Issue
December 2002, First Issue

Organized Alphabetically by Company

Aetna and TriZetto HealthMarkets Broker Portal, November 2002, Second Issue
Aetna Inc., May 2002, Second Issue
Allina Hospitals and Clinics Community Pharmacies, July 2002, First Issue
Anthem Blue Cross and Blue Shield, December 2002, First Issue
Axolotl, November 2002, Second Issue
Beech Street Corporation, July 2002, First Issue
Blue Cross and Blue Shield of Georgia, November 2002, Second Issue
Blue Cross and Blue Shield of Michigan, July 2002, First Issue
CIGNA, July 2002, First Issue
CIGNA Corp., October 2002, First Issue
CIGNA Healthcare and PharmaAdvisor, November 2002, Second Issue
Health Net Inc., May 2002, Second Issue
HIP Health Plan of New York, November 2002, Second Issue
Humana, October 2002, First Issue
National Committee for Quality Assurance, November 2002, Second Issue
National Committee for Quality Assurance, December 2002, First Issue
Washington Business Group on Health, July 2002, First Issue

Patient Safety

The Industry's Focus on Patient Safety Remains Unchanged, Survey Says, April 2002, First Issue
Women In Supreme Court HMO Case Vows To Educate Patients About Their Rights, June 2002, Second Issue

Profitability Issues

HMO Profits Rose in the First Quarter of 2001, Study Says, January 2002, First Issue
Texas HMO Rolls, Revenues Shrank in 2001, Study Says, January 2002, Second Issue
Case Management: Measuring The Return on Investment, June 2002, First Issue
Aetna Pursues "Profitable" Membership, September 2002, Second Issue
HMO, Blues Profits Booming Up 25 Percent Since 2001, October 2002, First Issue

Quality Assurance

URAC/American Accreditation HealthCare Commission, January 2002, Second Issue
NCQA Becomes M+C Authority, March 2002, First Issue

Quality Improvements

Pilot Program To Reward Providers For Quality Care, Outcomes, October 2002, Second Issue
Managed Care Has Not Improved Healthcare Quality, MCIC Opinion Survey Finds, November 2002, Second Issue

Trends in Managed Care

Recession, Atrocity To Shape Trends, Analysts Say, January 2002, First Issue
Consumerism Expected To Shape Managed Care, January 2002, Second Issue
Study Finds No Link Between High Drug Copays, ER Use, January 2002, Second Issue
Drug Discount Cards Slim on In-Store Savings, Data Hints, February 2002, First Issue
PacifiCare Reorganizes, Plans $20 Million Ad Campaign, February 2002, First Issue
Use of Antidepressants Rise, February 2002, First Issue
New Program Aims To Reward Medical Groups, Raise Rolls, February 2002, Second Issue
Congress Should Address Health Insurance, Poll Finds, February 2002, Second Issue
Highmark Sees Rise in Generic Drug Use, March 2002, First Issue
Focus of New Joint Venture Between Cap Gemini and American Healthways, April 2002, Second Issue
"Enough is Enough": Physician Organization Lawsuits Against HMOs On The Rise, May 2002, Second Issue
"Overwhelmingly Dominant" MCOs Lead To Unequal Distribution of Power, May 2002, Second Issue
Showtime Movie "Damaged Care" Takes Harsh Look At Managed Care Industry, June 2002, First Issue
Top California Health Plans Involved in Pay For Performance Initiative, July 2002, Second Issue
Capitation Contracts On The Decrease, Survey Reveals, July 2002, Second Issue
Anthem, Trigon Merger A Good Mesh, August 2002, Second Issue
Physicians' Unions Not Likely To Triumph Over Managed Care, Survey Reports, August 2002, Second Issue
U.S. Healthcare Financial Incentives Still Flawed, Halvorson Says, October 2002, First Issue
Managed Care Organizations Cautioned To Beef Up Oversight In Enron's Wake, October 2002
California HMO Victim Of Silicon Valley Economic Downturn, CEO Says, Novemmber 2002, First Issue
Managed Care In California Less Turbulent Than In Previous Years, November 2002, First Issue

Technology in Managed Care

Oxford's Web Strategy Stresses Transactions, January 2002, First Issue
AMCP Says Standard-Based Electronic Prescriptions Are a Must for the Industry, March 2002, Second Issue
How MCOs Are Promoting Their Web Sites to Members, Providers Employees, March 2002, Second Issue
BlueCross Wins Award for Customer Services On Its Web Site, March 2002, Second Issue
NCQA Quality Calculator Aims To Help Employers See Wage, Revenue Savings From Health Plans That Keep Workers Healthy, March 2002, Second Issue
Pennsylvania Selects EDS To Provide Online Medicaid-Human Services System, April 2002, First Issue
MCO Online Use Now Seen As A Necessity, Not A Fad, May 2002, First Issue
MCO Web Development Strategic Planning, June 2002, First Issue
Why The Top-Rated MCO Web Sites Are the Shining Stars, June 2002, Second Issue
Getting Under The Hood: Why The Top-Rated MCO Web Sites Are "Shining Star," Part II, August 2002, First Issue
Managed Care Organizations Can't Afford To Ignore The Web, September 2002, Second Issue
E-Prescribing Improves Patient Safety And Efficiency, Pilot Program Finds, October 2002, First Issue
Nine Software Vendors Vying For NCQA Certification, November 2002, Second Issue

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