The Canny Link Directory

AMSO Managed Care Forum

HMO Page, The - includes information and news on managed care.

Managed Care Special Report - find out more about the debate over patients' rights by reading an overview, key stories and opinions, from the Washington Post.

Managed Care Update - informs physicians and HMO executives on capitation, compensation, outcomes trends; &advises on contracting, alliances, Medicare, NCQA accreditation.

National Committee for Quality Assurance (NCQA) - independent, non-profit organization that assesses and reports on the quality of care delivered by managed care organizations.

Pioneer Medical Systems  provides medical alarm monitoring at the highest value in order to secure a comfortable and safe living for America's seniors and persons medically at risk.    


Articles and Papers

Managed Care and Ideas

Managed Care and Prevention    


Conferences

Summit on International Managed Care - 2nd annual conference takes place December 7-10, 1997.

Advanced Managed Care Solutions - consulting firm specializing in implementing advanced solutions, leading edge technologies and methods.

Advisors for Health Care - publishers of "Managed Care Update for Business" newsletter.

Apollo Managed Care Consultants - provides consulting services to medical groups, IPAs, PPOs and HMOs to improve cost-effective health care management.

Best Health Care - health care management services company specializing in general and specialized managed care.

Campbell & Associates, Inc. - group of independent managed health care experts who have been in the international managed health care industry frontlines for many years

Emron Inc - health care research and communications company focusing on managed care pharmacy.

FileView - managed care services, utilization management, and utilization review.

GHS - turnkey health risk stratification systems give health providers concise, validated risk probability and risk factor information on each managed care enrollee.

Gil Weber MBA - managed care consulting and practice management consulting for healthcare professionals and administrators.

Health Care Data Management, Inc. - specializing in claims services, utilization management, administrative and financial services managed care contracting and complete tpa services.

HealthCare Options, Inc. - specializing in Medicare risk arrangements, Medicaid, PPOs, PHOs and IPAs.

International Council for Quality Care, Inc. - offers a managed care transition system for physicians.

Managed Care Advisory Group - allows access to a nation-wide database of sanctions and disciplinary actions of every kind of licenced health care providers.

Managed Care Information Center, Wall - conducts customized healthcare research for clients; and publishes newsletters, directories and special reports for managed care and healthcare executives.

Managed Care Mall - place to gather information for Managed Care professionals.

Managed Care On-Line - MCOL offers electronic info and communications services to the mananged care community.

Managed Care On-Line [mcareol.com] - offers managed care news, data and resources as well as information about Managed Care On-Line and other MCOL software.

Managed Care Resources, Inc. - risk contracting, develop managed care strategies, assist with contract negotiations including capitation arrangements .

Outlook Associates, Inc. - managed healthcare information systems consulting provided nationwide to Indemnity and HMO insurers, PPOs, Medicare, Medicaid, self-insured employers, PHOs, MSO and medical groups.

Physician Management Alliance - national consulting company helping payers, physicians and hospitals capitalize on managed care opportunities.

Price Waterhouse LLP Managed Healthcare Consulting - discussion groups, surveys, information resources, and consulting services for managed care executives in insurance, pharmaceuticals, HMOs, BCBS plans, IHSs, and specialty MCOs.

Private Healthcare Systems - managed care products and services to employers nationwide through a group of commercial insurance carriers.

Symphony Health Care Consulting, Inc - Managed Care and Medicare specialists.

Triage Consulting Group - specializing in managed care payment reviews, triage assists hospitals and physicians' groups in every aspect of managed care consultation.


Humor

MC MD - Adventures in Managed Care - bi-weekly comic poking gentle fun at the managed care industry.


Institutes      


Managed Care Providers

Allied Network PPO - serving Texas, Louisiana, Arkansas and New Mexico.

America Service Group Inc. - provide managed healthcare for inmates in jails and prisons.

American Specialty Health Plans - offers HMO programs for chiropractic and acupuncture with traditional Chinese herbal supplements.

Associated Behavioral Healthcare, Inc.

CommunityCare - a managed care company providing healthcare options for employers & employees including HMO, PPO, employee assistance programs, senior health plans.

Coventry Health Care, Inc. - managed health care company that provides services in Pennsylvania, Ohio, Missouri, Illinois, West Virginia, and Virginia.

Elmcrest Behavioral Health Network

Group Health Incorporated (GHI)

Group Health Plan, Inc. - provides comprehensive health care coverage to employers and union groups in the Missouri and Illinois region through standard HMO and Point of Service health plans.

Health Net

HealthCare Value Management, Inc. - New England preferred provider organization.

Hill Physicians Medical Group - information for group members and providers.

HumanaOne: Affordable Health Insurance -Request an individual health insurance quote today.

MHS Insurance Company - offers a choice of a health maintenance organizations (HMO), point of service (POS) plans, Medicaid HMO programs, and Medicare supplement insurance.

Managed Care Solutions, Inc.

MedicalControl, Inc.

Mid Atlantic Medical Services, Inc. - The MAMSI family of health care products and services includes managed care and indemnity health, home health, pharmacy, life insurance and other products.

MultiPlan - national managed health care preferred provider organization.

National Capital PPO

National HMO - offers HMO benefits to large and small businesses, and to seniors through the Security Care Medicare HMO.

OmniCare Health Plan of Michigan

PACC Health Plans - PPO and HMO health plans for Oregon and southwest Washinton.

Pacific Foundation For Medical Care - a cost effective network of physicians, ancillary providers and hospitals offers our network and UR services to payors such as insurance companies, TPAs, and HMOs.

Partners National Health Plans of North Carolina, Inc. - managed care service for the southeastern United States.

Preferred Mental Health Management - provides managed behavioral health care and EAP services.

Preferred Plan - a national managed care organization offering PPO, workers' compensation, National Transplant, and other provider networks.

Psychiatric Solutions, Inc.

Sloans Lake Managed Care

Trigon Healthcare Inc.

Wisconsin Physicians Service Insurance Corporation - provides health insurance for large groups and individuals in the State of Wisconsin.    


Opposing Views

Ad Hoc Committee to Defend Health Care - doctors and nurses opposed to the control of health care by for-profit corporations.

Fight Your HMO - information on how to appeal a decision with your HMO.

Fighting Managed Care From Within

Physicians for a National Health Program - a nationally recognized center of expertise on health care reform.    


Organizations

American Accreditation HealthCare Commission/URAC - not-for-profit entity that establishes accreditation standards for managed care organizations, including utilization review, networks, credentialing, and workers' compensation managed care.

American Association of Managed Care Nurses - to establish standards for managed care nursing practice and to positively impact public policy regarding managed health care delivery.

American Board of Managed Care Medicine - providing board certification.

Association of Managed Care Providers - a non-profit organization dedicated to the education of dentists and related professionals about the emerging managed care delivery systems

Institute for Health Freedom - think tank that brings the issues of personal health freedom to the forefront of America's health policy debate.

Managed Care Association of Pennsylvania - contains information on the not-for-profit, statewide trade association dedicated solely to representing the interests of Commonwealth HMOs.

National Association of Managed Care Physicians, Inc - Enhance the ability of practicing physicians and other health care professionals.

National Managed Health Care Congress (NMHCC) - educational forum for all constituents in the managed health care industry including purchasers, providers, payors and suppliers.

National Organization of Physicians Who Care - nonprofit organization which espouses the private practice of medicine.

Washington Health Care Association - group of licensed long term care providers.    


Personal Experience

Samuel Brola's Experience with Managed Care    


Software

CDS Consulting - provider of managed care pharmacy software.

Case Trakker - case management software is a windows based application used by medical case managers in any setting. It supports all aspects of case management.

CostFlex - hospital cost accounting and managed care decision support.

Erisco Inc. - provider of software for health claims processing and managed care.

GeoAccess, Inc - Windows-based software solutions for addressing managed healthcare access issues.

Health Care Data Systems - HCDS develops, sells, and supports software for the medical industry, including enterprise patient systems, practice management and medical records software.

Health Cost Consultants, Inc. - MedAdvice 2001 software and services provide utilization and case management, workers comp, and clinical guideline solutions nationwide.

Healthcare Communications, Inc. - specialize in integration engine technology.

ISC/DataMed, Inc. - offering a reporting application for managed care organization.

Innovative Managed Care Systems, Inc. - systems and tools to facilitate the analysis/profiling and contract modeling aspects of managed healthcare financing and delivery.

KnowMed Systems - physician's workstation product for the managed care market.

MPOWER Solutions Inc. - managed care information system designed to grow with you.

Mariner Systems, Inc. - emcee is a flexible, fully integrated client/server designed specifically for medical group management in the managed care industry.

Triad Healthcare Systems - dedicated to meeting the needs of healthcare organizations involved in managed care risk contracting.

UNI/CARE Systems, Inc. - creates managed care software for mental health institutes and hospital organizations.