Managed Healthcare Executive August 15, 2022
Opinion piece on the top 5 priorities for managed care by Managed Healthcare Executive Editorial Advisory Board Member, Don Hall, M.P.H.,principal of DeltaSigma, LLC.
When I began my career in managed healthcare in the mid-1980s, I worked at a large nonprofit hospital. Employers were frustrated about rising healthcare costs and were willing to push employees into preferred provider organizations and HMOs through financial incentives. Our primitive attempts at managing healthcare costs included tracking all hospitalized patients using a chalkboard and working to get them out of the hospital while also enforcing precertification for new hospitalizations.
Managed care was a developing industry and not particularly effective at doing anything but riling up providers and members. Costs continued to escalate.
Fast forward...
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