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Have Legal Questions About HMOs? Ask A Legal Nursing Consultant:
Lucille "Lou" Addington, RN, CLNC, Florida:"We do medical-legal consulting for attorneys, insurance companies and HMO's, and private individuals. Presuit investigations and affidavits. Expert witness location. Special interest in vaccine damage cases and long term care/elder care issues. My associate and I bring a combined 42 years of professional nursing practice to our cases."
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Liz Sake, BSN, RN: Liz Sake & Associates: As Legal Nurse Consultants, we determine
the merits of a medical malpractice case, review and translate medical records,
chronicalize events, determine; damages/injuries, future health needs, causation
and standards of care.
An information discovery program through research
of medical literature and the latest on-line information. We prepare written
summaries and reports of medical records, research findings, and expert witness
information. We identify and obtain expert witnesses as needed. Basically,
we are here to make the med/mal attorney's life easier by synthesizing, sorting,
and condensing medical information to be used as exhibits and for MD expert
review. ******************************************************
I am not a number...:"NCQA's 1998 Annual Report highlights the human side of NCQA’s work, through four vignettes showing how HEDIS and Accreditation have helped improve the lives of individuals with various medical conditions. The report is viewable using Adobe Acrobat viewer." ******************************************************
Managed Care - Solution Or Problem?:""Managed care" is medical care that is provided by a corporation established under state and federal laws - a company that makes medical decisions for you in much the same way a financial adviser takes charge of your investment portfolio. Your managed care provider tells you which physicians to consult, monitors the medications and treatments they prescribe, and ensures that your costs remain as low as possible. For these services, you pay a set insurance premium each year." ******************************************************
National Committee for Quality Assurance:"The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans. We are governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers, and representatives from organized medicine." ******************************************************
Nursing Addresses Troubling Trends In Managed Care:"As the nation waits to cross finally the rapidly diminishing breach into the next century, expectations and anxieties abound as to what the future holds. So too are nurses standing with their own expectations and anxieties at the threshold of a new era as the continued spread of managed care works to redefine health care delivery in this country. For sure, uncertainty is a familiar companion of late as the nursing community struggles with its own precarious balancing act of action and reaction in response to constant changes in the health care delivery system." ****************************************************** ****************************************************** Organizational Listings:
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Health Net:"Our award-winning Wellsite is filled with information about health, fitness, nutrition and safety for your whole family, find out more by visiting our Theme of the Month. There is also our Personal Health Site, a new and interactive resource for health and wellness. ****************************************************** Connecticut:
Physicians Health Services:"Physicians Health Services is joining forces with M.D. Health Plan and First Option Health Plan to create a single, tri-state organization. This will enable members to access high-quality health care through an expanded physician and provider network." ****************************************************** Maryland:
Physicians Health Services:"Physicians Health Services is joining forces with M.D. Health Plan and First Option Health Plan to create a single, tri-state organization. This will enable members to access high-quality health care through an expanded physician and provider network." ******************************************************
Preferred Drug Formulary:"The Preferred Drug Formulary is a listing of selected federal Food & Drug Administration (FDA) approved prescription medications. The medications are reimbursable under the pharmacy benefit. The list is reviewed by the PHS Pharmacy & Therapeutics Committee, whose members are plan physicians (primary care providers and specialists) and pharmacists. The committee evaluates the safety profile, effectiveness and affordability of the medication selections." ****************************************************** Virginia:
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