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Syracuse Herald Journal in Syracuse, New York

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This newspaper page contains 6 articles. Subscribers can read the full text of each article.

Newspaper

Syracuse Herald Journal

Location

Syracuse, New York, United States of America

Date

Aug 04, 1996

Page

3

United Healthcare linked to liver transplant deal for stockholder’s brother

A stockholder claims United Healthcare used influence to secure a discounted liver transplant at Northwestern Memorial Hospital for his ill brother, bypassing local Miami centers. The letter, dated January 15, describes negotiations lowering costs from 590000 to about 150000 with no guaranteed final amount, and cites internal PD routes and a Chicago surgeon as trusted by the company.

Fort Lauderdale Lver Miami University United Healthcare United Resources Network Kirk Stapleton Stapleton Miami Michael Abecessis Northwestern Memorial Hospital Chicago Northwestern Kirk Amber Savi

Amber Smith Health Journalists Career Highlights

Amber Smith of the Herald American has written on health care since 1989. She has won the Distinguished State Government Coverage Award from the New York State Publishers Association and the 1995 top journalism prize from the National Institute for Health Care Management. She holds a UT El Paso B.A. in 1987 and completed paramedic training in 1992. She plans a master's in Health Services Management and Policy at The New School. She resides with her husband and son in Fayetteville and can be reached at 315-470-3073.

Amber Smith The Herald American New York State Publishers Associaton Smith the National Institute For Health Care Management Smith University of Texas At el Paso State University of New York Health Science Center Syracuse New School For Sacial Research

HMOs Penalized for Not Caring for Poor Patients

The state hits HMOs with penalties for insufficient care of low income patients. Central Wes York faces some of the largest fines as authorities enforce access rules across the health system according to the Herald Journal.

Wes York

Family battles HMO over transplant choice and care

Pamela Ganoung fought HMO-CNY for a Pittsburgh liver transplant evaluation for her son Luke, arguing the network list undervalued Pittsburgh’s experience. Despite appeals to state regulators, HMO-CNY upheld a list favoring two Boston and Cleveland centers, forcing the family to seek coverage and facing rising medical stress as managed care reshapes local hospitals and physician practices.

Fort Crane Hmo-Cny Seco Health Maintenance Organization New York Hmos Dais Séz-Taire Medicaes Lis Luke Boston Children’s Hospital Cleveland Clinic Pittsburgh Ronald Pamela Ganoing Raymond Carpist Binghamton Ruth Fist Darsius SS Aram Lake Ee Coat Pamela Ganoung Eric Dee~ Somtec Neelli Mesarech

Doctors face pay changes as HMOs expand

The piece explains capitation and other HMO pay models shifting physician incentives from fee for service to a per patient monthly fee. It notes risks to doctors with sick panels, the use of withholdings, and compensation disclosures required by March rules, amid industry pressure and reform debates in New York and Onondaga.

Hmos MVP Health Plan Hmo-Cny Wealthcare MetraHealth and Health Services Medical Corp HMO Syracuse St. Joseph's Hospital St. Joseph's Hospital Health Center To Crouse Hospital Crouse Suny Health Science Center US Healthcare New York State Onondaga County Sela Mondaga Onondaga Jet Sneider Iman Hmgs Agras Clinton Department of Health and Human Services Onondaga Court Herald

Contracts reveal doctor constraints across health plans

Contracts show doctors face restrictions when treating US Behavioral Healthcare patients, including delays discussing options until speaking with a care manager. Some MVP Health Plan doctors accept deep discounts for patients with specific ailments, while others are bound not to disclose contract terms. Several providers face non-disparagement clauses and termination for disruptive behavior. agreements limit patient referrals and potential lawsuits.

Ment Health Plan AMO MVP Health Plan HMO Hmo-Cny U.S Nlan W Medco North Medical Community Health

Also Mentioned on This Page

Higips Singhohie Giant United Healthcare Com Oppenheimer Cap- IV Wall Street United Wiliam McGuire Metra= Health Care Plan Upstate New York Inc Central New York Her Fayetteville BB. Bane Herald-journal Blue Cross Blue Shield Ganoungs State Senate Health Committee Renness Marlin Masavech Broome County Greene MetroHealth Davierence Kaiser Foundation Health Plan Jesus Ainge Lute Ganoung Raymond Corp Hawker Siddeley Miller Aviation Tephen D.jannen Elbessar Pwinrer Luke Ganaung Port Crane Ford Ae Tors HMQ Tral New York T Care HMG Ally Niler Daniels Hugh Health Center
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