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MANAGED CARE December 2003. ©MediMedia USA
Vol. 12, No. 12
December 2003
Cover Story
Clinical executives at MCOs must somehow reconcile the conflicting impulses of a clinician's desire to help patients and a manager's duty to find a healthy bottom line.
Health plans across the country are becoming more aggressive in treating patients with long-term illnesses. The first step involves defining populations.
Raising copayments, deductibles, and coinsurance rates doesn't make good business sense if such tactics encourage patients to put off needed and/or preventive care.
How have unions, the federal government and a few other sectors managed to keep drug expenses under much better control than other payers?
CME/CPE: Biologic Therapy for Psoriasis
Emerging agents for treating psoriasis bring dramatic improvements to patients' quality of life.
DEPARTMENTS
Make Medicare reform work.
NCQA's message to small employers.
News and Commentary
Chiropractor-Directed Care Could Boost Costs by 30%
Pay-or-Play Ideas Make Employers Help Uninsured
Headlines on Deadline ...
Insured paradise lost in Hawaii.
Comparing family doc, internist pay.
Amylin advances diabetes care.
Employee interest in cost grows.
E-prescribing, formulary compliance.
Forecast bright for mergers.