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MANAGED CARE August 2005. ©MediMedia USA
Vol. 14, No. 8
August 2005
Cover Story
12 Disease Management Trends You Should Know About
As an industry, DM is little more than a decade old. It continues to grow because there are 129 million people with chronic conditions in the United States and 171 million are forecast for 2030.
Should Insurers Create Free EMRs?
Providers shy away from electronic medical records. Plans can draw on data from claims to find demographic details, measurements of health status, and much more. So, what do you say?
Rochester Wants Its HMOs To Stay Put
Say "consumer-directed" and you've got a fight on your hands in western New York. Satisfaction with health plans has remained high, so workers are not keen on change.
Costs of Formulary Coverage Restrictions
Health plans' cost-control policies often force providers to switch prescribed therapies, but this study from researchers at Tufts-New England Medical Center finds hidden costs.
Unorthodox Treatments Gain Coverage
More health plans are turning to complementary and alternative medicine, hoping to reduce their drug costs. Does providing this coverage make economic sense?
DEPARTMENTS
DM — A dynamic field.
News and Commentary
Dispensing Machine Promotes Use of Generic Medications
NCQA Compares Plans On Chronic Disease
Who's Responsible For Controlling Costs?
Health Information Network Costs More
Second 'Quality Plus' Standards Released
Headlines On Deadline ...
Can NCQA replace state oversight?
When providers overstep their bounds.
No logic to malpractice premium rates.
Dronabinol vs. the real thing.
Credit ratings improve.