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MANAGED CARE January 2006. ©MediMedia USA
Vol. 15, No. 1
January 2006
Cover Story
Doc Shock: Coming to Grips With CDH
As patients experience sticker shock with consumer-directed health (CDH) plans, doctors experience culture shock. Health plans need to educate their providers.
A benefit strategy that balances adequate coverage with cost control will include steps to reduce post-surgical complications and techniques to avoid adverse selection.
Prior Authorization Makes a Comeback
This old cost-containment tool never really went away and is now gaining new respect. But it is a more surgical tool than the blunt instrument of early managed care.
Q&A: Health Economist James Robinson
This health care economist at the University of California wants patients to share in the savings that flow from making the right choices of coverage and services.
Case Management Meets Home Care
Aetna sponsors a program in which advanced-practice nurses visit patients at home after hospitalization. Much of the underlying data and project description are in the public domain.
DEPARTMENTS
Make more, pay more?
Avoid a trip to court.
News and Commentary
Videos of Actual Surgeries May Give Patients Pause
Costs slow down, but not enough to assuage employers' concern [chart]
Demand grows for obesity treatments.
Physicians suspicious of P4P.
Higher drug margins for PBMs.
Four-color flow cytometry.
Growth continues for CDHPs.