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MANAGED CARE March 2006. ©MediMedia USA
Vol. 15, No. 3
March 2006
Cover Story
There are good examples of care that patients need as opposed to care that they want. However, much falls into a gray area — not helpful for consumer-directed heath plans.
Some insurers have rolled the latest computer technology onto the front lines of a battle in which billions of dollars are lost each year.
Medicare Should Release Physician Data
The authors, Washington lawyers, make a case for the release of physician Medicare claim data, which would be useful to academics, policy makers and — oh yes — health plans.
Q&A: Cindy Ehnes, Calif. Managed Care Czar
Cindy Ehnes, JD, the director of California's oversight agency, sees one of her main duties as leveling the playing field for docs and health plans.
Eight Tiers! Part D's Brave New World
The business strategies behind this development, the consumer response, and the successes and failures in this endeavor will have a big influence on future plan designs.
DEPARTMENTS
Since Adam and Eve....
Coverage mandate activity slows.
An ROI for pharmacy services.
News and Commentary
Will HMOs' Robust Profits Make Good Political Fodder?
Study: No Need To Burden Consumers To Cut Drug Bill
Financial Picture Looking Better For Part D
Prescription drug cost increase lowest since 1994 [chart]
Standard Measures In Works For P4P Push
HMOs Want Evidence About Arthritis Drugs
Cigna Offers Quick Care At Retail Outlets
Health Costs Expected To Hit $4 Trillion in 2015
Wal-Mart Announces Better Insurance Package For Part-Time Workers
Headlines On Deadline . . .
Coverage for bad behavior?
What's that MBA worth?
Four or more tiers for Part D.
Argument for stepped-care approach.
Major push for quality measures.
CMS forecasts stable growth.