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MANAGED CARE November 2006. ©MediMedia USA
Cover Story
Genetic Testing: Deciding What to Cover
The science may seem overwhelming, as well as breathtaking — not to mention that it is often expensive. Some tests are essential; others may be a waste. But in whose eyes?
Putting the Chronic Care Model to the Test
Helping group practices redesign themselves to give better service to patients with diabetes has paid off for Rocky Mountain Health Plans and for participating doctors.
Protect That Patient Information
There are many ways that confidential data can escape a plan's or PBM's control, and the consequences can be major. It's a quick way to lose business. Then, there are lawsuits.
Germany Embraces Disease Management
Germany implemented DM programs for patients with type 2 diabetes in 2003. Risk adjustment paved the way for high physician and patient buy-in.
Q&A: Prime Therapeutics' James Hartert, MD
As the CMO of Prime Therapeutics, Hartert has to deal with some of the more daunting challenges troubling health care today. Did someone say "biologics?"
Departments
Not everyone wants to know.
Experts, real and self-proclaimed.
HSAs not written in stone.
News and Commentary
Coverage Outranks Part B on List of Public Concerns
Employers Focus On Just Who Should Be Covered
AMCP Creates Task Force on Payment Methods
Taking insomnia seriously.
Busy docs feel poorly paid.
Step therapy success story.
Bad behavior, high deductible.
Meet the transgenic goat.
Costs outpace price index.