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MANAGED CARE May 2007. ©MediMedia USA
Vol. 16, No. 5
May 2007
Cover Story
P4P Programs to Keep an Eye On
We look at cutting-edge efforts by the Centers for Medicare & Medicaid Services, the Integrated Healthcare Association, Bridges to Excellence, and a small upstate New York health plan.
Medicare Private Fee-for-Service Bonanza
The rules are lax, and patients and providers are interested. So what's not to like about PFFS plans? Congress considers cutting back funding, but it might be too late.
Massive Databases Under Construction
The biggest private payers in the United States are building huge systems to mine the gold in health claims. Physicians are uncertain, but they aren't likely to stop the process.
Switch That Diabetes Medication?
Careful adherence to a treatment plan and a holistic approach to patient care can be effective, even when, at first, a particular medication seems not to be doing the job.
Treating Difficult Asthma with Omalizumab
Omalizumab is a significant medication, but because of its cost, careful attention is needed in selecting appropriate patients.
Departments
Slow change usually the best.
P4P isn't just about quality.
The year of mental health parity?
News and Commentary
Self-Referral Persists Despite Stark II Law
Headlines On Deadline
Barriers to MTM lowered.
Most docs break bread with pharma.
Plans fall short on immunizations.
And now, community health records.
Eculizumab reduces hemolysis.
Health inflation to moderate.