Managed Care


Headlines On Deadline ...

MANAGED CARE May 2007. © MediMedia USA
News and Commentary

Headlines On Deadline ...

MANAGED CARE May 2007. ©MediMedia USA

AARP will expand its relationship with UnitedHealth Group and create a new relationship with Aetna to provide health insurance plans designed to meet the needs of its 38 million members and others who are over age 50. The new program is called AARP Health Aid. The agreement with UnitedHealth Group will include Medicare supplemental insurance, Medicare Part D plans, indemnity insurance products, and Medicare Advantage offerings. The Aetna agreement will include a PPO and a high-deductible insurance policy that could be used with a health savings account. When the products become available next year, AARP will be the largest provider of private insurance to Medicare recipients.... Savings from using the mail order option offered by PBMs help the member, but results in minimal cost reductions for the insurer, according to a recent study in the Journal of Managed Care Pharmacy. Researchers at the University of Texas–Austin reviewed claim records from two state-funded health plans. "The savings associated with mail order don't necessarily filter down to the sponsor. In this instance, the member realizes all the savings," says Michael Johnsrud, PhD, RPh, an associate director of the Center for Pharmacoeconomic Studies, University of Texas–Austin.... Nearly two thirds (63 percent) of 450 major employers in the United States that cover more than 8 million employees plan to make aggressive multiyear steps to help employees improve their health by increasing education efforts, implementing condition management programs, and using data analysis and other cutting-edge programs to improve health and productivity while holding participants accountable for their behaviors, according to a recent Hewitt Associates study. Less than 40 percent plan to maintain their current focus on health care benefits — primarily concentrating on annual cost mitigation.


2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015