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MANAGED CARE September 2007. ©MediMedia USA
Vol. 16, No. 9
September 2007
Cover Story
High Out-of-Pocket Costs: Good or Bad?
It's one of the great debates in health care today, and there is evidence on both sides. Yet another view is that it has only small potential, because most health care spending is dictated by doctors.
Measuring Quality Can Backfire
Design an inferior system (not hard to do) and sit back and watch hospitals and doctors work to score high, rather than to deliver optimum care.
Pharmacy P4P Not Likely to Happen
It's a great idea, having pharmaceutical companies refund your money if beneficiaries don't respond to the treatment, but experts are skeptical that it can be brought off in the United States.
Meld DM With the Chronic Care Model
Disease management has been around for years. The chronic care model is newer, and being championed by physician organizations.
Human Growth Hormone: Reducing Waste
Pen delivery resulted in less waste than vial-delivered products, according to this study.
Section Two
Herd Protection Against Influenza
There are medical and economic arguments that vaccinating schoolchildren is an excellent way to protect high-risk populations.
Departments
Adaptable insurers.
Medicare Advantage vs. SCHIP.
News and Commentary
Ninety Percent of Adults Eligible For Medicare Have Drug Coverage
NCQA Standards Focus on PPO Performance
Income Said To Influence Use of Generics
Young and uninsured — a looming problem [chart]
Headlines On Deadline
Patent laws start favoring generics.
PCPs' wages lag behind.
Hearing loss gene identified.
Premium comparison made easier.
New business opportunities.