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MANAGED CARE November 2007. ©MediMedia USA
Vol. 16, No. 11
November 2007
Cover Story
Take-Away From the CDHP Experiment
Although consumer-directed health plans are not taking the country by storm so far, their influence is felt. Building systems to provide plan members with the information and incentives they need to make better decisions has had a far-reaching effect.
Radiology Control: No Easy Task
Radiology benefit managers are implementing new procedures to streamline the approval process and tackle the complex and diverse factors that encourage the use of these expensive tests.
Campaign '08 Makes Managed Care an Issue
No matter who wins, changes are in store for the industry. Health insurers will best help themselves by contributing to the public discussion of how to reform the system.
Blues Happy To Boost P4P Effort
The Blue Cross & Blue Shield Association throws its support behind a program, overseen by the hospital management company Premier, which promises "stunning" advances in cost-effective care.
The Medicaid program in Tennessee had many flaws and detractors. Its near collapse led to a more realistic and modest approach to providing coverage.
Departments
Let the campaign begin!
Weight-loss efforts need insurer support.
News and Commentary
Substantial Increase Seen in PPO Quality Reporting
Patient Advocates Want Part D Changes
Underwriting earnings slow, but investment gains soar
Microsoft Launches Health Record System
Headlines On Deadline
Price transparency comes to big PBMs.
P4P at the practice, not the doctor, level.
Cryoablation for atrial flutter.
Cost hike in 2008 below 2007.