The next generation in online publishing...
Sign up to read the digital versions of Managed Care, P&T, and Biotechnology Healthcare. These digital editions are free, searchable, and can be downloaded and read offline. To read a sample of the digital version of Managed Care, follow this link:
Sample digital edition
Register for a free digital subscriptionArchive issues of Managed Care:
MANAGED CARE May 2008. ©MediMedia USA
Vol. 17, No. 5
May 2008
Cover Story
Think of all the methods that have been used to try to control costs: disease management, pay for performance, consumer-directed health care, formulary tiers. Still, costs keep rising.
Moving to a payment system tied to the severity of illness and refusing to pay for hospital-acquired conditions may encourage private payers to do the same.
Chief of medical affairs at UnitedHealth Group, he wants universal coverage — now. “Each night that we continue to debate perfect solutions, people die. . . .”
There is no one-size-fits-all contract. Health insurers should want to deal with PBMs that offer customized approaches and flexibility.
Critics have labeled this Massachusetts program a failure, but policymakers, physicians, and insurers in the state disagree. They point, for instance, to 340,000 formerly uninsured who now have coverage.
Departments
When all else fails?
IT lessons from Canada.
Putting therapies to a new test.
News and Commentary
Lower Expenses, Fewer Rxs Follow Multitiered Drug Benefit Design
Hospitals give payers low marks on image, reputation [chart]
E-Prescribing Tools Touted
Plan Design Helps Poor Get Coverage
Headlines on Deadline
Behind-the-counter system coming?
More physicians work part-time.
Keeping an eye on PDP costs.
Aetna caps rollover amount, sees results.
Skin glue: Breakthrough for surgeons.
U.S. health inflation not so bad?