Health plans hope to rein in utilization by raising pharmacy copayments. Whether the scheme works or backfires depends on how it's implemented.
What happens when a group-model plan folds? It's sink or swim for salaried physicians who never had to worry about the business side.
Overall, HEDIS performance didn't change much from 1997 to 1998. More troubling is an apparent move away from accountability.
The new president of the American Pharmaceutical Association foresees greater cooperation between pharmacists, physicians, and health plans.
New techniques of verifying identity will allow sensitive information to be made available safely, conveniently, and expeditiously over the Internet.
John A. Marcille
John La Puma, M.D.
Bruce J. Goldstein, J.D.
Managed Care Outlook