Managed Care



June 1999

Minority groups offer a large untapped market right within our national borders. Health plans and physicians need to develop the tools to serve it.
José Rivera, M.P.H.

With PPO enrollment nearing 100 million, HMOs are getting a healthy dose of competition. Is the PPO here to stay — or just a temporary distraction?

Michael D. Dalzell
Millennial bugs aside, E-commerce is emerging as a top priority of health care companies. Ignore it at your peril.
David Pedersen
Call it "thinking out of the box" or "pushing the mental envelope" or whatever the buzz words of the day might be: Donald Berwick, M.D., is an outspoken advocate of finding new and better ways to deliver health care. His organization promotes them. And a lot of people are listening.
Patrick Mullen
Too many HMO executives are swayed by vendor data compiled using flawed methodology. Keep your eye on the denominator.
Frank Diamond

Washington Watch
Michael Levin-Epstein
Federal and state legislators and enforcement agencies are putting more responsibility for prevention and detection of fraud and abuse on MCOs.
Mark D. Abruzzo, J.D.
Managed Care Outlook


4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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
HealthIMPACT Southeast Tampa, FL January 23, 2015