MediMedia Managed Markets
Managed Care



January 2003

For the past 20 years, the VA has labored at one of the most advanced electronic medical records in the country – and is giving the technology away. Private vendors object that it relies on outdated software.
John Carroll
Plans will have to be careful about how incentives are structured. Doctors will need to be convinced that intentions are pure.
John Carroll
Not long ago, managed care plans sought to reduce the rate of C-section births in the U.S. Now, C-sections are going up — and plans are going along.
Bob Carlson
With UM played out and copayments for brand-name drugs nearing most members' pain thresholds, plans are exploring a new pharmacy frontier.
Martin Sipkoff
Assuring the safety and efficacy of pharmaceuticals is important to any managed care organization. Compounding in the pharmacy needs scrutiny.
Thomas Kaye, RPh, MBA

Editor's Memo
John A. Marcille
Patients will obtain more buying power and use it wisely, with the help of dedicated professionals.
R.J. Smith, MBA
Legislation & Regulation
Association health plans provide a simple lesson on the wide political divide over the direction of health care reform.
John Carroll
Legal Forum
New IT systems promise to reduce medical-loss ratios, improve the health status of populations, and transform relations with members. Outsourcing IT functions places the personnel burden and responsibility for regulatory compliance on the contractor.
Kevin D. Lyles


Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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