Managed Care



May 2003

Businesses are relying on doctors to direct the health benefit. They often work directly with plans to keep workers healthy — and at their posts.
MargaretAnn Cross
Most would not want health care to go through such a major change unless it became a question of survival. Many say that's just where we are.
John Carroll
Many health plans see real value — financial as well as social — in screening for victims.
MargaretAnn Cross
Partly because of employers' demands, health plans are starting to cooperate in ways that improve care.
Martin Sipkoff
The executive director of the Leapfrog Group says that the organization pleads guilty to trying to create 'aspirational' standards for health care.
Do more with less — that's what we all must learn. In the physician's office, when patients share their doctor's time, everyone benefits.
Bob Carlson
Many labor organizations have been isolated from inflationary realities. Can health plans and employers make them see the light?
MargaretAnn Cross
The appropriate application of criteria for the use of palivizumab can save health plans a significant amount of money.
William Silverman, MD, FAAP

Editor's Memo
John A. Marcille
The long-term impact of noncompliance must be considered before copayments are increased. This is especially true where chronic conditions are concerned.
Wayne Miller, RPh, MBA
Legislation & Regulation
The managed care industry says that the ramifications of the Supreme Court decision will be slight. But could that be just wishful thinking?
John Carroll
Physicians, teachers, and clergy are among those professions that enjoy particular respect. They must preserve equanimity in the face of ephemeral social movements.
Michael S. Victoroff, MD
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