Managed Care

 

 

November 2003

When the approach in one town is major surgery and in another, it's watchful waiting, you know there's a problem.
Martin Sipkoff
Blue Cross and Blue Shield of Minnesota and American Healthways score a hat trick by improving outcomes and satisfaction while saving money.
William R. Gold, MD
She's in the forefront of efforts to define the unique domain of doctors who become managers. One thing she knows for sure: Trustworthiness is everything.
Medical directors have been hard-pressed to come to a consensus on just how — or whether — this new wrinkle in the managed care business fits in.
John Carroll
What went wrong between Penn State and Geisinger, and what lessons should be learned?
Jaan Sidorov, MD



Departments
Editor's Memo
John A. Marcille
Legislation & Regulation
Health plans can expect to pay less in dues, but whether the new organization will have increased influence with legislators remains to be seen.
John Carroll
Ethics
A program to reduce medical errors promised providers that confidentiality would be protected. Then came a problem demanding immediate attention.
Michael S. Victoroff, MD
Tomorrow's Medicine
Treatments that interfere with protein synthesis at the cellular level will soon be debated in medical policy committee meetings.
Thomas Morrow, MD

Meetings

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