When the approach in one town is major surgery and in another, it's watchful waiting, you know there's a problem.
Blue Cross and Blue Shield of Minnesota and American Healthways score a hat trick by improving outcomes and satisfaction while saving money.
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.
What went wrong between Penn State and Geisinger, and what lessons should be learned?
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.
A program to reduce medical errors promised providers that confidentiality would be protected. Then came a problem demanding immediate attention.
Michael S. Victoroff, MD
The Formulary Files
Treatments that interfere with protein synthesis at the cellular level will soon be debated in medical policy committee meetings.
Thomas Morrow, MD
Managed Care Outlook