Managed Care



August 2005

The government joins health plans, providers, employers, and pharmaceutical companies in seeking to establish DM's value
Maureen Glabman
Insurers may not need to look any further than existing claims data to build useful payer-based health records.
Neil Versel
Rochester, N.Y., faces rising health care costs and a growing employer interest in CDHPs. Can a managed care town hold its own?
MargaretAnn Cross
Substantial nondrug costs result from switching prescribed medications in response to changes in insurance coverage, and many nonreimbursed costs shift to providers and patients.
Paul Abourjaily, PharmD ; William A. Gouveia, MS ; Harry P. Selker, MD, MSPH ; Deborah R. Zucker, MD, PhD
Studies indicate that complementary and alternative medicine may save on drug costs.
Martin Sipkoff

Editor's Memo
John A. Marcille
Legislation & Regulation
Should the National Committee for Quality Assurance take over part of the job of overseeing health plans? It seems to be working in some states.
John Carroll
When a pharmacist — for personal beliefs — refuses to fill a prescription, the health plan should be very concerned.
Michael S. Victoroff, MD


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