Managed Care
Disease
Management

 

May 2005

In theory, consumer-directed health plans put the reins of decision making into the hands of their members. But medical management departments are alive and well inside CDHPs — and may even expand under these plan designs.
MargaretAnn Cross
Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes.
Frank Diamond
With big companies steadily reducing coverage for retirees, plans need to devise products for this needy population.
John Carroll
This expert who hopes to help everybody adjust nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work.
Patrick Mullen
Integration of predictive modeling and genomic tools means improved technology, enhanced databases, and appropriate legal guidance.
Martin Sipkoff



Departments
Legislation & Regulation
David Brailer, MD, PhD, the nation's health information chief, wants the industry, not the government, to devise a system that provides interoperability.
John Carroll
Medication Management
Despite the seeming Gordian knot of regulations associated with Medicare Part D, health plans figure the benefit-to-risk ratio is squarely in their favor.
Martin Sipkoff
Ethics
Is using the tort system and class action lawsuits the best way to solve problems between business professionals? That and $54.37 can go toward the creation of a foundation to bring about meaningful organizational change.
Michael S. Victoroff, MD
Tomorrow's Medicine
Recent advances in pain relief revolve around longer-lasting implantable devices. Can you afford not to have a pain management strategy?
Thomas Morrow, MD
Managed Care Outlook
Opinion leaders say Congress should also act to improve quality and safety, and ensure Medicare solvency.