Politicians on both sides of the aisle are considering this as a way of fixing the system. What might it mean for health plans?
Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans
Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.
As we learn which supplements are truly beneficial, is limited coverage of specific products in the works?
Offering 17P as a benefit to pregnant women enrollees with a history of preterm delivery can reduce NICU days significantly for a Medicaid plan.
Mary V. Mason, MD, MBA
Kara M. House, BS, MBA
Cathy M. Fuest, RPh
Deborah R. Fitzgerald, RN
Bonnie J. Kitson, MBA
John A. Marcille
Complacent bureaucracies could not answer the call. Now is the time to make adjustments. The next shoe will drop.
Michael S. Victoroff, MD
Legislation & Regulation
Some of the biggest insurers in the country will do whatever it takes to promote their offerings under Medicare's new prescription drug benefit
Their presence in the public sector could lead to a strong presence in the private sector. Is a managed care backlash looming?
The Formulary Files
Enhanced management continues due to a greater understanding of the intricate glucose balance and the shortfalls of existing medications.
Thomas Morrow, MD
A medical device manufacturer, Definity Health's first client nearly 5 years ago, has moved a fourth of its employees into the new-style plan
Managed Care Outlook