Managed Care

 

 

October 2005

Politicians on both sides of the aisle are considering this as a way of fixing the system. What might it mean for health plans?
Martin Sipkoff
Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans
MargaretAnn Cross
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.
Bob Carlson
As we learn which supplements are truly beneficial, is limited coverage of specific products in the works?
Sharon Baker
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



Departments
Ethics
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
John Carroll
Medication Management
Their presence in the public sector could lead to a strong presence in the private sector. Is a managed care backlash looming?
Martin Sipkoff
Tomorrow's Medicine
Enhanced management continues due to a greater understanding of the intricate glucose balance and the shortfalls of existing medications.
Thomas Morrow, MD
Employer Update
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
MargaretAnn Cross

Meetings

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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015