Managed Care

 

 

February 2006

Enrollment snags could be just the start of political and regulatory headaches facing health plans and pharmacy benefit managers
Martin Sipkoff
With 9% of hospital charges attributable to pregnancy, delivery, and neonatal care, there is considerable opportunity for savings
MargaretAnn Cross
The whole is often greater than the sum of its parts, and that is proving to be the case with health plans. Will we end up with just 4 or 5 competitors?
John Carroll
As hospitals drive growth in programs and health plans take a back seat, this new subspecialty comes into its own
Sharon Baker
Two studies suggest that this design may not be a long-term method for controlling costs
Lola Butcher



Departments
Legislation & Regulation
As we enter a year with a congressional election, candidates are unlikely to stir things up with imaginative, comprehensive proposals
John Carroll
Medication Management
Health plans, with their view of the complete spectrum of patient care, are in a unique position to identify problems with polypharmacy
Martin Sipkoff
Tomorrow's Medicine
B-cells and their markers, once overlooked in the pathophysiology of rheumatoid arthritis, may hold the key for a new treatment regimen
Thomas Morrow, MD
Health Plan Design
Aetna, Cigna, Humana, and others are taking a variety of approaches in supplying information to members who are paying more out of pocket
Lola Butcher

Meetings

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