Managed Care

 

 

April 2008

A coalition of employers, legislators, consumer advocates, health plans, and drug companies may bring about equal coverage
Martin Sipkoff
The goal is to keep oncologists from relying on drug markups to keep their incomes high, but it’s slow going
Lola Butcher
An experienced negotiator and lawyer describes in detail how health plans that contract with PBMs can get a better deal
Linda Cahn
The company can be expected to be as tough in the PBM arena as in retail, but it has a few hurdles to overcome
John Carroll
A national leader in physician quality improvement believes providers should be judged on the services they provide
The government program is a big — and still growing — business. Millions of members are being enrolled in managed care plans.
Tom Reinke
A system in which individual insurance policies may be purchased for separate medical products and services is based on a medical options market and takes its cue from the financial sector
Damon Douglas, dual PharmD/MBA candidate



Departments
Editor's Memo
John Marcille
Legislation & Regulation
Hard-charging New York Attorney General Andrew Cuomo says reported rates are neither usual nor customary, nor are they reasonable
John Carroll
Medication Management
Over-the-counter medications can be a good thing for the patient, the insurer, and the pharmaceutical company that developed the product
Martin Sipkoff
Tomorrow's Medicine
Hal Hoffman’s work led to the discovery of the genetic basis of an autosomal dominant disease and to creation of a prototypical orphan drug
Thomas Morrow, MD

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
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
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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