Managed Care



December 2008

This new code set promises to delineate like never before the type of physician service rendered
Frank Diamond
As premiums soar, the new Democratic majority weighs the benefits of restrictive regulation vs. the free market
John Carroll
If the health sector were like most other economic areas, having good cash flow and low exposure to investment losses would be enough. It’s not.
Peter R. Kongstvedt, MD
It was the hot topic at the DMAA annual conference because attendees could not agree on its viability
Maureen Glabman
Endocrinologists say early treatment is essential, but health plans as a group are not yet on the same page
Martin Sipkoff
James P. Reichmann, MBA ; Michael S. Kirkbride, BSc, PharmD

Editor's Memo
John Marcille
Legislation & Regulation
Insurance lobbying organizations push for guaranteed issue so long as mandatory coverage is part of the mix
John Carroll
Medication Management
Health plans continue to push patients towards off-label use of pain relievers and alternative treatments for symptom pain
Martin Sipkoff
Tomorrow's Medicine
Sancuso is at least as effective as the oral form of therapy, and careful attention to daily medication needs may provide a cost savings
Thomas Morrow, MD


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