Managed Care

 

 

July 2008

As doctors increasingly go to work for hospital systems, care might become more organized and effective, but plans could lose bargaining power
Lola Butcher
Use of aggressive techniques to encourage patient adherence saves and improves lives and controls costs
Martin Sipkoff
The Genetic Information Nondiscrimination Act will have a profound effect on insurers, even if we’re not quite sure what it will be
John Carroll
Leapfrog’s revised length-of-stay measure is an early and welcome attempt to measure hospitals’ efficiency
Tom Reinke
Anthem Blue Cross & Blue Shield bets that focusing on this portion of the individual market might be a good way to build brand loyalty
Frank Diamond



Departments
Viewpoint
Initially, Part D offered so much to so many who needed help. Now the program is straining under its own weight.
Tom Kaye, RPh, MBA
Legislation & Regulation
These giant Internet players can offer the fluidity of personal data and information, but they don’t have to comply with privacy standards
John Carroll
Medication Management
Employers have implemented a number of methods to slow down prescription drug costs, but waiving copayments for chronic conditions has yet to enjoy widespread use
Martin Sipkoff
Tomorrow's Medicine
Commercial and public payers concerned by prolonged hospital stays will be considering this μ-opioid antagonist
Thomas Morrow, MD
Plan Watch
Health plans should look into why medical centers that spend the most per capita don’t necessarily deliver the best care
Frank Diamond

Meetings

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