Managed Care

 

 

June 2008

Recovering from a kick in the gut from investors in the first quarter of 2008, plans are now looking for ways to adjust to a drop in employer-based coverage
Martin Sipkoff
A physician-turned-academic-researcher builds a framework for challenging the health system's focus on specialists
John Marcille
Employers want cessation efforts, and not-for-profit plans, as well as a few for-profits, have come through
Lola Butcher
These systems can improve quality, but in their present state of development, they can annoy physicians and are underutilized
Tom Reinke
Capital Health Plan achieved a 79% improvement in pain scores and a 54% improvement in function scores for its members
Charles M. Tomlinson, MD ; Chad Gray, PT ; Tom Kane, PT



Departments
Viewpoint
New private reinsurance companies would finance and manage the risks associated with producers, payers, and patients
Bruce Pyenson, FSA, MAAA
Letters
Legislation & Regulation
Sen. Ron Wyden’s bill promises to provide universal coverage without draining the federal treasury. Too good to be true?
John Carroll
Medication Management
Recent reports question whether statins are being overprescribed
Martin Sipkoff
Plan Watch
It has not been easy to launch the massive HealthConnect system, but officials at the health plan say it has been rewarding
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