It’s the nation’s leader in member satisfaction and quality of care, according to NCQA. Dynamic leadership and dominance of a region where excellent docs and plans abound are part of the formula.
Brand-name manufacturers and many neurologists see danger in generic substitution, but the FDA insists that the practice is safe
Companies that participate in large research cooperatives such as the HMO Research Network are helping the whole medical system
Convenient care clinics, as they like to be called, are spreading quickly because members and plans like them
Some insurers are taking tentative steps toward developing global provider networks for corporate clients
Advocates say it will transform health care; detractors warn against overestimating its potential
Legislation & Regulation
The AMA calls it a kickback, but the industry sees it as just good practice to give doctors an incentive to get patients on equivalent generics
A recent court settlement may affect the way the PBM industry makes profits, but could it also lead to higher drug costs?
The Formulary Files
Health plan offers different cost guarantees in its No Worry and SmartResults consumer-directed programs
When diet is not enough, a well known metabolic disorder can now be managed better through medication
Thomas Morrow, MD
Managed Care Outlook