Managed Care



March 2008

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.
Frank Diamond
Brand-name manufacturers and many neurologists see danger in generic substitution, but the FDA insists that the practice is safe
Martin Sipkoff
Companies that participate in large research cooperatives such as the HMO Research Network are helping the whole medical system
Lola Butcher
Convenient care clinics, as they like to be called, are spreading quickly because members and plans like them
Kathryn J. Alexander
Some insurers are taking tentative steps toward developing global provider networks for corporate clients
John Carroll
Advocates say it will transform health care; detractors warn against overestimating its potential
Neil Versel

Editor's Memo
John Marcille
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
John Carroll
Medication Management
A recent court settlement may affect the way the PBM industry makes profits, but could it also lead to higher drug costs?
Martin Sipkoff
Plan Watch
Health plan offers different cost guarantees in its No Worry and SmartResults consumer-directed programs
Frank Diamond
Tomorrow's Medicine
When diet is not enough, a well known metabolic disorder can now be managed better through medication
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