Managed Care



May 2008

In 2006, health care spending averaged $7,026 per person. By 2017, that will shoot up to $13,101.
John Carroll
Moving to a payment system tied to the severity of illness and refusing to pay for hospital-acquired conditions may encourage private payers to do the same
Martin Sipkoff
The UnitedHealth executive brings experience in public health and physician leadership to bear on issues facing health plans
There is no one-size-fits-all contract, says a senior executive at Prescription Solutions. A PBM can perform many functions.
John D. Jones, RPh, JD
Many are calling this attempt at universal coverage a failure, but health plans, physicians, and policymakers in Massachusetts say “Not so fast!”
Frank Diamond

We Yanks might learn a thing or two about making decisive, countrywide health care decisions from our Canadian neighbors
Lorraine Fernandes, RHIA, RHIT
Legislation & Regulation
A proposed research institute would pit medications against each other instead of against placebos, and that might save $368 billion over 10 years
John Carroll
Medication Management
Other countries do it, and the FDA is thinking about creating a class of drugs that would not require a doctor’s prescription but would require a pharmacist’s approval
Martin Sipkoff
Plan Watch
Aetna releases a five-year study showing that companies that do this correctly can enjoy impressive savings
Frank Diamond
Tomorrow's Medicine
Artiss, a fibrin product, is a breakthrough, allowing burn patients to avoid anesthesia, staples, and a subsequent operation to remove the staples
Thomas Morrow, MD


4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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
HealthIMPACT Southeast Tampa, FL January 23, 2015