Managed Care

 

 

December 2010

Placing nearly all specialty drugs under the pharmacy benefit and using tiered formularies are among several promising strategies
Thomas Reinke
Portable interactive communications technology promises to influence health behavior as mere postcards and email messages never did. There will be big rewards for the health plans that figure out how to use it well.
Steven R. Peskin, MD, MBA, FACP
Twitter and Facebook are good places to promote a health plan’s brand, and they can help members by reinforcing positive behaviors
John Carroll
We want to hear from medical directors about how they approach one of the most vexing and chronic problems in health care
Frank Diamond
El Paso First Health Plans did not lose sight of the two goals in the overhaul of the electronic data interchange system
Managed Care Staff
As Part D enrollees approach their coverage limits, their decisions are significantly affected through the doughnut hole period
John W. Hales, MA, PhD ; Stephen George, PharmD, MS, RPh



Departments
Editor's Memo
John Marcille
Legislation & Regulation
A committee at the Institute of Medicine has called for better use of registered nurses, but physicians continue to try to keep them subordinate
John Carroll
Medication Management
Health plans have another option to consider for improving medication outcomes
Thomas Reinke
Plan Watch
Physicians can earn extra money, but hospitals can lose if they do not show an improvement in quality
Frank Diamond
Tomorrow's Medicine
A new device can partially restore central field vision to thousands who suffer from a common cause of blindness
Thomas Morrow, MD

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