Managed Care



March 2010

Some question disease management’s cost-effectiveness, but major insurers have seen enough to induce them to expand programs
Frank Diamond
The most attractive element of the congressional reform plan — at least in the eyes of insurers — is drawing fire in at least 30 states
John Carroll
Many states, helped by a few health plans, are striving to develop health information exchanges, encouraged by federal stimulus funds
Martin Sipkoff
They’re endangered by a brutal combination of factors, a report last August declared, but things may not be so bad as they looked then
Timothy Kelley
Findings of this retrospective database study further emphasize the importance of effectively managing the side effects of opioid pain therapy and achieving optimum clinical and economic outcomes, thus improving the quality of care
Shrividya Iyer, PhD ; Keith L. Davis, MA ; Sean Candrilli, PhD

Editor's Memo
John Marcille
Medication Management
Studies suggest that the benefits of the medications for mild-to-moderate patients are minimal or nonexistent
Martin Sipkoff
Tomorrow's Medicine
Will insurers provide coverage for a new device that takes much of the guesswork out of screening for this deadly skin cancer?
Thomas Morrow, MD
Plan Watch
Disease management should be a function of primary care, some industry proponents argue. Did someone say patient-centered medical home?
Frank Diamond


Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
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