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April 2011

With hospitals facing penalties for readmissions, there perhaps has never been a better time for insurers to address this vexing problem

Frank Diamond

An expert in improving safety in hospitals sees a need to apply more scientific rigor to outcomes data and quality improvement efforts

In an evolving market, insurers want to see what members’ relationships with retail health clinics will look like

MargaretAnn Cross

Low-birth-weight outcome was reduced when women participated in a managed maternity program, compared with nonparticipants

Mary V. Mason MD, MBA, FACP ; Amy Poole-Yaeger MD, FAAP ; Brad Lucas MD, MBA, FACOG ; Cathie R. Krueger, RN, BSN ; Tamim Ahmed, Ph.D, MBA



Departments
Editor's Memo
John Marcille
Legislation & Regulation

Red states aren’t the only ones that might seek ACA waivers

John Carroll
Medication Management

Formulary design, contracting, and other strategies will be key to maximizing the opportunities of brand patent expirations

Thomas Reinke
Tomorrow's Medicine

Some hospitals are considering installing copper surfaces to cut down on the spread of pathogens

Thomas Morrow, MD

Meetings

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