Managed Care



July 2011

Three health plans outline steps they are taking to deal with the effects of growing consolidation of providers
Joseph Burns
Health care reform sets the stage for employers to bow out of health care, creating an insurance market driven by individual choice, according to Harvard’s Professor Herzlinger
CMS’s vision of a new kind of managed care organization fails to demand anything of patients while placing added pressures on providers
Richard G. Stefanacci, DO, MGH
A recent report that 1 in 5 implanted defibrillators may not be needed raises questions about the medical evidence
Richard M. Kirkner
Group Health Cooperative and Geisinger Health Plan are two insurers that want members to weigh in on coverage issues
Carol Milano

Editor's Memo
John Marcille
Legislation & Regulation
Beneficiaries must soon choose between competing managed care companies, pay a $100 monthly premium, and be careful about heading over to the ER
John Carroll
Plan Watch
With the purchase of Concentra, a company that operates 300 clinics, the health insurer once again provides care
Frank Diamond
Tomorrow's Medicine
This new class of antibiotic — the macrocycles — has a greater sustained response against re-infection than vancomycin
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