Managed Care

 

 

June 2011

Health insurers can be doing more to come up with creative ways to pay providers and organize care
Frank Diamond
With access to large patient populations, health plans are in a position to mine a fresh set of data, but concerns about bias remain
John Carroll
Kaiser Permanente takes on patient safety initiatives in the outpatient setting
For health plans and employer groups, the economics of battling obesity are not always obvious
Richard M. Kirkner
The disease has risen quickly to become the third-leading cause of death in the world — getting there much faster than anyone expected
Bob Kirsch
A comparison of health care costs in patients with diabetes who do not initially respond to oral therapy suggests that it might be appropriate and clinically beneficial for providers to consider adding another oral agent, rather than up-titrating the current medication, particularly beyond intermediate dose levels
Girishanthy Krishnarajah, MPH, MBA/MS ; Monali Bhosle, PhD ; Richard Chapman, PhD



Departments
Editor's Memo
John Marcille
Legislation & Regulation
The Independent Payment Advisory Board, created by the Affordable Care Act, favors hospitals over health plans
John Carroll
Medication Management
Health plans play a key role in data quality and will benefit from improvements
Thomas Reinke
Plan Watch
Express Scripts’ program manages biologics dispensed under the pharmacy and the medical benefit
Frank Diamond
Tomorrow's Medicine
With Zytiga joining the ranks, managed care may have a way to develop an oncology strategy for a common type of cancer
Thomas Morrow, MD

Meetings

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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015