Managed Care

 

 

September 2011

Think of P4O as P4P with its eyes on the prize. Unfortunately, even ordinary P4P is not yet widespread.
Joseph Burns
Is the breast cancer drug Avastin the opening salvo that brings efficacy, toxicity, and costs together? Who will blink first — health plans, providers, regulators, or patients?
John Carroll
As the medical home concept grows, many in health care will have to define new roles
Health insurance plans need only bolster the following accepted guidelines to see a return on a very little bit of investment
Bob Kirsch
With the advent of new disease-specific agents, some patients with HAE may find relief from its enormous physical and psychological toll
Michael Toscani, PharmD ; Marc Riedl, MD, MS



Departments
Legislation & Regulation
In the long run, health plans will benefit from the new rules. In the short run, hospitals say they already have enough economic pressures.
John Carroll
Medication Management
Expect more denials as more specialty drugs are introduced and prescribed
Thomas Reinke
Tomorrow's Medicine
For this condition that is largely confined to the Medicare population, a new treatment is now available
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