IN THIS ISSUE

John Carroll
When 32 million or more new members, courtesy of the Accountable Care Act, are just not enough
Richard Stefanacci, DO, MGH, MBA, AGSF, CMD
Even though accountable care organizations have not lived up to their promise, some will ultimately succeed
Peer-Reviewed
James P. Reichmann, MBA
Michael S. Kirkbride, BSc, Pharm D
A review of the available research identifies payment for services in the absence of high-quality scientific evidence and presents an opportunity to use evidence-based medicine to develop a clinical coverage guideline
Editor's Memo
John Marcille
Legislation & Regulation
John Carroll
Plans will compete for new enrollees, including people with major health problems
Medication Management
Thomas Reinke
Also called observational research, these studies dig down to the provider and patient level rather than analyzing only population-level data
Plan Watch
Frank Diamond
Young women on Medicaid tend to skip physicals because of child care concerns. One insurer thinks it might have an answer.
Tomorrow's Medicine
Thomas Morrow, MD
This screening tool is less invasive than a colonoscopy, with a specificity approaching 99 percent as risk increases
News & Commentary
News & Commentary