Managed Care

 

 

March 2013

While Congress worries about physicians’ salaries and employers bemoan the cost of imaging, it’s orphan drugs that might deserve most attention

Ed Silverman

Many who claim to be constructing such entities are really creating ‘clinically integrated organizations’

Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD ; Scott Guerin, PhD

Everything is relative, but there’s been what many experts describe as substantial growth for a lot reasons

John Carroll

These tools, often adopted by other industries, can help insurers improve health care delivery

Preetinder S. Gill

A controversial study challenges backers to prove that these technologies are cost-effective

Frank Diamond

An MCO with an integrated medical and pharmacy benefit management system can overcome the challenges associated with this costly category

Gregory K. Bell, PhD ; Shannon A. Baumann, MS

There was little difference between the options in terms of the frequency and cost of return visits. Patients receiving one-stage reconstructions returned slightly less often for breast-related services during the first 18 months after reconstruction, but the difference was not statistically significant.

Navin K. Singh, MD ; Nancy L. Reaven, MA ; Susan E. Funk, MBA



Departments
Legislation & Regulation

The SGR, ill-conceived and continually bypassed, may be nearing the end of its pathetic, useless life

John Carroll
Plan Watch

The insurer studies exactly what works and why in studying two programs that battle diabetes

Frank Diamond
Tomorrow's Medicine

This population can benefit from Juxtapid and Kynamro, but the cost is not addressed by health reform

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