Managed Care



May 2013

Leaders of managed care and of many provider organizations find that they can work together better than ever before

Peter Wehrwein

Physician buy-in and an innovative payment model will keep Cigna’s HealthSpring on course in a changing market, says its president

Under Its Alternative Quality Contract, Blue Cross Blue Shield of Massachusetts aims to make global budgets work by having physicians and hospitals cut costs and pursue meaningful quality targets

Joseph Burns

The genomic revolution is under way. Just don’t expect it to be an early money-saver.

Marc S. Williams, MD, FAAP, FACMG

Are you dreaming of a world where mass cancer screenings are discarded as wasteful and personal genetics and ‘big data’ inform individually targeted therapies? Wake up — that world is fast approaching.

David B. Nash, MD, MBA

Editor’s Memo
John Marcille

Many health insurance plans face challenges that DTC marketing might be able to address

Ira Studin, PhD, MPH
Medication Management

The association between the two diseases is strong, and insurers should consider all management options

Thomas Reinke
Tomorrow’s Medicine

The Six Million Dollar Man had superhuman eyesight, but insurers won’t have to pay that much for this treatment

Thomas Morrow, MD
Plan Watch

Anthem’s experience exposes vulnerabilities regarding the maintenance of physician networks

Frank Diamond


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