Managed Care



November 2013

Health plans have more incentives than ever to foster competition, but efforts in the past have failed

Joseph Burns

The internationally known health care economist says we have been heading in the right direction all along — we just have to tackle problems in the right order

Employees won’t be abandoned by their companies, whose contributions will continue to rise — somewhat

John Carroll

Which of three drugs is best for a given patient? The answer remains clouded by clinical uncertainty — and the sun isn’t going to break through soon.

Jack McCain

UM for outpatient discretionary echocardiography appeared to reduce testing rates significantly

Andrea DeVries, PhD ; Gosia Sylwestrzak, MA ; Abiy Agiro, PhD ; Thomas Power, MD

Medication Management

There have been no novel medications for decades, and exisiting therapies don’t have enough of an impact on morbidity and mortality rates

Thomas Reinke
Plan Watch

Aetna hopes that an experiment with its employees turns into a product that it can put on the market next year

Frank Diamond
Tomorrow's Medicine

Physicians will be able to order the correct therapy in as little as two hours after taking a sample for testing

Thomas Morrow, MD


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