Managed Care

 

 

September 2013

Delayed deadlines don’t alter the reality that you need to be ready for the big changes

Timothy Kelley

Mental illnesses are being redefined as science advances, but don’t believe reports of a war between the APA and the NIMH

Susan Worley

Insurers can block a lot of crime, but the ACA and ICD-10 promise to make the fight against dishonest doctors even tougher

Frank Diamond

Nine Pioneer ACOs have dropped out of the elite program but there are true believers among the survivors

Peter Wehrwein

A survey reveals lack of awareness that stands in the way of more effective benefit design for these often expensive medications

F. Randy Vogenberg, PhD, RPh ; Cheryl Larson ; Margaret Rehayem ; Larry Boress

There are some basic approaches health insurance plans can use to create better odds for cost-efficiency

Scott Schell, MBA, MD, PhD



Departments
Legislation & Regulation

Insurers looking for some financial relief hope that the people who run the FDA’s review process take note

John Carroll
Medication Management

The tools are imperfect. Even so, physicians and patients are not taking advantage of practices that save lives.

Thomas Reinke
Plan Watch

Providers are not the only ones who need to encourage employees to get more involved with their care, a study argues

Frank Diamond
Tomorrow's Medicine

This method of matching drugs to patient starts with RA but may eventually be used for many other conditions

Thomas Morrow, MD

Meetings

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