Managed Care

 

 

April 2014

The CDC calls antibiotic resistance the world’s most pressing public health threat, saying it requires collaborative action from all stakeholders: physicians, hospital administrators — and health plans

Joseph Burns

Opinions differ on how much and how quickly its role will change, but surely pharmacy can be important in reducing big-ticket episodes of care

Peter Wehrwein

Opponents say that the new rules would reduce consumer choice and industry competition

John Carroll

Independence Blue Cross and Aetna are two insurers that have opened special centers dedicated to finding better ways to deliver care

Frank Diamond

Their cost advantage is incontrovertible, but will doctors and patients join reference product manufacturers in trying to restrict them?

Katherine T. Adams



Departments
The Wider View

Average ED income per patient in one hospital was $184

Robert Royce, PhD
Medication Management

Pill hoarders, doctor shoppers, and just plain addicted patients are a growing problem for physicians — and thus for health plans, too

Thomas Reinke
The Formulary Files

Both payers and providers benefit

Krishna Rutvij Patel, PharmD
Tomorrow's Medicine

Adasuve helps people with bipolar disease or schizophrenia recover from an intense state of agitation

Thomas Morrow, MD

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
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
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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