The government joins health plans, providers, employers, and pharmaceutical companies in seeking to establish DM's value
Insurers may not need to look any further than existing claims data to build useful payer-based health records.
Rochester, N.Y., faces rising health care costs and a growing employer interest in CDHPs. Can a managed care town hold its own?
Substantial nondrug costs result from switching prescribed medications in response to changes in insurance coverage, and many nonreimbursed costs shift to providers and patients.
Paul Abourjaily, PharmD
William A. Gouveia, MS
Harry P. Selker, MD, MSPH
Deborah R. Zucker, MD, PhD
Studies indicate that complementary and alternative medicine may save on drug costs.
Legislation & Regulation
Should the National Committee for Quality Assurance take over part of the job of overseeing health plans? It seems to be working in some states.
When a pharmacist — for personal beliefs — refuses to fill a prescription, the health plan should be very concerned.
Michael S. Victoroff, MD
The Formulary Files
Managed Care Outlook