October 2012

For decades, managed care plans have sought to stop paying fees for services. Now they’re trying bundled payments for episodes of care.

Joseph Burns

It might not be the road to totally overcoming the fractured nature of the health care system, but it should lead to better collaboration

Bob Franceschini
Medicaid plans in some states will expand, putting pressure on plans’ primary care networks
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD

Learning these lessons from the Veterans Health Administration, the nation’s largest integrated system, leads to organizational success

Robert L. Jesse, MD, PhD

The researchers find that the costs of treating restless legs syndrome are fairly low, relative to the improved symptoms and associated health care outcomes, and are mainly attributable to prescription medication. Health plans are encouraged to expand coverage to reduce the associated suffering and costs.

Juliana Meyers, MA
Sean Candrilli, PhD
Richard Allen, PhD
Ranjani Manjunath, MPH
Michael Calloway, PhD

Legislation & Regulation

Hospitals now face stiff penalties and some health plans see this as a way to attain a long-sought goal

John Carroll
Medication Management

Analytical studies, rarely used to evaluate biotechnology products, will need greater attention

Tom Reinke
Plan Watch

Intermountain Healthcare’s checklist for providers cut mortality rates for this fast-moving, and sometimes lethal, condition

Frank Diamond