Managed Care


Headlines On Deadline...

MANAGED CARE August 2001. © MediMedia USA
News and Commentary

Headlines On Deadline...

MANAGED CARE August 2001. ©MediMedia USA

Oregon's governor signed a bill creating a reference formulary for Medicaid. The new law bases reimbursement for all medications in a class on the cost of a chosen "reference" drug in that class.... Pharmaceutical Research and Manufacturers of America is suing the Centers for Medicare and Medicaid Services (formerly HCFA) for approving Maine's new drug-discount program. PhRMA claims Healthy Maine violates Medicaid laws because manufacturers must shoulder the cost of rebates.... Weiss Ratings reports that fewer than three dozen large plans are driving HMO-industry profits, which totaled $908 million in 2000, through September.... Aetna will shed much of its small-employer (50 or fewer employees) business, as part of its financial strategy, the Hartford Courant reports.... On a per-capita basis, inpatient admissions have not changed in 40 years, according to an Agency for Healthcare Research and Quality study.... The same can not be said for ER visits; federal statistics indicate a 14-percent increase in annual ER visits from 1992 to 1999. Considering that the number of hospitals remained static during the '90s but Census figures show an 11-percent U.S. population growth from 1990 to 2000, ERs are maxed out.


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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015