Vol. 10, No. 9
September 2001
Florida Medicaid, DM Not Mixing Well
The legislature is unhappy over the program's performance. Pfizer, as a white knight, gets formulary preference.
Cover Story
Finding the Next Generation of Cost Savings
Innovations in product design and care delivery indicate ways in which health plans are facing the new round of cost pressures.
Q&A: Give the Consumer Some Choice
Tom Miller, director of health policy studies at the conservative Cato Institute, is bearish on employer-sponsored insurance.
Full-body diagnostic scanning is the rage, but plans are reluctant to cover this service, noting concerns about resource use.
Predictive Modeling Catches On
Proven in other industries, this theory takes disease management to a higher level. Better care, more cost control.
Local health departments and health plans find benefits to collaboration based on "memoranda of understanding."
DEPARTMENTS
Controlling those premiums.
News and Commentary
Negotiations for 2002 Could Yield 15 Percent Increase in Premiums
States, D.C. Fight About Funding For Illegals' Care
30,000 in Calif. Forced To Find New Physicians
Headlines On Deadline...
What top MCO executives make.
Contract disputes attract regulators.
End of the road for "social HMOs?"
Direct contracting in the Midwest.
Prevention pays off in short run, too.
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