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MANAGED CARE December 2001. ©MediMedia USA

Vol. 10, No. 12
December 2001

Cover Story

Take a Look at Today's Formulary Panels

Medical directors, primary care physicians, and pharmacists have now been joined by specialists, nurses, and others in an effort to fulfill a broader mandate.

Got a HIPAA Plan? Not Everyone Does

HIPAA's electronic standards become law in 10 months, and the privacy rules are just 16 short months away. Yet surveys show that many organizations lack even a compliance plan.

PBM Business Model Needs to Evolve

A PBM CEO who is also a former health plan executive contends that HMOs, to do their job, need to have greater control over the administration of the pharmacy benefit.

DM: Where It's Been, Where It's Going

In this month's Q&A, Bob Stone, EVP of American Healthways, outlines how disease management has changed to face the challenges of the future. Outcomes are the key, but how to get there?

Learn To Play the Executive Game

Physicians who become HMO officials often find that their skills won't cut it in the business world. A little coaching helps.

DEPARTMENTS

Editor's Memo

Evolution of the P&T committee.

News and Commentary

Events of Sept. 11 Add Pressure To Boost Health Plan Premiums
Survey: HMOs confused about HIPAA privacy regs [chart]
Errors Traced To Counters of Pharmacists
Tie to Employers Stresses Fragility Of Health Coverage
Headlines On Deadline...

Washington Watch

Medicaid patients' rights nearly ready.

State Initiatives

Health budgets under siege.

Compensation Monitor

Specialists outpace primary care docs. [charts]

Ethics

Full-body MRIs not just clinically risky.

Outlook

Employers brace for big cost hit. [charts]