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Supplement to Managed Care: Continuing Education Credit  Biologic Therapy Management: The Need For Value-Based Health Benefits Models Free download |
Vol. 12, No. 6
June 2003
Clinicians, public policy experts, and HMO executives are finally getting around to looking at a population that has been historically difficult to pin down.
Evaluating disease management is a complex, if not ineffable, proposition, says Alison Johnson, RN, MBA, a Milliman USA consultant. Is it too early to tell if such programs work?
Give Mail-Order That Stamp of Success
Mail-order pharmacy programs can save HMOs money — but that's not automatic. MAC is a good place to start, suggests Thomas Kaye, RPh, MBA.
Q&A: Dr. Dean Goes to Washington?
Howard Dean, MD, the former governor of Vermont, is running for president. He once greeted managed care with good will. Now, he thinks it is shortsighted.
Managed care payments and contracting practices are being blamed for the closing of ERs throughout the country at a time when demand rises. Plans, however, point to other causes.
Eye of the beholder.
News and Commentary
CalPERS-Blue Shield 3-Year Deal Gives Disease Management Vital Role
Malpractice Fury Raises Concerns About Access
PPOs continue to be favored by covered employees [chart]
Headlines On Deadline...
New guidelines for hypertension.
Review of 3rd-party review process.
Debate on specialty hospitals.
Has psoriasis met its match?
Comparing lawyers, physicians.
Commercial vs. Medicaid coverage.
Bar codes seen as drug safety net.
Not-for-profits hold steady.