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MANAGED CARE November 2003. ©MediMedia USA

Vol. 12, No. 11

Cover Story

Variation Cuts Deep

The cardiac bypass surgery rate in Albuquerque, N.M., is about 3 per 1,000 Medicare enrollees. The rate in Redding, Calif., is 11 per 1,000. Do people in Redding have more heart disease? No, but they have surgeons with a far more aggressive practice style.

DM Just Doesn't Get Any Better

At least that's the feeling of those associated with a next-generation program at Blue Cross and Blue Shield of Minnesota. This program encompasses 17 conditions.

Q&A: Job Description for Physician Execs

Kathleen Montgomery, PhD, is in the forefront of efforts to define the characteristics of doctors who become health plan executives. Hint: Trustworthiness is everything.

Best Care Money Can Buy

How does concierge care fit into the system? Or does it? Medical directors wrestle with whether to include these providers in their networks.

The Merger That Wasn't

Joining together Geisinger Health System and Hershey Medical Center seemed like a good idea at the time. Bad things happen when corporate cultures clash.

Departments

Editor's Memo

Consolidation: Good for patients?

News and Commentary

Clinical, Financial Woes Seen For Those Who Switch Plans
Double-digit increases continue for health benefits [chart]
Calif. Businesses Vow To Fight Coverage Law
Study Says PPOs Don't Mix Well With Medicare
Headlines On Deadline ...

Legislation and Regulation

Will AAHP/HIAA get it done?

Ethics

Ignore confidentiality sometimes.

Compensation Monitor

Malpractice caps overrated?

Formulary Files

Medicaid and psychiatric drugs.

Tomorrow's Medicine

Next hot topic: Protein manufacture.

Outlook

What's in store for 2004? More.

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