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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. 12
December 2003
Clinical executives at MCOs must somehow reconcile the conflicting impulses of a clinician's desire to help patients and a manager's duty to find a healthy bottom line.
Health plans across the country are becoming more aggressive in treating patients with long-term illnesses. The first step involves defining populations.
Raising copayments, deductibles, and coinsurance rates doesn't make good business sense if such tactics encourage patients to put off needed and/or preventive care.
How have unions, the federal government and a few other sectors managed to keep drug expenses under much better control than other payers?
CME/CPE: Biologic Therapy for Psoriasis
Emerging agents for treating psoriasis bring dramatic improvements to patients' quality of life.
Make Medicare reform work.
NCQA's message to small employers.
News and Commentary
Chiropractor-Directed Care Could Boost Costs by 30%
Pay-or-Play Ideas Make Employers Help Uninsured
Headlines on Deadline ...
Insured paradise lost in Hawaii.
Comparing family doc, internist pay.
Amylin advances diabetes care.
Employee interest in cost grows.
E-prescribing, formulary compliance.
Forecast bright for mergers.