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MANAGED CARE September 2005. ©MediMedia USA

Vol. 14, No. 9
September 2005

Cover Story

The Private Sector Meets the Uninsured

Leonard Schaeffer, chairman of WellPoint, insists that the needs of much of the uninsured population can be met by insurers. Can you hear opportunity knocking?

Specialty Hospitals Under Scrutiny

Physician-owned specialty hospitals are a contentious issue and unless a federal moratorium on their construction is reinstated, it could get even uglier. Some health plans think that such facilities harm community hospitals.

Manage the Costs of Biologics

Once only a blip on the radar screen of health care costs, specialty pharmaceutical prices have been climbing at nearly twice the rate of traditional pharmaceuticals. Here are the latest management techniques.

Al Lewis Sets DM Right (Again!)

The godfather of disease management says that some of the skepticism surrounding ROI over the years has been warranted. Now, he aims to make it so that health plans and employers can have faith in the numbers.

Departments

Editor's Memo

Should coverage be mandated?

Viewpoint

How to spot biased drug research.

Legislation and Regulation

DM's out to please Medicare.

News and Commentary

New Research Throws Doubt On DM's Cost-Effectiveness
HMO profits up, but at a much slower rate [chart]
Doc Buy-In Needed For EHR Push
Some Elderly Not Helped by Guidelines
Improving Processes Easier Said Than Done
Headlines On Deadline ...

Compensation Monitor

Pharmacists benefit out West.

Formulary Files

Copayments rise unchecked.

Medication Management

What cost mail order pharmacy?

Tomorrow's Medicine

Dual therapy for Parkinson's.

Outlook

Stable claims, but rising biologics costs.