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MANAGED CARE November 2005. ©MediMedia USA

Vol. 14, No. 11
November 2005

Cover Story

A Model Medical Group?

Hill Physicians Medical Group has found a way to work well within the managed care system. Can this cooperative attitude be replicated outside the Golden State?

Big Business Gets Involved in Benefit Details

The country's biggest companies are no longer satisfied with leaving the specifics of coverage to insurers.

Predictive Modeling – Refined

Recent trends in health care may be encouraging the use of tools to set rates for smaller populations.

Managing Rheumatoid Arthritis

New therapies provide hope for those who suffer from one of the more debilitating diseases affecting working-age adults.

Q&A: The Case for Coverage of Biologics

Jayson Slotnik, JD, MPH, of BIO, the Biotechnology Industry Organization, talks about coverage issues.

Past the Peak of the Underwriting Cycle

Observers say that the industry will continue to make money next year, only maybe not as much.

DEPARTMENTS

Editor's Memo

Eyes on Florida.

Legislation and Regulation

Study looks favorably on PBMs.

News and Commentary

Most Want Choice of Doctors More Than Pick of Health Plan
Quality improves at nation's health plans
NCQA Wonders: Who Keeps Tab On Consumer Plans?
Large Employers Join To Create Mini-Med Benefits
Plans Change Tactics As Costs Keep Rising For Specialty Drugs
Headlines On Deadline ...

Medication Management

Part D causes confusion.

Compensation Monitor

Quality lacking in P4P programs?

Formulary Files

New generics cut PBM costs.

Tomorrow's Medicine

Chromium III and diabetes.

Outlook

For now, HMOs more solvent, stable.