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MANAGED CARE February 2006. ©MediMedia USA

Vol. 15, No. 2
February 2006

Cover Story

Part D: Wrapped in Red Tape

The initial enrollment problem was caused by understaffing at plans and poor data transfer between CMS and insurers. Next comes compliance with fraud and abuse regulations.

Controlling Pregnancy and Birth Costs

It's no secret that this is one of the most expensive areas in health care. Fortunately, many management programs are being implemented and are worth a look.

What's Behind the Latest Mergers?

There is nothing new about mergers in the managed care industry. However, there are indications that the interests of large employers have encouraged the recent consolidation.

Hospitalists Get Respect

About 12,000 physicians practice hospital medicine, making it the fastest growing medical specialty. Health plans benefit considerably, at little or no cost to them.

2 Reports Criticize CDHC Designs

Two studies — one by the Employee Benefit Research Institute, the other by the Zitter Group — suggest that CDHPs might not be the answer to ever-rising costs.

DEPARTMENTS

Editor's Memo

Remember Harry and Louise?

Legislation and Regulation

Managed care fizzles as a political issue.

News and Commentary

Medicare given too much credit?
Managed care offered to more Medicaid enrollees

Medication Management

How to limit polypharmacy.

Compensation Monitor

Good news for CMOs.

Formulary Files

VA's drug prices vs. Medicare's.

Tomorrow's Medicine

Arthritis breakthroughs worth the cost.

Health Plan Design

Putting prices out there for all to see.

Outlook

IT investment expected to soar.