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MANAGED CARE April 2007. ©MediMedia USA

Vol. 16, No. 4
April 2007

Cover Story

Big Insurers Keep on Battling

Size does matter in the struggle to rule a market or obtain a fair deal from hospitals.

Expect More From the Lab

Health plans take a closer look at what they are paying and what they are getting from nationwide labs.

What If Managed Care Had Never Happened?

Since dissatisfaction with the present system is widespread, we asked economists to imagine a world without HMOs.

Reality Check

Concrete advice on cutting medical and drug costs today.

Do P&T Panels Need Cost Data?

Some say prices are a distraction; others believe the committee cannot do its job without them.

Medical Tourism Takes Off

Mostly it is self-insured employers that offer the option, but health plans may want to join in.

Q&A: Overhaul DM!

So says Emad Rizk, MD, of McKesson Health Solutions, one of the largest DM providers.

Departments

Editor's Memo

Many issues in one issue.

Viewpoint

Global specialty capitation.

Legislation and Regulation

Feds debate information security.

News and Commentary

High-Deductible Health Plans See Less Emergency Room Use
Consumers Upset By High Cost of Administration
Comparing congressional health care proposals
Headlines On Deadline ...

Compensation Monitor

Docs want quality scores confidential.

Medication Management

Biogeneric approval act proposed.

Formulary Files

Top off-label drugs for kids.

Health Plan Design

More data not always the answer.

Tomorrow's Medicine

Hip joints last a lifetime.

Outlook

More cancer docs needed.