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MANAGED CARE September 2007. ©MediMedia USA

Vol. 16, No. 9
September 2007

Cover Story

High Out-of-Pocket Costs: Good or Bad?

It's one of the great debates in health care today, and there is evidence on both sides. Yet another view is that it has only small potential, because most health care spending is dictated by doctors.

Measuring Quality Can Backfire

Design an inferior system (not hard to do) and sit back and watch hospitals and doctors work to score high, rather than to deliver optimum care.

Pharmacy P4P Not Likely to Happen

It's a great idea, having pharmaceutical companies refund your money if beneficiaries don't respond to the treatment, but experts are skeptical that it can be brought off in the United States.

Meld DM With the Chronic Care Model

Disease management has been around for years. The chronic care model is newer, and being championed by physician organizations.

Human Growth Hormone: Reducing Waste

Pen delivery resulted in less waste than vial-delivered products, according to this study.

Section Two

Herd Protection Against Influenza

There are medical and economic arguments that vaccinating schoolchildren is an excellent way to protect high-risk populations.

Departments

Editor's Memo

Adaptable insurers.

Legislation and Regulation

Medicare Advantage vs. SCHIP.

News and Commentary

Ninety Percent of Adults Eligible For Medicare Have Drug Coverage
NCQA Standards Focus on PPO Performance
Income Said To Influence Use of Generics
Young and uninsured — a looming problem [chart]
Headlines On Deadline

Medication Management

Patent laws start favoring generics.

Compensation Monitor

PCPs' wages lag behind.

Tomorrow's Medicine

Hearing loss gene identified.

Employer Update

Premium comparison made easier.

Outlook

New business opportunities.