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MANAGED CARE December 2007. ©MediMedia USA

Vol. 16, No. 12
December 2007

COVER STORY

A New Formula Sought for Doctor Pay

Many of our present physician compensation practices encourage behavior that harms patients and payers. Perhaps several existing methods can be combined to reduce perverse incentives?

Part D at the Crossroads

The Medicare prescription drug program is almost two years old, and many plans are doing well now, but they will be exposed to more risk and will have to raise premiums, alienating members.

Niche Markets Across the Pond

American companies are discovering that even if other countries don’t have, or want, an American-style health care system, they can still use our expertise.

Drugs to Manage in 2008

Several new medications are likely to ring the register a significant number of times. The list includes medications for treating high cholesterol, AIDS, neuromuscular blockade, depression, and cancer.

Plans Want More Infection Protection

Health insurers are involved in the campaign to reduce incidences of hospital-acquired complications such as MRSA. Research suggests that these problems can be addressed cost-effectively.

DEPARTMENTS

Editor’s Memo

Strange bedfellows.

Legislation and Regulation

N.Y. rating scheme gets good reviews.

Medication Management

Smoking cessation programs pay off.

News and Commentary

Strong Support for Transparency, But Small Effect Expected on Costs
Employers offer financial incentives for healthy behavior
Privately Insured Use Emergency Room Less
Web Site Helps Track Health Plan Rankings
Most HSA/HDHPs Cover Preventive Treatment on a First-Dollar Basis
Headlines on Deadline

Compensation Monitor

A look at medical director pay.

Formulary Files

Yet more emphasis on generics.

Tomorrow’s Medicine

Clotting agent avoids immunogenicity.

Health Plan Design

Consumers to get more responsibility.

Outlook

Efforts try to close Part D coverage gap.