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Vol. 17, No. 1
January 2008
Geisinger Health Plan’s “warranty” for coronary artery bypass graft surgery has gotten a lot of attention, but can this “pure form of P4P” work for other health insurers?
Peter Kongstvedt, MD, outlines some major hurdles to profitability for managed care plans.
Paying for Performance in Retail Pharmacies
The community pharmacist can do a lot to promote the interests of managed care. Is it time to dangle the carrot?
Health plans are starting to apply tougher standards on what constitutes value.
Lax Physician Coding Hurts Plans
By assisting physicians to code properly, Medicare Advantage plans can get all the payment that is due, but that too often is lost.
Prescribing 17P in a Medicaid Population
There are options for when to administer 17 alpha-hydroxyprogesterone caproate to Medicaid mothers.
Lower cost, higher quality. Really.
Warranty warrants interest.
Copayments up faster than inflation.
News and Commentary
American College of Physicians Promotes ‘Medicare for All’ Plan
Too Few Programs to Manage MS?
Utilization slowed by switch from copayment to coinsurance
Headlines on Deadline
Should pharmacists vaccinate?
Nocturnist, laborist pay falls short.
Factors that affect formulary switching.
Avoid heart valve complication.
A fairly good year seen for plans.