Managed Care

 

Next Issue: Religion and Politics?

MANAGED CARE April 1999. © MediMedia USA
Editor's Memo

Next Issue: Religion and Politics?

John A. Marcille
MANAGED CARE April 1999. ©1999 Stezzi Communications

John A. Marcille

We know that this may be the most inflammatory issue that we have ever produced, between "alternative" medicine on the one hand and physician unions on the other. Our purpose is neither to upset nor to coddle you. We just want to keep you informed. Still, as they say, a little knowledge is a dangerous thing.

Our physician readers may be irked by what they may perceive as our endorsement of alternative medicine in the cover story. We don't promote it. Rather, Senior Editor Mike Dalzell points out that health plans have made the decision to cover some of these services, mostly for marketing reasons, and he describes the need to somehow integrate them with traditional Western medicine in a manner that is clinically defensible.

Likewise, we expect some health plan executives and physicians to be appalled by the inflammatory statements of Robert L. Weinmann, M.D., president of the Union of American Physicians and Dentists. Weinmann calls it as he sees it — and he doesn't like what he sees. He is merciless in attacking commercial insurance and managed care and even takes a swing at the American Medical Association.

Still, doctors and HMO executives are going to learn some things about the union movement that they didn't know. They're going to see possibilities that they hadn't seen before. Agree with Weinmann or not, he's sharp and not to be ignored.

Even our medical ethicist, John La Puma, M.D., independently weaved into his own piece some theses that appear elsewhere in the issue: He argues that failure to treat obesity (not just obesity-related disease) is "criminal," while at the same time seeing a great and expanded role for managed care in "lifestyle" areas that sometimes include alternative therapies such as acupuncture, massage, and chiropractic.

Both unions and "alternative" medicine are issues because of faults in the system. Will they improve it or substitute their own faults?

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014