October 2009
Features
Cover Story
Large PBMs Transform Old Business Models
Urged on by employers, the Big 3 are going beyond traditional pharmacy benefit management, stressing consumer interactions and disease outcomes and threatening the existence of captive PBMs
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Q&A
A Conversation with Richard ‘Buz’ Cooper, MD
Questioning the Reform Agenda
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Docs and Insurers Work To Advance Health Literacy
Both AHIP and the AMA address ways to give better care to 75 million Americans who struggle to follow directions
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Insurers Slow to Adopt Social Media Practices
Health plans weigh whether giving up control of the conversation with patients is worth all the possible benefits
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Peer-Reviewed
Hypertension Epidemiology and Economic Burden: Refining Risk Assessment To Lower Costs
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Departments
Editor’s MemoPBMs, Medicare Advantage, Fraud Just Three Topics to Keep Track Of
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Medication Therapy Management — Not Just for Seniors Anymore
Employers know that managing chronic conditions and preventing drug-drug interactions can boost productivity
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Medicare Advantage Can, Indeed, Be Superior
Well-run MA plans that stress care coordination present a winning formula, says study
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Improved Adherence Highlights Specialty Pharmacy’s Potential
A great deal of money is at stake, to the tune of $1.7 trillion in 2030, according to the Pharmaceutical Care Management Association
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Majority of docs contract with managed care
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New Genomic Cancer Test Allows Better Decisions
Armed with a deeper understanding of tumor biology, insurers develop treatment algorithms to combat one of the most dreaded diseases
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Middle class faces steeply rising premiums
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News
Family Docs Outstrip Specialists in Prescribing Mental Health Drugs DIGITAL | HTML
PPO enrollment remains high, but location is a key factor DIGITAL | HTML
