January 2009

Features

Cover Story

Disruptive Innovations That Will Change Your Life in Health Care
The innovations that we list here are not unfamiliar, but don't underestimate them. As they mature, they will have strong effects.
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Q&A with Clayton Christensen, DBA

Network-Model Health Plans May Be Tomorrow’s Dinosaurs
The Harvard professor who coined the terms ‘disruptive technology’ and ‘disruptive innovation’ now applies his concepts to medicine
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Health Plans: Disrupt and Prosper
If they can adapt, payers will have far more power than fragmented physicians, other providers, employers, and patients to shape the new environment
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Don't Get Trapped By PBMs' Rebate Labeling Games
Transparency in contracting is a great thing, but it takes vigilance to keep it from clouding over
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Multifaceted Diabetes Program Pays Off for HealthPartners
An aggressive approach produces much better outcomes and savings, to the tune of $15 million per year
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Departments

Editor’s Memo

Disruptive Innovation Won't Wait Until You're Ready
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Legislation & Regulation

Silent PPOs Spur Doctor Push-Back
Lobbying state legislatures pays off for physician groups, and now health plans must provide more detail on who leases their networks
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Medication Management

Generic Drug Price War Begins To Benefit Insurers
Steep discount programs encourage health plans to reduce, or even eliminate, copayments
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Compensation Monitor

Specialists warming to pay for performance
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Formulary Files

E-prescribing system increases generic usage
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Plan Watch

Empowered Physicians Are Key To Diabetes Program’s Success
Wellmark Blue Cross & Blue Shield finds that technology can enhance doctor buy-in with dramatic results
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Tomorrow’s Medicine

Orphan Disease Gains Second Treatment Option
Advances in biologic and small molecule medicine result in two different types of treatments that target the same cell receptor
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Outlook

2009 costs will continue to outpace inflation
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News

Favorable Reg Provisions Increase MA Enrollment    DIGITAL | HTML

Few Americans Use In-Store Clinics     DIGITAL | HTML

Headlines On Deadline . . .    DIGITAL | HTML

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