February 2009

Features

Cover Story

It’s No Longer Just Members Who Are Suing Health Plans
Providers that once feared insurers’ retribution are finding strength in numbers and compensation in class action litigation
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Health Plans Join Up for the Genomics Revolution
Some of the biggest insurers in the country scramble to make sense of a field that will change treatment techniques forever
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What Does the Future Hold for Disease Management?
DM programs will have amazing patient-monitoring technology at their call. The challenge will be to make good use of the data.
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Are Health Plans Responding to Primary Care Shortage?
Many experts predict that there will be a dearth of primary care doctors, but others are not so worried
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Today’s Technology Can Facilitate Collaborative Network Management
Creating truly transparent management systems is in the interest of payers and providers, and is achievable
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Peer-Reviewed

Effect of Drug Therapy on HEDIS Measurements of HbA1c Control In Diabetes Patients

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Departments

Editor’s Memo

Lawsuits Track New Flare-ups In Insurer/Doctor Relationship
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Legislation & Regulation

Stimulus Bill Spurs Plans For Rapid IT Progress
A new administration, new funding, and new commitment might help the system realize a long-sought goal
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Medication Management

Payers Benefit When Hospitals Issue Improved Discharge Orders
High quality post-hospital orders can cut readmissions by 30 percent. Medical administrators may soon insist on it.
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Compensation Monitor

Docs unconvinced about P4P effectiveness
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Formulary Files

After move to tier 3, Nexium scripts fall 25%
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Tomorrow’s Medicine

Expanded Availability of Isotope Boon to Neuroblastoma Diagnosis
Until GE found a better way to produce and deliver I¹²³, most nuclear medicine labs had to make do with an isotype that produced an inferior image
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Plan Watch

Every Insurer Is Capable of Delivering High Quality
What are some of the common characteristics of health plans that have high scores from the National Committee for Quality Assurance?
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Managed Care Outlook

Making the case for account-based health plans
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News

Headlines on Deadline    DIGITAL | HTML

ICD-10 Delayed For Two Years     DIGITAL | HTML

Nearly 11 million Americans had individual health insurance policies, but some for only a short time    DIGITAL | HTML

Obama Rescinds MA Letter    DIGITAL | HTML

Who Will Benefit From Ingenix Settlement?    DIGITAL | HTML

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