May 2009

Features

Cover Story

If You Think It’s Bad Now, Plans Could See Worse
Dwindling market share, rising costs, and a drastic drop in investment income buffet the health insurance industry
DIGITAL | HTML

Q&A

A Conversation With Stephen C. Schoenbaum, MD, MPH
Great work is being done in many places, says an executive of the Commonwealth Fund in a wide-ranging discussion
DIGITAL | HTML

The Federal Stimulus Package: What’s in It for You?
If you are looking for direct aid, you are probably out of luck, but a goodly amount will help health insurers indirectly
DIGITAL | HTML

How To Develop Coverage Policies For Molecular Diagnostics
These tests can be expensive. Worse, they can pave the way for enormous costs, some unwarranted. And there are more of them every year.
DIGITAL | HTML

When Should Insurers Cover Off-Label Drug Usage?
You don’t want to send money down a rat hole, but then again, off-label usage may be just what a patient needs
DIGITAL | HTML

Managing the Cost of Diagnosis
With diagnosis accounting for 10 percent of medical costs, there’s a big opportunity to save. Did someone say ‘diagnosis benefit manager’?
DIGITAL | HTML

Departments

Editor’s Memo

Not the Best of Times For Managed Care Plans
DIGITAL | HTML

Legislation & Regulation

The Ingenix Aftermath
When a new UCR database is created, how will health plans change their out-of- network payment policies?
DIGITAL | HTML

Medication Management

Drug-Drug Interactions Focus of PBMs’ Efforts
New order-level systems could save $20 billion by preventing adverse events
DIGITAL | HTML

Compensation Monitor

Medical directors’ pay is far less when hospital owns the practice
DIGITAL | HTML

Tomorrow’s Medicine

In Narrow Heart Vessels, Catheter Device Prevails
A development in the catheterization lab involves using a flexible catheter tip to provide 360 degrees of motion
DIGITAL | HTML

Managed Care Outlook

Storm brewing over virtual colonoscopy
DIGITAL | HTML

News

Battling Inflation with Generics     DIGITAL | HTML

Costs and Complications Fall With Rising Use of Bariatric Surgery    DIGITAL | HTML

Headlines on Deadline…    DIGITAL | HTML

High Copayments Delay Rx Initiation    DIGITAL | HTML

Members With High Deductibles Choose Lower-Cost Options     DIGITAL | HTML

Private insurers cover majority of costly conditions for children    DIGITAL | HTML

blog comments powered by Disqus