MediMedia Managed Markets
Managed Care



When a respected provider organization took a stand against the costly new cancer drug, it was both surprising and encouraging

Research says PA can help make treatments safer and more cost-effective, but data sharing must improve

Even today, studies show, only half of treatments are truly based on evidence. Here’s an organization looking to better that share, and it may behoove health plans to help.

The push to integrate health care services and financing may portend a move away from behavioral health carve-outs

As oral chemotherapy becomes more common, so does nonadherence. Cost is only one of the reasons.


The insurer’s tracking effort helps physicians keep tabs on patients who may not be taking their drugs correctly

Case management, prior authorization, and drug utilization control are required

Devices that selectively destroy the renal nerves that affect hypertension have gained international approval, and availability in the United States is not far off

While local governments ponder just what course to take, health plans prepare to grab as much market share as possible

A summary of ECRI Institute’s Emerging Technology Evidence Report


Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
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