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Tight budgets and an increasing influx of expensive biologic drugs make it imperative to rethink risk management
Escitalopram patients in a Florida Medicaid population had better treatment persistence and lower total health care costs than patients prescribed citalopram
Attempts to replace radiology benefit managers with a more doctor-friendly system show success
Visits are going up and most cases seen in the ED are legitimate. What’s a payer to do?
Those who choose these plans tend to be more educated and dedicated to maintaining healthy lifestyles

Departments

Independence Blue Cross teams up with the American College of Physicians to create an online program that facilitates creation of medical homes
Patients who were considered inoperable have a new option that involves placement of a bioprosthetic heart valve
Legislatures want medical-benefit practices applied to oral drugs provided under the pharmacy benefit, all to keep patients’ costs within reach