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Managed Care

 

Departments

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

Meetings

Specialty Pharmacy Collaboration Summit Boston, MA September 15–17, 2014
Medicare Advantage Compliance & Audit Readiness Summit Phoenix, AZ September 15–16, 2014
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
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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