Managed Care



April 1998

The camera never lies, goes the adage. A growing number of physicians and health care providers are using that bit of wisdom to cut costs while making patients' lives better.
The proliferation of clinical practice guidelines gives health plans plenty of models for developing their own. Which guidelines are better than others can depend on their creators' methods and motives.
Michael D. Dalzell
Health plan officials complain about a double whammy: low rates and high costs. Are hospital- and community health center-based plans going to be the only ones left?
Peter Wehrwein
Congress is weighing more than 50 managed care reform bills. Here are summaries of three leading bills, and their sponsors' arguments for them.
Patrick Mullen
A review of the AMA's model managed care contract shows an attempt to get the health plan out of the driver's seat — or at least to share the controls.
Anthony L. DeWitt, J.D.

Washington Initiatives
State Initiatives


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