Managed Care

 

 

June 2003

They have symptoms, but that doesn't mean primary care physicians can pinpoint a physical problem. Yet they do suffer, and are a cost center for insurers and employers.
Frank Diamond
DM is God's gift to managed care. Or is it? Here is a discussion of areas that make evaluating a DM program a complex, if not ineffable, proposition.
Alison Johnson, RN, MBA
Mail order programs can provide savings, but HMOs need to ensure that they are actually receiving sufficient value.
Thomas Kaye RPh, MBA
The former Vermont governor at first greeted managed care with good will. Now, however, he thinks it is shortsighted in its dealing with doctors. Unlike President Bush, he wouldn't call on it to rescue Medicare.
John Carroll
A think tank's plan for universal coverage is more in tune with Democrats than with the current Republican administration.
True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history?
Maureen Glabman



Departments
Editor's Memo
John A. Marcille
Legislation & Regulation
Some in government question the propriety of physicians steering patients into facilities that the doctors partly own.
John Carroll
Tomorrow's Medicine
New therapies that manipulate the immune system offer hope to patients and pose challenges to managed care.
Thomas Morrow, MD
Compensation Monitor
It ain't necessarily so...
Systems & Software
Grocery stores and the nonpharmaceutical parts of drug stores have been using bar codes for years. Now retail and hospital pharmacies will use the technology to save lives.
Joyce Ochs, MBA

Meetings

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