Managed Care



October 2004

The idea is radical and simple: Those who need medication the most should pay the least. There is evidence that this is cost-effective.
Martin Sipkoff
How many patients have the intelligence and skills to choose on the basis of medical quality?
MargaretAnn Cross
Along with traditional systemic therapies, the American Academy of Dermatology recommends four biologic agents as first-line treatment for psoriasis patients who are candidates for systemic therapy.
Thomas Morrow, MD
Electronic prescribing needs standardization before it's adopted by the masses. Start with the format of formulary databases.
Tony Schueth
Blue Cross Blue Shield of Montana has hired a third-party patient advocacy company to look into disputes. Looks good for patient satisfaction.
Frank Diamond
You'll spend 12 hours traveling and upward of $2,000 in tuition charges, room and board, then work twice as hard for a week when you get back.
Jaan Sidorov, MD
The HRA is not a new tool, but it is getting new respect. Often prodded by employers, health plans are increasingly identifying at-risk populations.
MargaretAnn Cross

Much more research is needed to determine the full effect of drug benefit designs, says the author, an official at AstraZeneca. Quality must be the foremost concern.
Arthur Lazarus, MD, MBA
Legislation & Regulation
CMS has implemented 10 pilot programs that may very well be viewed as a make-or-break test for disease management.
John Carroll
Boutique medicine is dysfunctional, but probably not unethical — so long as the lucky patients understand that they're not necessarily paying for better care.
Michael S. Victoroff, MD
Tomorrow's Medicine
Traditional therapies predominate in wound care, but for those patients with chronic conditions, engineered skin may be a welcome relief from pain and infection.
Thomas Morrow, MD


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
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium 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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015