In theory, consumer-directed health plans put the reins of decision making into the hands of their members. But medical management departments are alive and well inside CDHPs — and may even expand under these plan designs.
Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes.
With big companies steadily reducing coverage for retirees, plans need to devise products for this needy population.
This expert who hopes to help everybody adjust nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work.
Integration of predictive modeling and genomic tools means improved technology, enhanced databases, and appropriate legal guidance.
Legislation & Regulation
David Brailer, MD, PhD, the nation's health information chief, wants the industry, not the government, to devise a system that provides interoperability.
Despite the seeming Gordian knot of regulations associated with Medicare Part D, health plans figure the benefit-to-risk ratio is squarely in their favor.
Is using the tort system and class action lawsuits the best way to solve problems between business professionals? That and $54.37 can go toward the creation of a foundation to bring about meaningful organizational change.
The Formulary Files
Recent advances in pain relief revolve around longer-lasting implantable devices. Can you afford not to have a pain management strategy?
Managed Care Outlook
Opinion leaders say Congress should also act to improve quality and safety, and ensure Medicare solvency.