Managed Care

 

 

October 2005

Politicians on both sides of the aisle are considering this as a way of fixing the system. What might it mean for health plans?
Martin Sipkoff
Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans
MargaretAnn Cross
Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.
Bob Carlson
As we learn which supplements are truly beneficial, is limited coverage of specific products in the works?
Sharon Baker
Offering 17P as a benefit to pregnant women enrollees with a history of preterm delivery can reduce NICU days significantly for a Medicaid plan.
Mary V. Mason, MD, MBA ; Kara M. House, BS, MBA ; Cathy M. Fuest, RPh ; Deborah R. Fitzgerald, RN ; Bonnie J. Kitson, MBA



Departments
Ethics
Complacent bureaucracies could not answer the call. Now is the time to make adjustments. The next shoe will drop.
Michael S. Victoroff, MD
Legislation & Regulation
Some of the biggest insurers in the country will do whatever it takes to promote their offerings under Medicare's new prescription drug benefit
John Carroll
Medication Management
Their presence in the public sector could lead to a strong presence in the private sector. Is a managed care backlash looming?
Martin Sipkoff
Tomorrow's Medicine
Enhanced management continues due to a greater understanding of the intricate glucose balance and the shortfalls of existing medications.
Thomas Morrow, MD
Employer Update
A medical device manufacturer, Definity Health's first client nearly 5 years ago, has moved a fourth of its employees into the new-style plan
MargaretAnn Cross

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