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Managed Care

 

 

January 2006

Physicians are fairly ignorant of what consumer-directed health care will mean to them in terms of relations with patients and health plans
Maureen Glabman
Insurers need a coverage strategy that focuses on reducing post-surgical complications and avoiding adverse selection
Catherine M. Murphy-Barron
Urged on by employers traumatized by costs, health plans are renewing their interest in prior authorization, but using a lighter hand
Martin Sipkoff
The health care economist says that consumers ought to share in the savings from making the right choices. Insurers, providers, and hospitals should make sure that options exist.
Aetna incorporates a program developed at the University of Pennsylvania to deliver services where members live
MargaretAnn Cross



Departments
Legislation & Regulation
Recent court ruling means that beneficiaries should be notified about insurers' decision-making powers
John Carroll
Medication Management
Changes in reimbursement patterns for obesity drugs will take several years. Lifestyle changes remain the first approach.
Martin Sipkoff
Tomorrow's Medicine
Should a new (and cheap) test for chronic lymphocytic leukemia be a component of prior-authorization protocols?
Thomas Morrow, MD

Meetings

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