Managed Care

 

 

May 2006

The problem is outpacing insurers' resources and perhaps even their commitment. Can the chronic care model help?
Martin Sipkoff
The goal of diabetes management is maintaining glycemic control while targeting quality of life improvements
Fadia T. Shaya, PhD, MPH ; Gaurav Deshpande, PharmD, MA
It's one of the few areas where plans can economize effectively. BlueCross & BlueShield of North Carolina is one of many insurers that are changing members' and prescribers' behavior.
John Carroll
"How could the largely private U.S. health care system, characterized by arguably more competition than any other health care system in the world, be performing so poorly?"
Can primary care physicians persuade health plans and Medicare to accept their version of the chronic care model?
Michael Levin-Epstein



Departments
Legislation & Regulation
A growing controversy in MedPAC and in physician organizations could spill over into how all health plans compensate doctors
John Carroll
Medication Management
Medication therapy management helps people to stay on their prescribed regimens. Part D plans can expect to start making payments for the service in 2007
Martin Sipkoff
Ethics
Current pay-for-performance programs apply only to a handful of diseases. If we don't pay for all the other diseases, will they get short shrift?
Michael S. Victoroff, MD
Tomorrow's Medicine
While biologic agents can be costly, a new formulation of an old treatment can mean inexpensive and effective relief
Thomas Morrow, MD

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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
HealthIMPACT Southeast Tampa, FL January 23, 2015