July 2007
Premera's method of analyzing the potential benefits of Byetta shows how third-party modeling can pinpoint which members can benefit from easier access — and how plans can determine authentic cost savings
Don't dismiss this development in Web communication. Blogs — the best of them — conduct serious and extensive discussions of health care policy and provide important new information.
CMS and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit?
Cover Story
Paying for coordinating care and for packages of services — bundling and episodes of care — may be the best bet for a modification of the unfettered fee-for-service system
Peer-Reviewed
Health Plan Design
As the design approaches its seventh year in the marketplace, some wonder if it will ever be more than a niche product
Compensation Monitor
The Formulary Files
Medication Management
Employers and health plans are starting to see the advantage of what has been termed evidence-based benefit design
Managed Care Outlook
Legislation & Regulation
A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians
Viewpoint
The health care system encourages a reaction to episodes that is both costly and inefficient
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Today's popular content
- How Doctors Are Paid Now, And Why It Has to Change
- Through the Looking Glass
- Occupy the OR
- What the Primary Care Physician Shortage Means for Health Plans
- Specialty Pharmacy Management Will Become More Intense
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- It's To Plans' Benefit To Spell Out Authority
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- Not a Third World Experience
- UK: Health Care Policy Mayhem…and a Very Public Scandal
