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?
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
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
The Formulary Files
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
The health care system encourages a reaction to episodes that is both costly and inefficient