Managed Care



July 2007

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
Tom Reinke
CMS and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit?
Martin Sipkoff
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
John Carroll
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.
Alan Adler, MD
Meredith Y. Smith, PhD ; Jerry Cromwell, PhD ; Judith DePue, EdD ; Bonnie Spring, PhD ; William Redd, PhD
As the design approaches its seventh year in the marketplace, some wonder if it will ever be more than a niche product
Lola Butcher

The health care system encourages a reaction to episodes that is both costly and inefficient
R. Knight Steel, MD
Legislation & Regulation
A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians
John Carroll
Medication Management
Employers and health plans are starting to see the advantage of what has been termed evidence-based benefit design
Martin Sipkoff
Managed Care Outlook


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