Managed Care



November 2007

The consumer-directed model isn't taking the country by storm, but its innovations are influencing other coverage designs
MargaretAnn Cross
Preauthorization procedures for costly new imaging technologies aim to help doctors learn the rules to avoid denials
Tom Reinke
The health insurance industry might be able to help itself by coming up with ideas to influence the presidential debate
John Carroll
Insurer throws support behind P4P program that promises "stunning" advances in cost-effectiveness
Lola Butcher
The old TennCare program had many flaws and detractors. Its near collapse led to a more realistic approach to providing coverage to the uninsured in Tennessee.
Cyril F. Chang, PhD

Editor's Memo
John A. Marcille
Insurers can play an active part in helping members change their thinking, and therefore change their lifestyles
John La Puma, MD
Medication Management
Pharmacy benefit managers will charge employers a straight administrative fee, rather than make much of their income through deals with the drug industry
Martin Sipkoff
Tomorrow's Medicine
Compared with radiofrequency ablation, this technique has some advantages and it should be acceptable to managed care plans
Thomas Morrow, MD


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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015