November 2007
Cover Story
The consumer-directed model isn't taking the country by storm, but its innovations are influencing other coverage designs
Preauthorization procedures for costly new imaging technologies aim to help doctors learn the rules to avoid denials
The health insurance industry might be able to help itself by coming up with ideas to influence the presidential debate
Insurer throws support behind P4P program that promises "stunning" advances in cost-effectiveness
Peer-Reviewed
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.
Editor's Memo
Viewpoint
Insurers can play an active part in helping members change their thinking, and therefore change their lifestyles
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
Compensation Monitor
Tomorrow’s Medicine
Compared with radiofrequency ablation, this technique has some advantages and it should be acceptable to managed care plans
Managed Care Outlook
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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
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- Health Plans Can Learn From VHA Turnaround
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- Not a Third World Experience
- UK: Health Care Policy Mayhem…and a Very Public Scandal
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