December 2008

It was the hot topic at the DMAA annual conference because attendees could not agree on its viability

Maureen Glabman

Cover Story
This new code set promises to delineate like never before the type of physician service rendered

Frank Diamond

The Financial Crisis
If the health sector were like most other economic areas, having good cash flow and low exposure to investment losses would be enough. It’s not.

Peter R. Kongstvedt, MD

As premiums soar, the new Democratic majority weighs the benefits of restrictive regulation vs. the free market

John Carroll

Peer-Reviewed

James P. Reichmann, MBA ; Michael S. Kirkbride, BSc, PharmD

Endocrinologists say early treatment is essential, but health plans as a group are not yet on the same page

Martin Sipkoff

Tomorrow’s Medicine
Sancuso is at least as effective as the oral form of therapy, and careful attention to daily medication needs may provide a cost savings

Thomas Morrow, MD

Editor’s Memo

John Marcille

Medication Management
Health plans continue to push patients towards off-label use of pain relievers and alternative treatments for symptom pain

Martin Sipkoff

Legislation & Regulation
Insurance lobbying organizations push for guaranteed issue so long as mandatory coverage is part of the mix

John Carroll