Managed Care



January 2008

Geisinger’s “warranty” for CABG surgery has gotten a lot of attention, but is it transplantable?
Frank Diamond
Here are some of the challenges that health insurers face this year
Peter Kongstvedt, MD
We’ve made strides in increasing the transparency of pricing in the pharmacy supply chain, and now we need to change dispensing behavior
Thomas Kaye, RPh, MBA
Tougher standards being applied by insurers spur debate about what constitutes true value in a new drug
John Carroll
By assisting doctors, insurers can get all the payment that they are due, but that too often is lost
Marcia Naveh, MD
Mary V. Mason, MD, MBA ; Kara M. House, MBA ; Janice Linehan, PA-C, MHP ; Carol A. Speers, RN ; Lisa M. Joseph, RN, MBA

Editor's Memo
John A. Marcille
As an idea, Geisinger’s ProvenCare program is a winner. What happens in the marketplace remains to be seen.
Michael L. Millenson
Medication Management
Although federal health agencies support the idea of having pharmacists administer vaccines to their patients, the roadblock continues to be a question of payment
Martin Sipkoff
Tomorrow's Medicine
Heart valves made from new composite materials minimize calcification, a common problem that can lead to a second valve replacement
Thomas Morrow, MD


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