Managed Care



April 2009

It is exactly what managed care has been promoting for years, but some people worry that the information it creates could be misused
Martin Sipkoff
Insurers know that the new tests can be valuable, but have trouble evaluating them and may not even know exactly which ones they are paying for
Emad Rizk, MD
Kaiser Permanente’s experience proves that plans play a valuable role in ensuring that all Americans have access to care
Medicare is expected to lead payment reform, but major players in the private sector are banding together to move it along
Lola Butcher
Sharp Health Plan wanted to increase mammography screening for its at-risk female population. Thirty percent of at-risk members were non-adherent. Members’ reasons for avoiding screening were examined.
Sandra R. Parkington, MPH, RN ; Nora Faine, MD, MPH ; Marcia C. Nguyen ; Michelle T. Lowry, MPH ; Poorva A. Virginkar

Legislation & Regulation
Legislators look for a way to help payers and patients cope with the high cost of biologics without destroying the businesses that made these products possible
John Carroll
Medication Management
The agency believes current attempts to control prescribing and distribution of opioids and other strong painkillers is inadequate
Martin Sipkoff
Tomorrow's Medicine
An electronic device is applied to the forehead in a 40-minute treatment, causing depolarization of neurons
Thomas Morrow, MD
Plan Watch
Insurers will be judged on how well they find and serve groups whose health outcomes have historically lagged
Frank Diamond


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