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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



Departments
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

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
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
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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