January 2009
Cover Story
The innovations that we list here are not unfamiliar, but don’t underestimate them. As they mature, they will have strong effects.
Q&A
A Conversation With Clayton Christensen, DBA: Network-Model Health Plans May Be Tomorrow’s Dinosaurs
The Harvard professor who coined the terms ‘disruptive technology’ and ‘disruptive innovation’ now applies his concepts to medicine
Disruptive Innovation
If they can adapt, payers will have far more power than fragmented physicians, other providers, employers, and patients to shape the new environment
Transparency in contracting is a great thing, but it takes vigilance to keep it from clouding over
An aggressive approach produces much better outcomes and savings, to the tune of $15 million per year
Editor’s Memo
Legislation & Regulation
Lobbying state legislatures pays off for physician groups, and now health plans must provide more detail on who leases their networks
Medication Management
Steep discount programs encourage health plans to reduce, or even eliminate, copayments
Compensation Monitor
The Formulary Files
Plan Watch
Wellmark Blue Cross & Blue Shield finds that technology can enhance doctor buy-in with dramatic results
Tomorrow’s Medicine
Advances in biologic and small molecule medicine result in two different types of treatments that target the same cell receptor










