Managed Care



January 2009

The innovations that we list here are not unfamiliar, but don’t underestimate them. As they mature, they will have strong effects.
Maureen Glabman
The Harvard professor who coined the terms ‘disruptive technology’ and ‘disruptive innovation’ now applies his concepts to medicine
John Marcille
If they can adapt, payers will have far more power than fragmented physicians, other providers, employers, and patients to shape the new environment
Stephen Wunker ; David Duncan
Transparency in contracting is a great thing, but it takes vigilance to keep it from clouding over
Linda Cahn
An aggressive approach produces much better outcomes and savings, to the tune of $15 million per year
Lola Butcher

Legislation & Regulation
Lobbying state legislatures pays off for physician groups, and now health plans must provide more detail on who leases their networks
John Carroll
Medication Management
Steep discount programs encourage health plans to reduce, or even eliminate, copayments
Martin Sipkoff
Plan Watch
Wellmark Blue Cross & Blue Shield finds that technology can enhance doctor buy-in with dramatic results
Frank Diamond
Tomorrow's Medicine
Advances in biologic and small molecule medicine result in two different types of treatments that target the same cell receptor
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