Managed Care

 

 

May 2009

Dwindling market share, rising costs, and a drastic drop in investment income buffet the health insurance industry
Frank Diamond
Great work is being done in many places, says an executive of the Commonwealth Fund in a wide-ranging discussion
John Marcille
If you are looking for direct aid, you are probably out of luck, but a goodly amount will help health insurers indirectly
John Carroll
These tests can be expensive. Worse, they can pave the way for enormous costs, some unwarranted. And there are more of them every year.
Douglas Moeller, MD
You don’t want to send money down a rat hole, but then again, off-label usage may be just what a patient needs
Lola Butcher
With diagnosis accounting for 10 percent of medical costs, there’s a big opportunity to save. Did someone say ‘diagnosis benefit manager’?
Lynn Feldman



Departments
Editor's Memo
John Marcille
Legislation & Regulation
When a new UCR database is created, how will health plans change their out-of- network payment policies?
John Carroll
Medication Management
New order-level systems could save $20 billion by preventing adverse events
Martin Sipkoff
Tomorrow's Medicine
A development in the catheterization lab involves using a flexible catheter tip to provide 360 degrees of motion
Thomas Morrow, MD

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