September 2009
Cover Story
Many see ACOs as the model for reform, but if provider groups dole out payment, then what roles will health plans play?
Back To The Boiling Point
Physicians are really getting ticked off, just as they were in the ’90s, but it is possible to reduce their pain without abandoning the process
A Conversation With Mark Merritt
This spokesman for PBMs urges Congress to learn from his industry’s experience in driving down costs
Train an in-house team to help make the transition smooth by determining who is affected, and how
They learned a lot from the avian flu scare of 2005 and are now ready to handle a swine flu epidemic this fall
Editor’s Memo
Legislation & Regulation
Despite all the talk about HIPAA privacy protections, there was little action. New regulations are intended to ensure compliance.
Medication Management
A Boston University law professor proposes that Medicare allow health plans to negotiate aggressively with pharmaceutical companies
Compensation Monitor
The Formulary Files
Tomorrow’s Medicine
The Melody Transcatheter Pulmonary Valve is delivered through cardiac catheterization, a favorable alternative to chest surgery
Managed Care Outlook
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