Managed Care

 

 

August 2010

PCMH projects around the country have begun to demonstrate that the new strategy can reduce costs and improve the quality of care that people receive
John Carroll
Payers should benefit as the rate of introduction of blockbuster products declines
Ed Silverman
The overall effect on human health could be extensive and costly for payers, experts warn
Martin Sipkoff
Forget about sending members to Thailand for major surgery; there’s a center of excellence here that can do the job at a good price
Richard Mark Kirkner
Tapped by President Obama in a recess appointment, Donald Berwick, MD, will lead the CMS at least till the end of next year. Here, selections from our Berwick file.
A medical ethicist says it’s time to acknowledge that limited resources will cover limited services
Teresa B. Gibson, PhD ; Yonghua Jing, PhD ; Edward Kim, MD, MBA ; Erin Bagalman, MSW ; Sara Wang, PhD



Departments
Legislation & Regulation
Plans try to figure out how to deal with federal guidelines on services that take effect next month
John Carroll
Tomorrow's Medicine
The search for an acceptable oral MS drug may be over if fingolimod (Gilenia) survives an FDA review this fall
Thomas Morrow, MD
Plan Watch
Network Health Alliance uses a team approach to bring primary care to an often hard-to-reach — and very costly — population
Frank Diamond

Meetings

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