June 2010

Insurers, Physicians Must Work Together
The health reform law makes collaboration between groups that are sometimes historically at odds not only easier, but necessary

Frank Diamond

Many More Medicaid Members — If the States Choose to Cooperate
The Patient Protection and Affordable Care Act will bring in new members, and states will look to managed care to control costs

John Carroll

Increased Abandonment of Prescriptions Means Less Control of Chronic Conditions
As more and more patients are finding their coinsurance or copayments to be beyond their means, payers are weighing the options

Ed Silverman

Making Sense of the Reform Law’s Insurance Pools & Exchanges
They are part of PPACA’s effort to cover as many people as possible. Insurers will be forced to remake their businesses.

Martin Sipkoff

Q&A

A Conversation with David B. Nash, MD, MBA: Steadily, We Move Toward the Primacy of Outcomes
Medicare demonstration projects and reform legislation should lead to ‘no outcome, no income’ policies, this population health expert says

John Marcille

Editor’s Memo

Interpretations of Reform Coming Fast and Furious

John Marcille

Letters

Letters
Legislation & Regulation

Payers Begin to Make Plans For Coming Wave of Biosimilars
The Patient Protection and Affordable Care Act gives the FDA the authority to approve these long-awaited medications after rigorous review

John Carroll

Compensation Monitor

Removing incentives makes docs screen less
Tomorrow’s Medicine

Blood Test Can Replace Invasive Heart Biopsy
This is the first time that a simple blood sample from a vein has replaced an invasive biopsy of a major organ

Thomas Morrow, MD

Plan Watch

Program Takes on Diabetes Before and After Diagnosis
UnitedHealth Group joins with the YMCA and Walgreens in tackling one of our most vexing chronic conditions

Frank Diamond

Managed Care Outlook

Insurers should promote expansion of residencies



News & Commentary

Government Warns Insurers About Merger Activities

Insurance Improves ICU Survival Rate

Shifting sources of revenue

P4P Could Widen Medical Disparities

Medical Home Works For Group Health

Large Practices Might Evolve Into ACOs

Headlines On Deadline ...