Managed Care



May 2010

A huge influx of enrollees gives insurers a chance to demonstrate cost-saving techniques developed over the years
Frank Diamond
First, which members are affected? The question is simple, but getting the answer might not be.
Kendra Obrist
New accreditation standards make it possible to do in physicians’ offices what’s now being done in hospitals — at significant savings
Rock Rockett, PhD
Health plans see value in rewarding physicians for participating in their specialty boards’ maintenance-of-certification programs
Richard Mark Kirkner
Health insurers and plan administrators will have to emphasize quality and cost management, says Cigna’s chief medical officer
Swine flu had us all pretty worried a year ago, but preventive measures seem to have done their job
Tony Berberabe
A program that outlined the concepts of evidence-based medicine improved residents’ knowledge about treatment costs
Greg P. Marconi, MD ; Alan L. Nager, MD, MHA

Editor's Memo
John Marcille
Legislation & Regulation
Recession-minded regulators don’t like this year’s proposed rate hikes. Just try telling them that the increases are based on actual rising costs.
John Carroll
Tomorrow's Medicine
If clinicians could get a earlier warning, there often would be time to forestall a full-blown ‘brain attack’
Thomas Morrow, MD


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
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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015