Managed Care

 

 

November 2010

Employers want networks limited to only the highest performing physicians, and new tools can help clinical executives sort them out
Frank Diamond
Pass-through pricing is a good way for a payer to realize the benefit of increased prescribing of generic drugs
Linda Cahn
Aetna’s chief medical director for Medicare draws on years of experience to chart opportunities and challenges of the new legislation’s focus on innovation
We have certified centers that do a great job for some patients, reducing downstream costs, but are of little benefit to others
Bob Kirsch
Jeffrey D. Dunn, PharmD, MBA; Peter G. Ellis, MD; John L. Fox, MD, Ms; Ira Klein, MD, MBA; Maria Lopes, MD, MS; David B. Nash, MD, MBA; Lynn Nishida, RPh; Lee S. Schwartzberg, MD; Winston Wong, PharmD



Departments
Legislation & Regulation
Highmark’s effort to get physicians up to speed with 21st century technology has been extended with a bonus system based on federal standards
John Carroll
Medication Management
CPOE systems, according to data from the Leapfrog Group, do an inconsistent job of shielding patients from serious errors
Thomas Reinke
Plan Watch
A program by a Medicaid insurer keeps in touch with patients throughout their entire episode of care
Frank Diamond
Tomorrow's Medicine
The complications of autograft surgery are largely avoided when advances in biotechnology play a role in tissue regeneration and repair
Thomas Morrow, MD

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium 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
HealthIMPACT Southeast Tampa, FL January 23, 2015