Managed Care



January 2011

Oncologists may no longer mark up the cost of specialty drugs. If the plan works, you can bet that other insurers will adopt something similar.
Joseph Burns
The chief medical officer for the Blues says plans should act now and work to affect future trends
Data interchange systems will improve medical management at the provider and payer levels
Frank Diamond
In-person and Internet group programs such as the Stanford model are now available to millions, and research indicates that they work
Carol Milano
Ophthalmologists and optometrists are united in opposing participation by stand-alone benefit payers
Richard Mark Kirkner
Health plans can offer several kinds of assistance to physicians who are having trouble caring for these patients
Bob Kirsch

Editor's Memo
John Marcille
Legislation & Regulation
Patient-advocacy groups and some physicians are lobbying legislatures to hobble this common technique to control drug costs
John Carroll
Medication Management
Medication safety can be seen as a global concern requiring close collaboration
Thomas Reinke
Plan Watch
The outcomes have been promising for some 20,000 elderly people and the insurer wants to replicate the effort in other lines of business
Frank Diamond
Tomorrow's Medicine
Increased understanding of the pathophysiology of lupus has resulted in a promising therapy for this complex disorder
Thomas Morrow, MD


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