Managed Care



May 2011

Stakeholders, including Uncle Sam, are betting billions on an assumption that’s worked only in some instances and under specific conditions
Frank Diamond
Hospitals have made astonishingly little progress, but CMS is forcing the issue
By Joseph Burns
Picture a drug that has been compounded for decades and sold at a low price. The FDA approves a new formulation, and the price goes through the roof.
By Ed Silverman
Many problems attributed to outcomes measurement result from poor planning before a program is initiated. A DM expert lays down some ‘must-do’ rules for success in this excerpt from Disease Management and Wellness in the Post-Reform Era, published by Atlantic Information Services Inc.
Al Lewis
Health plans have many options to improve how they handle these costly therapies
Thomas Reinke
Richard C. Weiss, BS, MS ; Derek van Amerongen MD, MS ; Gary Bazalo, BS, MS, MBA ; Mark Aagren, MS ; Jonathan R. Bouchard, MS, RPh

Legislation & Regulation
Complex formula treats urban and rural areas differently
John Carroll
Medication Management
Building provider incentives around drug performance is one way health insurance plans can ensure optimal use
By Thomas Reinke
Tomorrow's Medicine
A definitive diagnosis requires a full brain biopsy, but imaging compounds may help identify the deposition of amyloid plaque, which is associated with the disease
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