Managed Care

 

 

April 2012

To paraphrase Mark Twain, the death of the health insurance industry has been greatly exaggerated. Plans simply have to develop new business models.
Joseph Burns
The UC–Berkeley health care economist says the cost-control and performance-improvement methods we’ve been developing for years can work, but implementing them on a wide scale may come as a last resort
John Marcille
Provenge is just one example of an expensive biotechnology drug whose survival analyses leave much to be desired
John Carroll
Treating sleep apnea greatly reduces global costs, but compliance remains a concern
Frank Diamond



Departments
Editor's Memo
John Marcille
Viewpoint: Employer View
Larry Boress
Viewpoint: Health Plan View
Brad Wilson
Legislation & Regulation
Health plan officials are not doing handstands over the federal government’s extension of a deadline to disclose benefits to members in a readable form
John Carroll
Medication Management
Insurers feel pressure to incorporate new agents into their drug benefit, but evidence of effectiveness is questionable
Thomas Reinke
Evidence Review
A summary of ECRI Institute’s Health Technology Forecast Report
Snapshot
Employers and the federal government like these programs, but some question their cost-effectiveness
Frank Diamond
Tomorrow's Medicine
There are many genetic mutations attributable to the condition, but Kalydeco can significantly help a specific subpopulation of patients
Thomas Morrow, MD

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
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
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL 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