April 2012

Cover Story
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

Health Plan 2020

Joseph Burns

Health Plan 2020

Joseph Burns

Q&A
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

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

ECRI Institute

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