Managed Care

 

 

February 2012

An early managed care idea that the marketplace once rejected is now being embraced by employers and offered by health plans
Joseph Burns
The Medical Directors Forum offers an opportunity for discussions with peers and a resource for information about guidelines
While developing drugs with corresponding tests may mean lower costs to insurers, it poses significant challenges to the approval process
Thomas Reinke
A longtime consultant says health plan CMOs now have the toughest job in managed care
John Marcille
Insurers need to know the rules for Medicare Part B and Part D coverage, but they are not always easy to find or interpret
Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD



Departments
Legislation & Regulation
The hope is that sending a doctor, nurse practitioner, or pharmacist to a frail old person’s home will keep the patient out of the hospital
John Carroll
Medication Management
New software capabilities provide the power to integrate medical and pharmacy data
Thomas Reinke
Evidence Review
A summary of ECRI Institute’s Emerging Technology Evidence Report
Plan Watch
Online tools and an emphasis on patient-provider communication encourage more utilization of preventive medicine
Frank Diamond
Tomorrow's Medicine
Advances in computer technology have placed us on the threshold of a new way of delivering care that is both economical and incredible
Thomas Morrow, MD

Meetings

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