MediMedia Managed Markets
Managed Care



June 2012

Seeking the best return on shared-savings programs such as PCMHs and ACOs, health plans are investing cash and other resources to attract and hold patients’ attention
Joseph Burns
Ingenix was criticized for understating UCR rates, but newer formulas also enrage members who get big balance bills
John Carroll
This time the messenger matters as much as the message. Are specialists gearing up for life after fee-for-service?
Frank Diamond
Highmark’s CMO seeks new and improved models of health care delivery
John Marcille
High costs mean a sea change in cancer management is urgently needed, and these tools can chart the way without eroding the physician’s role
William J. Sullivan, MBA
When physicians don’t know how compliant their patients are, the health plan can step up
Tammy Worth

Legislation & Regulation
Large insurers worry what will become of the hard work and money expended on the conversion if some providers get their way
John Carroll
Medication Management
Formulary managers need to make head-to-head comparisons of dabigatran and other anticoagulants used to treat atrial fibrillation
Thomas Reinke
Evidence Review
A summary of ECRI Institute’s Emerging Technology Evidence Report
Tomorrow's Medicine
Elelyso, derived from plant-cell technology, avoids many of the problems encountered when mammalian cells are used to create drugs
Thomas Morrow, MD


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