Managed Care



April 2013

Twenty years after SDM’s introduction, health plans are seizing on it to help patients choose their treatments. The lower costs for these patients are a welcome extra.

Joseph Burns

The Catalyst for Payment Reform finds that only 10 percent of care is paid through new methods, but its executive director says shared goals and incremental change will make a difference

John Marcille

That is just one of the considerations that a biotech developer must consider when creating a new product

Partha Anbil ; Jay Anbil

There’s still a way to go in reducing elective deliveries, and different insurance systems feel far different effects

Frank Diamond

Editor's Memo
Frank Diamond
Legislation & Regulation

As different sectors of the drug industry battle, pharmacists may follow the easier — and more expensive — path

John Carroll
Medication Management

Insurers and employers apply a three-prong approach to what some experts are describing as hyperinflation

Thomas Reinke
Biologics in Development
Michael D. Dalzell
Health Technology Forecast

A summary of ECRI Institute’s Health Technology Forecast Report

Plan Watch

BlueCross BlueShield of South Carolina anticipated the problem years ago and invites you to join in what could be a solution

Frank Diamond


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