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February 2013

The fact that we waste hundreds of billions a year is all the more infuriating because we have the ability right now to stop the hemorrhaging

Joseph Burns

As recommended treatment grows more aggressive, health plans should better manage both infusion and injectable medications

Thomas Reinke

Health plans and providers can provisionally adopt promising therapies before all the evidence is in hand

Mark Perman, MD

Rich data streams from electronic health records, when used appropriately, can transform population-based care management

David Bodycombe

A patient-centered medical home pilot project yields results that lead the health plan to launch a major effort

Frank Diamond

Wrenching transformation in many forms is starting to be felt in many parts of the system. Here are ways to help resistant employees get on board.

Scott Guerin, PhD



Departments
Editor's Memo
John Marcille
Legislation & Regulation

Meaningful use or not, electronic medical records are not delivering on the promise of improving care management

John Carroll
Medication Management

These programs tend to operate on the fringes of cancer care, but a movement to make them more central gains favor

Thomas Reinke
Biologics in Development
Michael D. Dalzell
Book Review

UCLA Health System went from bad to best, using a plan that emphasized increased respect for the patient

Peter Boland, PhD
Evidence Review

A summary of ECRI Institute’s Emerging Technology Evidence Report

Tomorrow's Medicine

The recent approval of Aubagio (teriflunomide) provides an opportunity to conduct head-to-head trials in this expanding treatment category

Thomas Morrow, MD
Plan Watch

UnitedHealthcare study unveils some impressive numbers, and now the company sets its sights on prediabetes

Frank Diamond

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