The Future of Managed Care
Timothy Kelley

News Wire

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Trishan Panch, MD, MPH
Years ago, my staff and I pored over handwritten notes and unsigned prescriptions in order to address patients with chronic diseases. For the first time, we were using data to determine patients’ needs and deploying our clinical resources to meet those needs—before the patients suffered complications…
Jon Friedman, MD, FAST
F​irst the good news: For employers and other health care payers, the medical cost trend this year will be, as it has been for the past several years, relatively stable.  But now for that other, less desirable variety of news: The medical cost trend continues to grow at 6%, which is faster than…
Ed Silverman
Generic medicines are touted as a cost-saving tool, but formulary tactics stand in their way. A new report from the Association for Accessible Medicines says years can pass between FDA approval of a “first generic” and its inclusion on a majority of Part D plan formularies.
Robert Calandra
W​hatever its failings, the ACA reduced the number of Americans without health insurance.  The combination of community rating, ACA exchange plans, Medicaid expansion, and the provision that allowed adult children to stay on their parents’ policies helped reduce the number of uninsured Americans…

A blueprint for high-volume, high-quality lung cancer screening that is detecting cancer earlier—and helping to save lives

Clinical Brief

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Summary of an Actuarial Analysis and Report

CURRENT ISSUE December 2019

A Look Ahead and a Farewell

At Managed Care, we’ve set our editorial calendar during the fall of the previous year. So it was more than a year ago that we decided to aim high and make  “the future of managed care” the theme of our December 2019 issue.

Managed care, as a term and an idea, has been eclipsed by value-based care.

But as the articles in this issue show, American health care—expensive, often inefficient, and sometimes wrongheaded—still needs to be managed.

And maybe now more than ever. Challenges ahead? That is an understatement.

We had no inkling in late 2018 of the irony that would ensue from our choice of topic. Because this look ahead is appearing in what has turned out to the final issue of Managed Care. After 28 years, the publication is closing.

Many people have worked extremely hard, with great skill and intelligence, to make this a much-admired, top-shelf publication. If there were time and space enough, we would name them all.

Instead, we’ll just thank you, the readers, for giving Managed Care a reason to be for the better part of three decades.

Timothy Kelley
The number came as a surprise even to Montana State University Professor of Nursing Peter Buerhaus, and he’s been writing about medical workforce issues for years: The supply of rural physicians—their numbers few in many sparsely populated areas—is projected to fall 23% over the next decade. That…
Joseph Burns
In 2002, Jeffrey Brenner, MD, founded the Camden Coalition of Healthcare Providers, one of the earliest efforts to identify and care for the neediest—and most expensive—patients. These patients are the 5% of the U.S. population who account for 50% of all health care spending, as the federal Agency…
Timothy Kelley
W​e’ve been hearing the figure at least since 2011, when the first baby boomers turned 65 and became eligible for Medicare: Each day now, 10,000 Americans cross that threshold and switch their coverage to the federal program. And unlike the billions and trillions bandied about in our era, 10,000…
Susan Ladika
P​rivate equity investment in health care has more than tripled over the past decade, and despite a shift to value-based care and uncertainty over the 2020 elections, interest isn’t abating. “Private equity sees lots of opportunity in health care,” says Ben Isgur, the leader of PwC’s Health…