News Wire

Virus may have originated in snakes, say researchers
Host Dan Gorenstein was the senior health care reporter on the Marketplace radio program
The public "don't rock the boat" option could lead to universal coverage, says the internists' organization
Study of posted prices finds wild variations and missing data
WHO to meet tomorrow to decide on international public heath emergency declaration
Study finds fewer than half of trials followed the law
Despite older, sicker patients, mortality rate fell by a third in 10 years
Potential contamination could lead to supply chain disruptions
Joseph Burns
Urgent care is a booming part of American health care, but the market may be saturated in several places.  Chicago, New York City, Phoenix, and Scottsdale, Ariz., are among the cities where the urgent care market is overbuilt, says Clifford Braff, managing director of the Braff Group, a Chicago…
Q&A
Peter Wehrwein
A Conversation with John Woolley, President and Ceo, Hatfield Medical Group
The Future of Managed Care
Susan Ladika
Insurers, employers, and telehealth vendors are offering attractive new options for seeing the doctor without leaving home. But some of these programs may be used as an iffy substitute for health insurance, and the savings they can achieve remains uncertain.
Richard Mark Kirkner
The estimates range from $13.5 trillion to $47.6 trillion. The variables include the generosity of the benefit and forecasts for reining in health care expenditures.

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

Clinical Brief

Multiple Sclerosis: New Perspectives on the Patient Journey–2019 Update
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.

The Future of Managed Care
Joseph Burns
As genetic testing gets more costly and complex, health plans call on yet another intermediary for help in curbing excessive utilization. But is adding a new middleman really the answer?
The Future of Managed Care
Sarah Kwon
With genomic sequencing on the rise and patients having more say about their treatment, two hot areas—predictive genetic testing and pharmacogenomics—promise to extend “personalized” medicine beyond cancer care. But will this precision improve outcomes and pay for itself?
Graison Dangor
Social determinants of health have been edging into the health care discussion for decades, but in the last few years payers and providers have been plowing millions into the once-marginal idea. And now SDOH has spawned a new group of specialized vendors selling software platforms that connect providers…
The Future of Managed Care
Howard Wolinsky
Online or app-based “chatbots” evaluate symptoms 24/7 and could make health care more accessible and effective. But are they just another toy for the tech‑privileged?
The Future of Managed Care
Timothy Kelley
Managed care can survive and may even thrive, experts say. But that will be in a world where public payers loom larger, provider prices are pushed down, the wellsprings of illness are addressed, and consumers aren’t quite so frustrated and angry.