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  • Magazine

December 2007

March 4, 2024March 2, 2024 by Paul Lendner

Inhaltsverzeichnis Anzeigen
1 December 2007
1.1 How Doctors Are Paid Now, And Why It Has to Change
1.2 Large Plans Do Well Under Part D, But Premium Hikes Cloud Future
1.3 U.S. Health Insurers Find Opportunities Overseas
1.4 Drugs to Plan For in 2008
1.5 Insurers Get Involved in Campaign Against Hospital-Acquired Infections
1.6 Departments
1.7 An Unexpected Observation
1.8 New York Plan Emerges As Pattern for Rating Physicians
1.9 Smoking Cessation Coverage May Be Worth Plans’ Effort
1.10 Medical directors’ pay up 37% since ‘97 — or not
1.11 Insurers lean toward generic alternatives
1.12 Human-Derived Clotting Agent Avoids Immunogenicity
1.13 From Consumer-Directed To Consumer-Driven
1.14 Insurers offer more coverage to fill Part D gap
1.15 News & Commentary

December 2007

How Doctors Are Paid Now, And Why It Has to Change

Everyone knows about the perverse incentive of fee-for-service medicine, but that hasn’t had much effect on its use
John Carroll

Large Plans Do Well Under Part D, But Premium Hikes Cloud Future

Profits should increase over the next two years for plans that stay the course, but politics and rising premiums may affect long-term results
Martin Sipkoff

U.S. Health Insurers Find Opportunities Overseas

The United Kingdom is proving hospitable to UnitedHealth Group and Aetna, and there is business to be had elsewhere in Europe and on other continents
Tom Reinke

Drugs to Plan For in 2008

There are not many traditional medications in the pipeline, and those that are in development probably won’t make waves
Ed Silverman

Insurers Get Involved in Campaign Against Hospital-Acquired Infections

Plans prod hospitals to do a better job of addressing problems that kill nearly 100,000 Americans a year
Lola Butcher

Departments

Editor’s Memo

An Unexpected Observation

John Marcille
Legislation & Regulation

New York Plan Emerges As Pattern for Rating Physicians

The Empire State’s approach to physician ratings quickly gains health plan support and consideration as a national answer
John Carroll
Medication Management

Smoking Cessation Coverage May Be Worth Plans’ Effort

Programs that include a pharmacology benefit reap rewards for the health plan and the member. So why isn’t there 100 percent buy-in?
Martin Sipkoff
Compensation Monitor

Medical directors’ pay up 37% since ‘97 — or not

The Formulary Files

Insurers lean toward generic alternatives

Tomorrow’s Medicine

Human-Derived Clotting Agent Avoids Immunogenicity

Evithrom may minimize some of the antibody production associated with bovine proteins, but the possibility of human viral infection exists
Thomas Morrow, MD
Health Plan Design

From Consumer-Directed To Consumer-Driven

Many new programs offered by insurers bet that individuals, not employers, will one day be making the major decisions
Lola Butcher
Managed Care Outlook

Insurers offer more coverage to fill Part D gap

News & Commentary

Privately Insured Use Emergency Room Less

Web Site Helps Track Health Plan Rankings

Strong Support for Transparency, But Small Effect Expected on Costs

Headlines on Deadline …

Most HSA/HDHPs Cover Preventive Treatment on a First-Dollar Basis

Employers offer financial incentives for healthy behavior


Paul Lendner
Paul Lendner

Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.

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