Managed Care

Editor’s Memo
Peter Wehrwein
Almost everything under the sun is complicated once you start to really look into it. A closer examination and a critical mind will peel off the top layers to reveal—Oh my!—a daunting mess underneath. Perhaps this is self-justifying, but medical matters and health care—especially the unwieldy,…
Editor’s Memo
Peter Wehrwein
For most of its almost 27 years, Managed Care has published every month as a print publication. That’s not all we do. We have a newsy, award-winning website. We publish two e-newsletters a week. But print publication is where we’re rooted. We have no plans (and no plans to make plans) to abandon…
2019 Year in Preview
Richard Mark Kirkner
Because it enables both the security and sharing of data, blockchain seems ideally suited to health care. Next year, the pieces may come together for it to finally get some real traction in the sector.
Editor’s Memo
Peter Wehrwein
Starting in 2015, we’ve used our December issues to feature a collection of “Year in Preview” stories—or YIPs as we’ve come to call them. Turns out we’re also susceptible to the contagion of acronyms that infects American health care. The goal with the YIPs is to take a step back, look…
Viewpoint
Neil Minkoff, MD
Not long ago, I was involved in a pair of projects to determine real-world outcomes. It didn’t take long to figure out that EHR and claims data are insufficient for measuring the patient experience. For example, rheumatologists don’t always know when their patients with gout have a flare because…
Editor’s Memo
Peter Wehrwein
Last year, the politics of health insurance were all about repealing and replacing the ACA. Maybe it made sense from a political perspective for Republicans to go after the signature domestic achievement of the Obama administration. But in the bigger picture the antipathy is hard to figure. “Obamacare”…
Letter to the Editor
Gene Farber, COO, Reliance ACO: “Reliance ACO is a Track 1 that started in 2014. We have saved CMS over $32 million and have received money back in two of the four years…. I want to scream when anyone, including Seema Verma, says we are not at risk.” There’s more.
Managing Editor’s Memo
Frank Diamond
This issue we look at the roles that nurses and nurse practitioners play. (And let’s quickly add that both men and women populate the professions—though the majority of both are still overwhelmingly female.) Nurse practitioners are especially on the managed care radar screen because health plans…