Managed Care

Editor’s Memo
Peter Wehrwein
It has been a long time since Doug Ross, Mark Greene, Carol Hathaway, and the demanding Peter Benton were saving lives every week on our television screens (Carter, too, although he was often fumbling at the beginning). For some of us, though, it’s difficult not to think about the images and associations…
News & Commentary
Cigna’s CEO David Cordani may be stepping in front of Aetna CEO Mark Bertolini as the most quotable and charismatic leader of a health insurance plan. He’s been Q&A’d a lot since Cigna’s purchase of Express Scripts late last year. Here is what he said to the Associated Press: “Figuring…
Managing Editor’s Memo
Frank Diamond
We take on direct contracting in its many manifestations and permutations. Employers, especially large employers, grow impatient with how the health care game’s been played­—that is, contracting with a health insurer or PBM to deliver coverage. Companies are not thrilled with quality or cost,…
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…