Managed Care

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…
Editor’s Memo
Peter Wehrwein
Addressing the social determinants of health has become fashionable in American health care, which loves a hot trend almost as much as it does new technology or promises to rein in spending. The ambition makes sense: Move upstream (and out of the office and away from the hospital) to where the causes…
News & Commentary
Eighty-two percent of employees think that having a high-deductible health plan helps them make better decisions about health care, according to a survey by Clear Insights, a publication for investment and accounting professionals. In addition, three quarters of employees who purchased an HDHP were…
Managing Editor’s Memo
Frank Diamond
If there’s one thing I’m a sucker for it’s a good spit quote, so I perked up when reading this: “The marketplace has been happy to respond to this fascination with genetic navel gazing, offering consumers a growing number of genetic screening tests that allows them to spit into a tube and learn…
Editor’s Memo
Peter Wehrwein
By some accounts, Warren Buffett coined the phrase “skin in the game.” In business, it makes sense. Having your own money on the line might make investors more willing to trust you with some of theirs. Putting cutaneousness in the contest also has some appeal when it comes to health care coverage…