January 2012


Visits are going up and most cases seen in the ED are legitimate. What’s a payer to do?

John Carroll


Those who choose these plans tend to be more educated and dedicated to maintaining healthy lifestyles

Frank Diamond


Cover Story
Attempts to replace radiology benefit managers with a more doctor-friendly system show success

Joseph Burns


Peer-Reviewed

Escitalopram patients in a Florida Medicaid population had better treatment persistence and lower total health care costs than patients prescribed citalopram

Eric Q. Wu, PhD ; Rym Ben-Hamadi, MSc ; Mei Lu, MS ; Nicolas Beaulieu, MA ; Andrew P. Yu, PhD ; M. Haim Erder, PhD


Q&A

Tight budgets and an increasing influx of expensive biologic drugs make it imperative to rethink risk management

John Marcille


Plan Watch
Independence Blue Cross teams up with the American College of Physicians to create an online program that facilitates creation of medical homes

Frank Diamond


News & Commentary