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


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


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

John Marcille

Compensation Monitor

Managed Care Outlook

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

Frank Diamond

The Formulary Files

News & Commentary