February 2013

Cover Story

The fact that we waste hundreds of billions a year is all the more infuriating because we have the ability right now to stop the hemorrhaging

Joseph Burns

As recommended treatment grows more aggressive, health plans should better manage both infusion and injectable medications

Thomas Reinke

Health plans and providers can provisionally adopt promising therapies before all the evidence is in hand

Mark Perman, MD

Rich data streams from electronic health records, when used appropriately, can transform population-based care management

David Bodycombe

A patient-centered medical home pilot project yields results that lead the health plan to launch a major effort

Frank Diamond

Wrenching transformation in many forms is starting to be felt in many parts of the system. Here are ways to help resistant employees get on board.

Scott Guerin, PhD

Editor’s Memo

John Marcille

Legislation & Regulation

Meaningful use or not, electronic medical records are not delivering on the promise of improving care management

John Carroll

Medication Management

These programs tend to operate on the fringes of cancer care, but a movement to make them more central gains favor

Thomas Reinke

Biologics in Development

Michael D. Dalzell

Book Review

UCLA Health System went from bad to best, using a plan that emphasized increased respect for the patient

Peter Boland, PhD

Evidence Review

A summary of ECRI Institute’s Emerging Technology Evidence Report

Tomorrow’s Medicine

The recent approval of Aubagio (teriflunomide) provides an opportunity to conduct head-to-head trials in this expanding treatment category

Thomas Morrow, MD

Plan Watch

UnitedHealthcare study unveils some impressive numbers, and now the company sets its sights on prediabetes

Frank Diamond

News & Commentary