MANAGED CARE, 1992–2019

When Tim Stezzi and Tim Search launched Managed Care in 1992, the backlash against its eponym was in full swing. Hundreds of bills had been introduced in state legislatures the year before to curb the perceived excesses. Utilization review was being questioned, gatekeeping disparaged. “It…

News Wire

Virus may have originated in snakes, say researchers
Host Dan Gorenstein was the senior health care reporter on the Marketplace radio program
The public “don’t rock the boat” option could lead to universal coverage, says the internists’ organization
Study of posted prices finds wild variations and missing data
WHO to meet tomorrow to decide on international public heath emergency declaration
Study finds fewer than half of trials followed the law
Despite older, sicker patients, mortality rate fell by a third in 10 years
Potential contamination could lead to supply chain disruptions
Thomas Reinke
But discontinuation rate is high, and Wall Street is unimpressed by sales of the new class of migraine medications.
They can add competition and lower prices, but some see authorized generics as a ploy to fend off competition from true generics.
In 2020, eight companies in the National Drug Purchasing Coalition hope to change how PBMs do business.
For much of the last decade, providers and payers have been trying to figure out how to make ACOs work and deliver on the promises of value-based care. The results? Let’s call them mixed to middling. Now, with a new decade starting, it may be direct contracting’s turn to be the great hope. Just…

A blueprint for high-volume, high-quality lung cancer screening that is detecting cancer earlier—and helping to save lives

Clinical Brief

Multiple Sclerosis: New Perspectives on the Patient Journey–2019 Update
Summary of an Actuarial Analysis and Report

CURRENT ISSUE December 2019

A Look Ahead and a Farewell

At Managed Care, we’ve set our editorial calendar during the fall of the previous year. So it was more than a year ago that we decided to aim high and make  “the future of managed care” the theme of our December 2019 issue.

Managed care, as a term and an idea, has been eclipsed by value-based care.

But as the articles in this issue show, American health care—expensive, often inefficient, and sometimes wrongheaded—still needs to be managed.

And maybe now more than ever. Challenges ahead? That is an understatement.

We had no inkling in late 2018 of the irony that would ensue from our choice of topic. Because this look ahead is appearing in what has turned out to the final issue of Managed Care. After 28 years, the publication is closing.

Many people have worked extremely hard, with great skill and intelligence, to make this a much-admired, top-shelf publication. If there were time and space enough, we would name them all.

Instead, we’ll just thank you, the readers, for giving Managed Care a reason to be for the better part of three decades.

Urgent care is a booming part of American health care, but the market may be saturated in several places.  Chicago, New York City, Phoenix, and Scottsdale, Ariz., are among the cities where the urgent care market is overbuilt, says Clifford Braff, managing director of the Braff Group, a Chicago…
The Future of Managed Care
Insurers, employers, and telehealth vendors are offering attractive new options for seeing the doctor without leaving home. But some of these programs may be used as an iffy substitute for health insurance, and the savings they can achieve remains uncertain.
The estimates range from $13.5 trillion to $47.6 trillion. The variables include the generosity of the benefit and forecasts for reining in health care expenditures.
The Future of Managed Care
As genetic testing gets more costly and complex, health plans call on yet another intermediary for help in curbing excessive utilization. But is adding a new middleman really the answer?