MANAGED CARE, 1992–2019

by

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…

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News Wire

Coronavirus Outbreak News: 17 dead, 500 infected, 3 Chinese cities in lockdown
Virus may have originated in snakes, say researchers
Another Podcast? But Tradeoffs Is Definitely Worth Your Time.
Host Dan Gorenstein was the senior health care reporter on the Marketplace radio program
ACP’s Split Decision: We’re in Favor of Single Payer. Or Maybe a Public Option.
The public “don’t rock the boat” option could lead to universal coverage, says the internists’ organization
Go Ahead. Just Try Comparing Cancer Treatment Costs. 
Study of posted prices finds wild variations and missing data
Six Fatalities, 200 Cases So From Coronavirus Outbreak in China
WHO to meet tomorrow to decide on international public heath emergency declaration
Rule on Reporting Clinical Trial Results Often Violated
Study finds fewer than half of trials followed the law
Bone Marrow Transplant Survival Is Up Sharply Since Mid-2000s
Despite older, sicker patients, mortality rate fell by a third in 10 years
FDA Warns Against Use of Some Cardinal Surgical Gowns
Potential contamination could lead to supply chain disruptions
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Drug management
Prime Sees Dip in Opioids, Triptans as CGRP Inhibitor Scripts Take Off
Thomas Reinke
But discontinuation rate is high, and Wall Street is unimpressed by sales of the new class of migraine medications.
Drug management
Generics of the Authorized Kind
They can add competition and lower prices, but some see authorized generics as a ploy to fend off competition from true generics.
Payers
Large Employers Push Back on PBMs
In 2020, eight companies in the National Drug Purchasing Coalition hope to change how PBMs do business.
News
Move Over, ACOs. There’s a New Value-based Model in Town
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…
Cancer Screening Initiatives

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

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P&T; Product Profiler

ZULRESSO™ (brexanolone) injection CIV

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Clinical Brief

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

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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.

View More from December 2019
News
Urgent Care Centers Have Saturated Some Urban Areas
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
Virtual Primary Care ‘Visits’? That Future Is Already Here
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.
Legislation and regulation
So How Much Would Medicare for All Really Cost? Good Question.
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
Lab Benefit Managers Seek To Stem The Rising Tide of Genetic Tests
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?