Purchasers, health plans and, to some extent, enrollees are pressuring providers to use information technology to improve care.
In a marketplace fraught with downsizing and restructuring, many top administrators find themselves having to change careers.
The 11 new measures — as is the case with those already in place — focus on problems that greatly affect their employees, and therefore overall costs.
His concepts have been enormously influential in the evolution of the health care system, but the results aren't what he expected. Now he has a new program for saving the system from itself.
Some state officials have real doubts that health plans offer any viable solution to the problem of providing care while budget deficits grow.
Karine Amaya, PhD
John Doyle, MPH
Steve Arikian, MD
Neil Shear, MD
By drawing on the expertise of pharmacy benefit managers, managed care plans can teach plan sponsors and brokers the value of pharmacy, and in the process, add to their business.
Legislation & Regulation
With today's immense pressure on Medicaid budgets, states can't extend DM programs fast enough.
The Formulary Files
The Health Insurance Portability and Accountability Act need not endanger outcomes that depend on data access unless you let it.
Jack A. Rovner
Managed Care Outlook