Managed Care


August 2005

The government joins health plans, providers, employers, and pharmaceutical companies in seeking to establish DM's value
Maureen Glabman
Insurers may not need to look any further than existing claims data to build useful payer-based health records.
Neil Versel
Rochester, N.Y., faces rising health care costs and a growing employer interest in CDHPs. Can a managed care town hold its own?
MargaretAnn Cross
Substantial nondrug costs result from switching prescribed medications in response to changes in insurance coverage, and many nonreimbursed costs shift to providers and patients.
Paul Abourjaily, PharmD ; William A. Gouveia, MS ; Harry P. Selker, MD, MSPH ; Deborah R. Zucker, MD, PhD
Studies indicate that complementary and alternative medicine may save on drug costs.
Martin Sipkoff

Editor's Memo
John A. Marcille
Legislation & Regulation
Should the National Committee for Quality Assurance take over part of the job of overseeing health plans? It seems to be working in some states.
John Carroll
When a pharmacist — for personal beliefs — refuses to fill a prescription, the health plan should be very concerned.
Michael S. Victoroff, MD