Managed Care


June 2005

A new model of care developed by the American Academy of Family Physicians places primary care physicians back at the center of care delivery
Martin Sipkoff
One of the nation's largest health care companies will analyze claims to discover unintended effects of new drugs on its members.
John Carroll
"The central test for any new technology," says this medical informaticist, "is whether you can get home earlier to do things you'd rather be doing."
The entire managed care industry is desperate to cut costs and is beginning to turn toward a controversial method to do just that.
Ed Silverman
Regional health plans and small HMOs coming late to the CDHP market haven't missed out — yet.
MargaretAnn Cross
As CDHPs increasingly penetrate the commercial market , their greatest contribution might lie in funding health services for retirees and in reducing the number of uninsured people by offering affordable insurance.
Janice Frates, PhD ; Ellen Severoni, RN

Legislation & Regulation
States are considering laws that require businesses to provide coverage for their employees. Wal-Mart is the biggest target.
John Carroll
Medication Management
Despite a mandate to adopt utilization management programs and make patients share costs, health plans are still lining up to participate in Medicare Part D.
Martin Sipkoff
Tomorrow's Medicine
Vertebral fusion and disc replacement are comparable, but shorter recovery time for disc replacement makes it attractive.
Thomas Morrow, MD