Managed Care


October 2005

Politicians on both sides of the aisle are considering this as a way of fixing the system. What might it mean for health plans?
Martin Sipkoff
Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans
MargaretAnn Cross
Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.
Bob Carlson
As we learn which supplements are truly beneficial, is limited coverage of specific products in the works?
Sharon Baker
Offering 17P as a benefit to pregnant women enrollees with a history of preterm delivery can reduce NICU days significantly for a Medicaid plan.
Mary V. Mason, MD, MBA ; Kara M. House, BS, MBA ; Cathy M. Fuest, RPh ; Deborah R. Fitzgerald, RN ; Bonnie J. Kitson, MBA

Complacent bureaucracies could not answer the call. Now is the time to make adjustments. The next shoe will drop.
Michael S. Victoroff, MD
Legislation & Regulation
Some of the biggest insurers in the country will do whatever it takes to promote their offerings under Medicare's new prescription drug benefit
John Carroll
Medication Management
Their presence in the public sector could lead to a strong presence in the private sector. Is a managed care backlash looming?
Martin Sipkoff
Tomorrow's Medicine
Enhanced management continues due to a greater understanding of the intricate glucose balance and the shortfalls of existing medications.
Thomas Morrow, MD
Employer Update
A medical device manufacturer, Definity Health's first client nearly 5 years ago, has moved a fourth of its employees into the new-style plan
MargaretAnn Cross