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What Doctors Don't Know About the New Plan Designs
Physicians are fairly ignorant of what consumer-directed health care will mean to them in terms of relations with patients and health plans
Can We Design a Fair Benefit For Bariatric Surgery?
Catherine M. Murphy-Barron
Insurers need a coverage strategy that focuses on reducing post-surgical complications and avoiding adverse selection
Old Techniques Never Die, Nor Even Fade Away
Urged on by employers traumatized by costs, health plans are renewing their interest in prior authorization, but using a lighter hand
A Conversation with James Robinson, PhD: Is Managed Consumerism The 'Third Way'?
The health care economist says that consumers ought to share in the savings from making the right choices. Insurers, providers, and hospitals should make sure that options exist.
Case Management Meets Home Care
Aetna incorporates a program developed at the University of Pennsylvania to deliver services where members live
State legislatures spring ahead with restrictions on drug copay accumulators
The Urgent Care Surge
Prices: High, Confusing, and Opaque. Would Transparency Even Help?
Lower Copays Sweeten Outcomes-based Deal for Brilinta
Antiviral Cleared for All Six HCV Strains in Children
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Senate grills drugmaker CEOs, the most sweeping Medicare-for-all plan yet, & a Washington State effort to identify low-value health care services
More Americans riled about drug prices, bispecific antibodies have arrived, CMS rule requires more interoperability
IN THIS ISSUE
Will Tinkering With Premiums Make Beneficiaries Happier?
Legislation & Regulation
It's To Plans' Benefit To Spell Out Authority
Recent court ruling means that beneficiaries should be notified about insurers' decision-making powers
Skeptics Abound as Demand Grows For Obesity Treatments
Changes in reimbursement patterns for obesity drugs will take several years. Lifestyle changes remain the first approach.
Docs distrust 'pay for performance'
The Formulary Files
PBMs report increase in drug margins
Four-Color Flow Cytometry Detects Minimal Residual Disease in Leukemia
Thomas Morrow, MD
Should a new (and cheap) test for chronic lymphocytic leukemia be a component of prior-authorization protocols?
Managed Care Outlook
Two surveys point to growth for consumer-directed plans
News and Commentary
Costs slow down, but not enough to assuage employers' concern
News and Commentary
Videos of Actual Surgeries May Give Patients Pause
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