Managed Care


April 2007

Health plan consolidation has its upside, but some who contract with insurers see only the downside
John Carroll
Contracting advantage has sometimes been with the nationwide labs, but health plans are getting serious about price, service, and patient data
Scott Kober
Health care economists and others imagine a society in which managed care had never been invented
Frank Diamond
Plans and PBMs are divided about sharing drug prices with clinicians. Is it better to have an administrative committee determine the formulary?
MargaretAnn Cross
Mostly it is self-insured employers that are offering the option, but health plans may well want to join in
Lisa A. Higgins
The man who heads McKesson Health Solutions, the third largest disease management program in the country, says it's time to roll out a new model

Editor's Memo
John Marcille
The history of HMOs has been one of conflict between plans and physicians. Could global specialty capitation be a better way?
Daniel Y. Patterson MD, MPH
Legislation & Regulation
Sufficient confidentiality needs to be assured before a nationwide system will be ready for implementation
John Carroll
Medication Management
The Access to Life-Saving Medicine Act may be a first step to giving the FDA the legal authority to approve these drugs
Martin Sipkoff
Health Plan Design
Expecting people to enter the health insurance marketplace and function as savvy buyers is unrealistic
Lola Butcher
Tomorrow's Medicine
Today's high-tech artificial joint has changed the outcomes for many who have suffered a fractured hip
Thomas Morrow, MD