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Managed Care


May 2007

Top pay-for-performance programs point to increased focus on hospital incentives, efficiency measures, coordination, and standardization
MargaretAnn Cross
The secret to the success of PFFS is as old as gold. Will beneficiary satisfaction force Congress to keep the faucet turned on?
Frank Diamond
Insurers and employers are busily compiling databases to control costs and improve care, but physicians are laying claim to the data
Lola Butcher
Careful attention to a comprehensive treatment plan could forestall or prevent the need to add drugs and costs to a patient's regimen
Rachel M. Renshaw
Management of the uncontrolled asthma patient and case examples
Jill Karpel, MD ; Donald A. Bukstein, MD ; Robert LoNigro, MD

Editor's Memo
John Marcille
You don't really have a true pay-for-performance program if it doesn't say so on the bottom line
David A. Sparrow
Legislation & Regulation
Consensus seems to be building over a Senate bill that is acceptable to some health plans and employers
John Carroll
Medication Management
Pharmacies can now take advantage of CPT codes to bill insurers for direct patient care. Will private payers follow Medicare in offering this service?
Martin Sipkoff
Compensation Monitor
Employer Update
Some employers in Kansas City see extended value in a locally based variant of the online health record, and health plans are playing along
Lola Butcher
Tomorrow's Medicine
Symptom relief was the only treatment for hemoglobin found in the urine. Now Solaris prevents the complement cascade.
Thomas Morrow, MD