July 2007

CMS and states may stop paying for specific hospital-acquired conditions. Will health plans follow suit?

Martin Sipkoff

Premera’s method of analyzing the potential benefits of Byetta shows how third-party modeling can pinpoint which members can benefit from easier access — and how plans can determine authentic cost savings

John Carroll

Don’t dismiss this development in Web communication. Blogs — the best of them — conduct serious and extensive discussions of health care policy and provide important new information.

Alan Adler, MD

Meredith Y. Smith, PhD Jerry Cromwell, PhD Judith DePue, EdD Bonnie Spring, PhD William Redd, PhD

As the design approaches its seventh year in the marketplace, some wonder if it will ever be more than a niche product

Lola Butcher

Departments

VIEWPOINT
The health care system encourages a reaction to episodes that is both costly and inefficient
R. Knight Steel, MD
LEGISLATION & REGULATION
A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians
John Carroll
MEDICATION MANAGEMENT
Employers and health plans are starting to see the advantage of what has been termed evidence-based benefit design
Martin Sipkoff
MANAGED CARE OUTLOOK

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