Inhaltsverzeichnis
Anzeigen
Building a ‘Terribly Smart’ Doc: A Conversation with David Eddy, MD, PhD
Predictive modeling programs are ready for prime time. David Eddy describes Archimedes and what it can do for insurers, patients, and doctors.
Messing With Medicare Advantage
With Congress engineering big changes, plans are likely to face cuts unless legislators take a new approach to fixing the physician pay formula
References to maximum allowable prices in contracts between plans and PBMs need to be scrutinized, since things are not always what they seem
MedPAC Proposals Echo Private Payers’ Own Concerns
The Medicare Payment Advisory Commission is asking Congress to promote primary care and to hold providers accountable
Patient satisfaction remains an important characteristic of a health plan, particularly at open enrollment time. WilsonRx’s annual survey tells the tale.
Departments
EDITOR’S MEMO
Switchover to ICD-10 Codes Poses a Daunting Challenge
LEGISLATION & REGULATION
Their argument in California is that insurers should spend a minimum of 85 percent of their revenue on services
MEDICATION MANAGEMENT
Dose Consolidation May Not Be Worth the Trouble
A low return on investment and high implementation costs keep dose optimization from taking hold in some pharmacy benefit programs
COMPENSATION MONITOR
Public would pay for pharmacist input
THE FORMULARY FILES
‘Doughnut hole’ leaves 3.4M without coverage
PLAN WATCH
Plan Hopes $3,000 per Oncologist Results In Improved Cancer Care
Blue Cross Blue Shield of Michigan makes it easier for oncologists to get information that will help them improve quality, cut costs
TOMORROW’S MEDICINE
OraVerse Helps You Lose That Numbing Feeling
A common gripe with oral anesthetics is the amount of time it takes for them to wear off
MANAGED CARE OUTLOOK
Health costs decelerate, yet still climb fast
News & Commentary
NCQA Unveils Quality Measures
Employers Turn To CDHPs, Wellness
Uninsured Spend $30 Billion Out of Pocket, Study Says
Health care falls to fourth among hot presidential topics
Headlines On Deadline . . .
Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.