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MANAGED CARE
July 2009
How to Save a Bundle on Hospital Readmissions
Lola Butcher
Managed Medicare and Medicaid especially struggle to develop improved discharge and follow-up systems
Want to Change Patients’ Behavior? Look to the Internet
Thomas Reinke
Patients are responding to online programs that help them improve or maintain their health and become better consumers
Is Your Online Formulary Guide Ready for Uncle Sam’s Scrutiny?
Jeff Mays
Under new Medicare rules, searchable formulary Web sites now face tougher regulatory oversight
A Conversation With Thomas E. Getzen, PhD: How Much Are We Willing to Spend?
Reform may not address the real question
Effect of Patient Medication Cost Share on Adherence and Glycemic Control
Jacquelyn Hunt, PharmD, MS, BCPS
Yelena Rozenfeld, MPH
Rahul Shenolikar, BS Pharm, PhD
Higher cost sharing decreases adherence to oral diabetes drugs and worsens glucose levels
Trending
A Conversation with Gary Lyman, MD: Biosimilars and the Search for the Cure To Cancer Treatment’s Financial Toxicity
FDA’s Gottlieb Aims To End Biosimilars Groundhog Day
Bringing Humira (Its Price) Down a Peg
Why Biosimilars Can Never Be Identical To Originators–and Why They Don’t Need To Be
Show Us (the U.S.) the Savings
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Recent topics have included:
#JPM19, support for national health insurance grows, and Medicaid health plans help out with education
Google getting into health care, Democratic AGs defend the ACA, & M4A and Medicare Advantage
IN THIS ISSUE
Editor's Memo
Tired of Spin & Half-Truths? Let the Sun Shine In
John Marcille
Legislation & Regulation
Legislation Shortens Members’ Waiting Time
John Carroll
“The doctor can see you this afternoon” may become the typical response when a patient calls for a same-day office visit. California leads the way.
Medication Management
Health Plans Take Active Role In Overcoming Clinical Inertia
Martin Sipkoff
Improve pharmaceutical control of chronic diseases by communicating with network providers and using integrated claims data
Compensation Monitor
Nurse anesthetists’ pay comparable to PCPs’
Plan Watch
Palo Alto Clinic Physicians Design Own P4P Program
Frank Diamond
Bonuses and the fact that doctors knew each other’s scores seem to have helped to improve outcomes
Tomorrow’s Medicine
New Wheelchair Design Improves Maneuverability
Thomas Morrow, MD
Shoulder pain, carpal tunnel syndrome, and other repetitive stress injuries can be avoided with this advance
Managed Care Outlook
Comparative effectiveness to play greater role
News and Commentary
Americans Still Have Limited Knowledge About Generics
News and Commentary
Headlines on Deadline July 2009
News and Commentary
Modest gains in health plan membership
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