Managed Care


August 2010

PCMH projects around the country have begun to demonstrate that the new strategy can reduce costs and improve the quality of care that people receive
John Carroll
Payers should benefit as the rate of introduction of blockbuster products declines
Ed Silverman
The overall effect on human health could be extensive and costly for payers, experts warn
Martin Sipkoff
Forget about sending members to Thailand for major surgery; there’s a center of excellence here that can do the job at a good price
Richard Mark Kirkner
Tapped by President Obama in a recess appointment, Donald Berwick, MD, will lead the CMS at least till the end of next year. Here, selections from our Berwick file.
A medical ethicist says it’s time to acknowledge that limited resources will cover limited services
Teresa B. Gibson, PhD ; Yonghua Jing, PhD ; Edward Kim, MD, MBA ; Erin Bagalman, MSW ; Sara Wang, PhD

Legislation & Regulation
Plans try to figure out how to deal with federal guidelines on services that take effect next month
John Carroll
Tomorrow's Medicine
The search for an acceptable oral MS drug may be over if fingolimod (Gilenia) survives an FDA review this fall
Thomas Morrow, MD
Plan Watch
Network Health Alliance uses a team approach to bring primary care to an often hard-to-reach — and very costly — population
Frank Diamond