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Managed Care


November 2010

Employers want networks limited to only the highest performing physicians, and new tools can help clinical executives sort them out
Frank Diamond
Pass-through pricing is a good way for a payer to realize the benefit of increased prescribing of generic drugs
Linda Cahn
Aetna’s chief medical director for Medicare draws on years of experience to chart opportunities and challenges of the new legislation’s focus on innovation
We have certified centers that do a great job for some patients, reducing downstream costs, but are of little benefit to others
Bob Kirsch
Jeffrey D. Dunn, PharmD, MBA; Peter G. Ellis, MD; John L. Fox, MD, Ms; Ira Klein, MD, MBA; Maria Lopes, MD, MS; David B. Nash, MD, MBA; Lynn Nishida, RPh; Lee S. Schwartzberg, MD; Winston Wong, PharmD

Legislation & Regulation
Highmark’s effort to get physicians up to speed with 21st century technology has been extended with a bonus system based on federal standards
John Carroll
Medication Management
CPOE systems, according to data from the Leapfrog Group, do an inconsistent job of shielding patients from serious errors
Thomas Reinke
Plan Watch
A program by a Medicaid insurer keeps in touch with patients throughout their entire episode of care
Frank Diamond
Tomorrow's Medicine
The complications of autograft surgery are largely avoided when advances in biotechnology play a role in tissue regeneration and repair
Thomas Morrow, MD