Managed Care


January 2012

Attempts to replace radiology benefit managers with a more doctor-friendly system show success
Joseph Burns
Those who choose these plans tend to be more educated and dedicated to maintaining healthy lifestyles
Frank Diamond
Tight budgets and an increasing influx of expensive biologic drugs make it imperative to rethink risk management
John Marcille
Visits are going up and most cases seen in the ED are legitimate. What’s a payer to do?
John Carroll
Escitalopram patients in a Florida Medicaid population had better treatment persistence and lower total health care costs than patients prescribed citalopram
Eric Q. Wu, PhD ; Rym Ben-Hamadi, MSc ; Mei Lu, MS ; Nicolas Beaulieu, MA ; Andrew P. Yu, PhD

Legislation & Regulation
Legislatures want medical-benefit practices applied to oral drugs provided under the pharmacy benefit, all to keep patients’ costs within reach
John Carroll
Plan Watch
Independence Blue Cross teams up with the American College of Physicians to create an online program that facilitates creation of medical homes
Frank Diamond
Tomorrow's Medicine
Patients who were considered inoperable have a new option that involves placement of a bioprosthetic heart valve
Thomas Morrow, MD