February 2012

The Medical Directors Forum offers an opportunity for discussions with peers and a resource for information about guidelines
While developing drugs with corresponding tests may mean lower costs to insurers, it poses significant challenges to the approval process
A longtime consultant says health plan CMOs now have the toughest job in managed care
Insurers need to know the rules for Medicare Part B and Part D coverage, but they are not always easy to find or interpret

Departments

Legislation & Regulation
The hope is that sending a doctor, nurse practitioner, or pharmacist to a frail old person’s home will keep the patient out of the hospital
Medication Management
New software capabilities provide the power to integrate medical and pharmacy data
Evidence Review
A summary of ECRI Institute’s Emerging Technology Evidence Report
Plan Watch
Online tools and an emphasis on patient-provider communication encourage more utilization of preventive medicine
Tomorrow’s Medicine
Advances in computer technology have placed us on the threshold of a new way of delivering care that is both economical and incredible

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