January 2012


Attempts to replace radiology benefit managers with a more doctor-friendly system show success

Joseph Burns

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

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