December 2013 - Managedcaremag.com

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HIV: A Fragile Population Enters Managed Care

The ACA is moving people with HIV into Medicaid and commercial health plans. Disruption of care can be bad news for people with HIV and for payers.

Michael D. Dalzell

A Conversation With David J. Brailer, MD, PhD: A New Age for IT

The former national health technology ‘czar’ says that as insurers’ business models change, information systems will be critical to success

MargaretAnn Cross

Could QALYs Help in Assessing High-Priced Cancer Treatments?

Other nations use ‘quality-adjusted life-years’ to measure the cost-effectiveness of drugs, but this tool has been anathema in the United States — so far

Jack McCain

Next-Generation Sequencing Problematic, If Promising

Genomic profiling in cancer may open the door to the use of unproven therapies

Thomas Reinke

Memo to P&Ts: Early approvals could be the new norm

Michael D. Dalzell

3 ways biomarkers are changing drug development

Michael D. Dalzell

Fixed-Dose Triple-Combination Treatments In the Management of Hypertension

C. Venkata S. Ram, MD

Departments

EDITOR’S MEMO

Health Plans Must Stay Nimble As Daunting Challenges Mount

John Marcille

LEGISLATION & REGULATION

Manufacturers Square Off Over Naming of Biosimilars

Argument about safety reflects biosimilars and brands jockeying for market share

John Carroll

MEDICATION MANAGEMENT

Pharmacists Demonstrate Value of a Problem-Focused Practice Model

Comprehensive medication management may improve outcomes in medical homes

Thomas Reinke

EVIDENCE REVIEW

Magnetic Sphincter Augmentation for Treating GERD

THE FORMULARY FILES

Clinical pathways becoming widespread

Krishna R. Patel, PharmD, RPh

MANAGED CARE OUTLOOK

More heart disease + better treatment = higher costs

News & Commentary

Peer Messengers Deliver On Doctor Improvement

Ruling Questions Dementia Screening

Infections’ True Cost Difficult to Pin Down

Briefly Noted

A medical center improves its HEDIS scores

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Paul Lendner

Paul Lendner ist ein praktizierender Experte im Bereich Gesundheit, Medizin und Fitness. Er schreibt bereits seit über 5 Jahren für das Managed Care Mag. Mit seinen Artikeln, die einen einzigartigen Expertenstatus nachweisen, liefert er unseren Lesern nicht nur Mehrwert, sondern auch Hilfestellung bei ihren Problemen.