November 2014

Where they are, what they are, and how many there are

Peter Wehrwein

As prisoners sign up for the program under health reform, insurers must learn to cope with a problematic population

Nan Myers

New regulations, EMRs, maintenance of certification, and concern about cost are burdens for physicians, but things will improve, says this year’s president of the American College of Physicians

John Marcille

Albert I. Wertheimer, PhD, MBA Frances A. Brentson, MS

Departments

LEGISLATION & REGULATION
Plans make the case that what patients pay above reference price for services should not count
Richard Mark Kirkner
MEDICATION MANAGEMENT
Liraglutide, used to lower HbA1c levels, can also aid with weight reduction. Should health plans cover it for this use?
Thomas Reinke
THE FORMULARY FILES
Krishna Rutvij Patel, PharmD
MEDICAL DEVICE MONITOR
Katherine T. Adams
TOMORROW’S MEDICINE
By measuring the inflammatory marker CD154, Pleximmune promises to predict the risk of organ rejection in liver and small-bowel transplant procedures
Thomas Morrow, MD
MANAGED CARE OUTLOOK

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