September 2014

They too often focus narrowly on the work of oncologists, when a much more comprehensive approach is needed
A Cartoonist’s Take on Managed Care
Programs use varied techniques, but none have fully shut off the spigot of lost dollars. Greater use of predictive analytics may help.
An academic expert on health care integration and reform reflects on more than two decades of systems research and how to recognize real, meaningful integration
In New Jersey, Horizon’s patient-centered medical home program puts data-savvy nurses in primary care practices to reach out to high-risk patients and forestall costly crises
Innovative government projects might point the way toward how plans can save money while addressing a growing public policy concern

Departments

LEGISLATION & REGULATION
Analysts say new competition in the hepatitis C market may not offer lower prices. And Gilead is preparing a higher-cost Sovaldi treatment.
MEDICATION MANAGEMENT
One goal is improved adherence and medication outcomes, something that insurers have striven to achieve for a long time
PLAN WATCH
Should insurers continue to cover power morcellation for laparoscopic hysterectomies?
TOMORROW’S MEDICINE
Fewer inpatient days and better adherence when treating MRSA

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