IN THIS ISSUE

Editor’s Memo
Peter Wehrwein
Legislation & Regulation
Richard Mark Kirkner
Verma, CMS say bringing step therapy to Part B will save plans and beneficiaries money. Critics see perverse incentives and circumvention of normal rulemaking.
Value-Based Tools
Michael D. Dalzell
A Washington Health Alliance report quantifies how pervasive low-value care is. ‘Drop the pre-op’ is the group’s first step toward eliminating it.
Viewpoint
Sanjiv Luthra
Danny Sands, MD
Monitoring medication management with retroactive measures provides only partial insights. Real-time help that combines digital tools with provider support is needed.
Viewpoint
Carrie Cowdin
To engage members and close care gaps, health plans are taking a closer look at member data sets and the analytics that can harness them.
News & Commentary
News & Commentary

A blueprint for high-volume, high-quality lung cancer screening that is detecting cancer earlier—and helping to save lives

Clinical Brief

Multiple Sclerosis: New Perspectives on the Patient Journey–2019 Update
Summary of an Actuarial Analysis and Report