Cover Story

Shop Talk

Meet Ronald Brooks, M.D., network medical director at Aetna U.S. Healthcare. We follow him around for a day to see how he handles challenges — many that may seem familiar to you.

Dazzling in Dallas

Technology with the potential to improve care, not to mention save money and time, was displayed at a health care information and management systems conference. Where were the docs?

Brokers: Health Care’s Last Fat Cats?

Maybe not for long, as brokers start to feel the squeeze of the Internet and calls for direct contracting. But don’t count them out — plans play without brokers at their own risk.

Q&A: More Than Just Guidelines

The Agency for Healthcare Research and Quality is focused on errors and best-practices research, says its director.

Peer Review: Decision-Support Systems

A review paper examines how well computerized methods designed to improve quality of care actually work in practice.

DEPARTMENTS

Editor’s Memo

Computers and more computers.

News and Commentary

Texas-Aetna Incentives Settlement Worries Some Capitated Physicians
Arizona Nixes Doc Incentives, OKs Plan Liability
Prescription Drug Benefit Gaining In Election Year
Physicians Fudge Insurance Forms To Help Patients
The latest blow to managed care?
Headlines On Deadline…

Washington Watch

The OIG finds fault with some materials used to market Medicare+Choice plans.

State Initiatives

Northeast states pursue price controls to ease rise in prescription drug costs.

Compensation Monitor

What’s the state of capitation today? [charts]

Managed Care Outlook [charts]

Across plans, mechanisms for drug cost-sharing show remarkable similarity.


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