SECTIONS
SUBSCRIBE
Managed Care
Search form
  • News
  • Payers
  • Politics & policy
  • Drug management
  • Current Issue
  • Past issues
  • More
    • Contact Us
    • Providers
    • Value-Based Care
    • Biosimilars
    • Viewpoints
    • Original research
    • Profiles
    • Conversations
    • Legislation & regulation
    • Pharm D Corner
    • Tomorrow's Medicine
    • Contributing Voices

Most Popular

Telehealth Is Calling. But Will the Health Care System Have the Answers?

The executive director of the Center for Connected Health Policy talks about the promise and obstacles of embedding this technology into our lives.

Read more

The First and Last Resort

People with behavioral health problems have stretched emergency departments to their limit as the number of inpatient psychiatric beds has decreased. For many patients, the ED is the first place they go. Even people under the care of a mental health professional wind up in EDs because they’re in crisis and their provider’s office is often closed.

Read more

Slavitt on the ACA: It’s a Fixer-Upper, Not a Teardown

The former head of CMS takes Congress to task. The ACA is not perfect (no law is) but could be improved, in his view, if only lawmakers would show more political courage.

Read more

‘No One Here Gets Out Alive’: Preparing Patients for the End

Aetna’s vice president of health strategy and innovation explains how tweaking an established program will offer vulnerable beneficiaries more value.

Read more

Primary Care as a Platform for Value

Quantifying the worth of primary care and its delivery are essential for raising its profile. New data and payment incentives may push us closer.

Read more

Making the Patient Voice Matter In Value Assessment

Conversations about the value of health care treatments have not traditionally included the patient perspective. In the past, value has been measured through cost-effectiveness analyses that weigh the clinical benefits of a treatment against its costs without a consideration of how those benefits align…
Read more

Moda’s Modus Operandi: Meetings and Miles To Go To Succeed

The president of what started as a dental plan describes what it took to successfully launch a Medicaid ACO in the remote regions of Oregon and Alaska.

Read more

In Minnesota, the Payer and Provider Can Be Friends. Even More Than That, Partners.

Insurer and provider come together to deliver primary and specialty care in 20 clinics. The joint venture blurs the line between stakeholders. Will patients benefit?

Read more

Spread Pricing: From Largely Unknown To Much Scrutinized and Criticized

After Ohio uncovered huge spreads, other states have taken a hard look at spread pricing in their Medicaid programs. U.S. senators and CMS are also getting into the act.

Read more

Specialty Drug Spend Soars. Can Formulary Management Bring It Down to Earth?

Utilization management techniques for traditional medicines don’t translate to drugs covered by the medical benefit. Site-of-service programs show some promise, though.

Read more

VA Mission Act: New Access to Care for Veterans

A new era of health care is in store for our nations veterans with the passage of the Veterans Affairs (VA) Maintaining Internal Systems and Strengthening Outside Networks (MISSION) Act, the most comprehensive health care reform bill passed by Congress since the Affordable Care Act. The MISSION Act…
Read more

Health Care From the Medical Director POV

Steve Miller, MD, now at Cigna, and Alan Adler, MD, recently retired from Independence Blue Cross in Philadelphia, reflect on their roles as medical directors and the current state of American health care.

Read more

Got a Problem You Can’t Solve? Hire a Health Care Consultant

You can’t know everything, and neither can your staff. Bringing in outside expertise can be a godsend for health systems, health plans, pharma manufacturers, or governments—if they use it properly. Trouble is, that’s a big “if.”

Read more

6 Consultants Have Their Say

David Betts, 50 Principal and National Leader for Customer Transformation in Health Care, Deloitte Consulting LLP Based in: Pittsburgh Education: MFA in theater—production management, University of Texas–Austin; MBA in strategy, finance and quantitative analysis, Carnegie Mellon University Started…
Read more

The C-Suite is Still Mostly a He-Suite

The gender imbalance in health care leadership is a problem worth solving, experts say. That will require women willing to step forward—and men willing to back them.

Read more
Facebook Twitter LinkedIn RSS Feed
  • Contact Us
  • Our History
  • Terms & Conditions of Use Agreement
  • Address and Subscription Changes
  • Managed Care News Archive
  • 2019 Editorial Calendar
  • 2019 Media Kit
  • 2019 Space and Material Due Dates
  • BPA Statement
  • Editor’s Desk
  • Meeting Calendar
  • Submitting Original Research
  • Submitting Viewpoints
  • Contact Webmaster
  • P&T Community
© 2019 MediMedia, an ICON plc company. All rights reserved.