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Posts This Isn't the First Attempt To Shift Cost to Employees What's Good for the VHA Is Not So Good for Medicare Move Over, ACOs. There’s a New Value-based Model in Town Will Palm-Size Computers Make Electronic Prescribing Happen? Meet capitation at least halfway A Tale of Two Doctors Creativity Required Equally In Short Run and Long Run Payor, Provider, Patient: Healthcare by Consensus FDA gears potential government shutdown Consumer Groups: WellChoice Funds Improperly Used Extenders' pay gains exceed physicians' CMS wrestles coverage issues car-t therapies Robert Goldberg's blog Clinton’s ‘Medicare for More’ Not Such an Easy Cure Payers, consumers benefit as patents expire Single-Payer Proposition Gets Close Second Look What the Devil Is Information Therapy? Premium growth to reach 7.1% by 2015 Congress finally approves funding fight zika virus Silent PPOs Spur Doctor Push-Back Report seven day readmissions may be better indicator quality care 30 days post discharge Should Consumers Be Present On an HMO's Board of Directors? September 2013 Seven design features that could improve P4P Past Issues of Managed Care magazine Research Articles from Managed Care Impulse Device Improves Long-Term Survival in Heart Failure Patients PCSK9 inhibitors on the way Managed Care Pharmacy Health Care Efficiency: Measuring the Cost Associated With Quality Digital Equipment Issues Detailed ‘Marching Orders' for its HMOs Study: Valium No Better Than Placebo for Lower Back Pain in the ED Insurers will find icatibant lifesaving but expensive treatment Briefly Noted More PBMs used for dispensing, utilization review NCQA Revises 6 HEDIS Measures One Insurer, One Think-Tank Issue Studies of High-Deductible Plans Social Determinants of Health: Stretching Health Care’s Job Description CBO Weighs Effect of Growing Deficit on Fed Programs How managed care affects hospitalization Angela Braly former CEO wellpoint Harvard researchers investigate adverse tiering Closing Dates for 2015 Why Falsify Records When Anonymity Can Be Had in a Tested, Familiar Way? Texas Physician Quits as HHS Commissioner To get or to skip care? Coverage makes the difference Medicare's Transition To Managed Care Despite downturn, pharmacy jobs abound Drug pricing practices unethical retired jama editor says A Conversation with Jeff Goldsmith, PhD: Reform Opens the Door For Consumer-Oriented Market Effect of Removing Financial Barriers on Use of Long-acting Reversible Contraceptives Cyberbullying common devastating Specialty anti-inflammatories see huge increase in utilization Treating Psoriasis as a T-Cell Mediated Disease TennCare's Chief Says Fraud Threatens To Sink Program Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show Legislation Shortens Members’ Waiting Time Heart Failure Treatment Gaps Costs Lives, Hikes Expenses Residents' Hours Decline, But Safety Doesn't Improve Payers Can Successfully Navigate Mergers and Acquisitions Self-Funded HMOs on the Rise Magazine’s Founder Hangs Up His Spurs Research Articles from Managed Care Positive Results Reported for Triple Combination Therapy in COPD Patients Use of multitier benefit designs increases Tracking Disparities in Care Primary care pay falls again Premier health plan exit ohio exchange Pioneer Not-for-Profit Plans Struggle to Remain Leaders 5 Big Plans Promise PHR Portability Trading Your Independence For a Guaranteed Salary FDA approves rituxan hycela subcutaneous injection certain blood cancers Proposal Would Limit Profit of Some California Plans The History and Future of Personalized Medicine As a killer, cancer catching up to heart disease Iphone and Apple Watch apps new tools medical research trade ‘Freeze the pay on specialists’ MANAGED CARE OCTOBER 2019 Not-for-Profit Advocate Calls for Managerial Rigor Prime Therapeutics’ Clients See Only 2.5% Drug Spend Increase in 2016 Virtual vs actual networks The March of the Boomers: Daily Armies of New Seniors Swell the Medicare Ranks Popular content PBMs, Medicare Advantage, Fraud Just Three Topics to Keep Track Of Drug Giants Turn to Leading Professors to Justify Hefty Price Tags Pharmacy Benefit Starts To Reflect Push for Consumer-Directed Care November 2001 Treating Uterine Fibroids Using MR-Guided Ultrasound Real-World Evidence Not Quite Believable Enough DM Vendors Start To Address Costs Created by Comorbidities Study Shows Comparability of Biosimilar ABP 980 and Trastuzumab in Certain Breast Cancer Cases Tainted Scope Infections Exceed Earlier Estimates Simple compound could provide first new therapy myeloid leukemia 40 years Going on the Offensive Against Defensive Medicine Researchers analyze epidemiology fractures diabetes 5 Big Plans Promise PHR Portability Programs for high-need patients. What makes the good ones good? Military brings order to formulary system A Conversation with Larry Levitt: Finding The Trends In Health Care Chaos Can Self-Management Programs Ease Chronic Conditions? Stark II Wants Contribution Plan Installed Before Payment Period Begins Expensive New Biologic Helps Children Fight Hypophosphatasia We’ll Deal With Change in 2011 Common antidepressants plus opioid reduces pain relief JCAHO's Oryx Initiative Links Outcomes with Accreditation Trouble for Hospitals & Health Plans In States That Nix Medicaid Expansion The latest blow to managed care? 10 most costly conditions in men and women Anthem cites sdoh offerings boost medicare advantage gains Study despite opioid concerns seniors often exit hospitals prescriptions A Conversation with Lee N. Newcomer, M.D.: Out of the Frying Pan Onto the Cutting Edge Healing Power of Color As Cheap as Coat of Paint Positive Phase 3 Results Reported for Sunitinib (Sutent) in Patients at Risk of Recurrent Renal Carcinoma Alzheimer's drug targeting soluble amyloid falls short trial Decline in cervical cancer death rate ends Survey: Only 20% of Americans Favor Obamacare Repeal Without Replacement Plan Association Health Plans High on Bush's '03 Agenda Injected Device Shown Effective in Reducing Fecal Incontinence Health Care Consumers Really Are Sensitive to Prices Incentives Are Good (Except When They’re Bad) FDA advisors recommend approval probuphine treat opioid addiction House Call Revival, Digital-Style A Conversation With Paul Wallace, MD: Reaping the Benefits of a Connected System Pioneer ACOs: Some Unhitch Wagons While Others Roll Over Rocky Terrain Give them what they want Stark II: Division of Profits Comes Under Closer Scrutiny Many PCPs Now Use Electronic Health Records When Is a Brand a Generic? In a Contract With a PBM Plans Use Narrow Networks in Exchanges; Public, Politicians Predictably Perturbed To Dent Soaring Drug Costs, States Turn to ‘Price-Gouging’ Laws Increasing lupus cases coincide with Benlysta approval The bigger they (MCOs) are, the better they'll do Hemophilia drug emicizumab succeeds phase 3 study DM trends you should know about industry evolving nice boost uncle sam Biosimilars Might Not Measure Up To Health Plan Expectations Two Accrediting Organizations Prepare To Issue DM Standards A Seer of Trump’s Coming Parses Repeal and Replace Study: Half of Elderly Colorectal Cancer Patients Receive Valueless Treatment Go West, young pharmacist Payers and Pharma Bridging Direct-to-Consumer Divide end it will be episode payment February 2003 A New Model For Managing Care Medical, prescription drug cost rates to drop in 2005 FDA Rejects Andexanet Alfa (AndexXa) for Reversal of Anticoagulation Little better all time it cant get more worse What Makes Harvard Pilgrim So Good? Research Articles from Managed Care Introducing the CHR, More Like a PHR Than an EMR African-Americans Die Younger Due to Heart Disease, Stroke Bundled Payments: Value in Bite Sizes Improved Adherence Highlights Specialty Pharmacy’s Potential Will Your State's Privacy Law Be Superseded by HIPAA? A conversation with James Sabin, MD: When Values Clash Cyber criminals targeting FTP servers compromise protected health information FBI warns Leading Through Contradictions Risk Pays Off Under HCFA's New Medicare Scheme Biggest Health Care Purchasers Bullish on Care Management How much return does that PhD provide? Mobile App Helps Members Find Docs States Trim What They Can to Restrain Medicaid Costs AMCP To Test New Guidelines For Formularies Vol. 6, No. 8 August 1997 Many State Medicaid Agencies Use Financial Incentives To Boost Quality Provider Shortage Puts HMOs In Bind California Kaiser Physicians Face Longer Work Week Pfizer weighs strategic alternatives consumer healthcare business Just What the Devil Is Population-Based Care? Follow the Shrinking Managed Care Savings Harvard Pilgrim’s Patrick Cahill Tries To Make Sense of It All Archelle Georgiou MD's blog Episode-of-Care Payment Creates Clinical Advantages An Editor's Problem: How To Stay Humble Know These Five Things Before You're Capitated Selling The Electronic Patient Chart: A Conversation With Mark Leavitt, M.D., Ph.D. New guidelines blood thinning therapy Many More Medicaid Members — If the States Choose to Cooperate Rosy future for hepatitis C patients — and for payers (over the long haul) Value based contracting between insurers and drug companies faces tough hurdles Internet center stage technology conference May I Please See Some Identification? Letters to the Editor Administrative tasks related to managed care cost physician practices $31 billion per year When pressure's on, raises get better ACA’s MLR Rule Tough on Brokers MCO Works Hard to Integrate Specialty Pharma Operations Stark II Wants Contribution Plan Installed Before Payment Period Begins Plans & employers step up controls on specialty pharmacy Medicaid Wellness Programs Face Challenges Substantial Increase Seen in PPO Quality Reporting 2-dose varicella vaccination highly successful The Coming HIPAA Crisis AMA's Union Approval Raises Troubling Issues Have a Date With Surgery? PROMs Help Patients Decide Antiviral Cleared for All Six HCV Strains in Children Insurers to Face Financial Challenges Headlines On Deadline… Intraocular Lens Implants Can't Help But Catch the Eye Drug-induced diseases focus of pharmacy manual Former Governor Attacks Overhaul of Ky. Coverage Physician, HEDIS Thyself Price Hikes May Ease Pressure–Temporarily Medicaid DM To Get Boost From CMS Health Care Becoming a Commodity, Leading Corporate Executives Suggest Index of /archiveMC/9711 Incentive Formularies Have Minimal Effect How We Got It Anyway: The Clinton Health Plan Never Died Don't Put Off Dealing With the ‘Millennium Bug' 2002 Worker's Comp — Can Managed Care Fix It? A Conversation With David A. Fleming, MD: Medical Practices Struggle With Change When an implanted device is recalled, do you have a system to deal with it? Headlines on Deadline… Physician pay used boost quality Though Still a Priority, Reform May Take Back Seat as Privacy Issues Heat Up Past Issues of Managed Care magazine Drug-Eluting Stents To Transform Cardiovascular Medicine Health System Selects SNFs To Improve Overall Care Provider Association Litigation: Better Choice for Dispute Resolution? Physicians reconsider taking pharmacy risk Lower Dose of Clot-Busting Drug Reduces Brain Bleeding What Works Best for Patients? PCORI Hopes to Provide Answers Cannabis Medicinal Large PBMs Transform Old Business Models Orphan Drug Act Treatments Deserve Full Insurance Coverage What the Primary Care Physician Shortage Means for Health Plans Weighing future value based care you need scale Some Worry Quality Suffers In Move To Tier Physicians Cruzs plan to salvage health care replacement grabs “Nanobody” Medication Vobarilizumab Shows Promise in RA Patients PBMs: Criticized But Still Needed Addition of quinolones to hospital formularies changes pneumonia treatment Pay for Performance: Losing Mojo But Getting Props Improving Quality Starts With Changing the Culture Artificial Disc Now Available, But Is It Better Than Other Therapies? Who says zika vaccine trials may come too late A Conversation With Helen Darling: Large Employers’ Reform Agenda DM Standards Off and Crawling Company plans challenge FDAs rejection acromegaly drug UK: Health Care Policy Mayhem…and a Very Public Scandal Hospitals So Far Escape Blame in Health Care Debate NCQA Report Not Just About HEDIS Any More, Doctor New Guidelines on Lyme Disease Popular content Striving for Optimum Transitions of Care Pay for Performance Proceeds at Proper Pace U.S. Docs Outspend Ontario Physicians States Increasingly Mandate Special Autism Services Injectable Drug Program Saves Plan $28.5 Million Nurse practitioners can't do what primary care docs can do Florida’s MCO Medicaid Path May Be Taken by Other States 2017 Perverse Incentives Abound, But Maybe We Can Control Them Cancer screening initiatives Prison accused of killing inmates slowly Want to Change Patients’ Behavior? Look to the Internet Many States Weigh Drug Benefit Cuts For Medicaid Kaiser Official Defends Decision To Launch HSAs Lowering Copayments Can Improve Quality of Chronic Disease Care Overdiagnosing Thyroid Cancer: What's in a name? Compensation Complaints: HMO Executives See Smaller Salary Increases Lung cancer drug bavituximab flops phase 3 study IOM: Workforce Diversity Lacking In Health Care Index of /archiveMC/9808 Lung Cancer Drug Osimertinib (Tagrisso) Meets Primary Endpoint in Phase 3 Trial Medicare Gets Serious About Payment Cuts Study finds wearable sensors can tell when you're getting sick Hospital Board Members Trained on Blues’ Dime Value-based Health Care: One Patient's Experience and What Really Matters Physicians and Plans Can Get Along ‘The Best Is Yet To Come' Managed Care for Affluent Elderly? Deathwatch for AHCPR Ends As Funding Mandate Changes A Conversation With Dee W. Edington, PhD: Changing Culture To Support Wellness A P&T Snapshot of the Nation’s Progress Against Cancer N.H. Governor Proposes Bill To Curb Rising HMO Complaints Hospital Costs Soar For 10 Procedures Where Society Failed, Can Health Plans Succeed? medical informatics Index of /archiveMC/9711 Has the Time Come for NCQA To Get Tough With HMOs? HealthIMPACT Midwest Mail Order Pharmacy Saves Money, Says PCMA, but at What Cost? Multibiomarker Test for Rheumatoid Arthritis Signals New Approach to Diagnosis The Nuka Way Ten Practical Pointers For Tracking HEDIS Data HIT Decisions Lie on the Horizon, But Savings Remain Elusive A pocket guide to conservative think tanks Amarin fish Oil drug shows dramatic results skeptics remain Clinical and Economic Effects of Coronary Restenosis After Percutaneous Coronary Intervention in a Managed Care Population Research Articles from Managed Care EDs Getting Ready To Step Into Value-based Payment Waters ‘Will Prudent Layperson Please Report to the ER' Technology Curtails Health Care Fraud A Conversation With Peter Lee: Quality Concerns Ensure Consumers Will Gain Clout Not so fast judge says about cvs's purchase aetna Headlines on Deadline… California: Where the premium dollar goes One cancer survivor's struggle chemo brain P4P: Transitional at Best CMO pay raises averaged 9.9% in 2004–2005 Evaporation of Retiree Benefits May Be Health Plan Opportunity Byte by Byte, Harvard Pilgrim Choked on Unhealthy IT Systems Alvimopan Hastens Recovery From Abdominal Surgery Guideline Clearinghouse Is Dead. Long Live the Guideline Clearinghouse? Scientists Treat Parkinson’s Disease With Brain Cell Transplants Peace of Mind Comes With a Price: The Battle Over Full-Body Scans Many Federal CER Projects Will Benefit Managed Care Nausea and Vomiting of Pregnancy: Cost Effective Pharmacologic Treatments Federally Negotiated Drug Prices Anticipated for Medicare Part D Kaiser’s EMR Push Pays Off Centene big medicaid managed care wants get even bigger Eyes on Medicare Program’s House Calls for Comorbid Patients Flight to Internet Implies HMOs Were ‘Last Big Thing' Medical Home Works For Group Health Index of /archives/0003 Index of /archiveMC/9808 Psychogenesis and Health Reform 2.0 Index of /archives/0004 Anti Cholesteremic Steven Peskin MD's blog July 1996 Meaningful Use: Tasty Carrot or Big, Brutal Stick? Trust Should Be Thrust of Managed Care System Where housing can make big difference it's data analytics Study: Brentuximab May Be Curative in Some Hodgkin’s Lymphoma Patients Picking Up the Ball That Congress Dropped Examining costs of chronic conditions in a Medicaid population Physician Credentialing Upheld As PacifiCare Retrenches, Is Sale Next? Health Plans and Medicare Step Up To Eliminate Costly Variation Hospitals Bristle as MedPAC Warns of Controversial Billing Initiative Let their fingers do the walking through the health care system Primary Care in U.S. Vs. 9 Other Countries Two out of Three HMO Members Live in Large Metropolitan Areas How Patient-Centered Medical Homes May Change U.S. Medicine Medicare Expansion Steps Into the Political Limelight How Health Plans Can Catalyze The Precision Medicine Revolution A Conversation with Suzanne F. Delbanco, PhD: Employers Enlist Health Plans In Campaign for Payment Reform Should Doctors Guarantee Results? Or, Whose Disease Is It, Anyway? FDA Ponders How To Regulate Next-Generation Sequencing Index of /archives/0003 What's New Is Old For Home-Health Agencies in U.S. A Conversation with Jeanne Scott: We Can't Avoid Tough Decisions Forever Anti-infection Push Seems Not to Work Lost in translation Popular content Colorectal Screening Called Inadequate Measuring Efficiency of Physician Practices Using Data Envelopment Analysis Employers Publish Guide on Prevention's Worth Double-digit increases continue for health benefits What's An E-Mail Consultation Worth? Predicting Alzheimer's combining blood test genetic screening May 2000 Contraceptive Coverage: Fertile Ground for Controversy Headlines On Deadline … Study shatters big myth about primary care compensation Index of /archiveMC/9808 Will Consumers Exercise Their New Power Wisely? Massachusetts Physicians Protest Trend to Profit-Driven Health Care Aiming at a Moving Target In Rheumatoid Arthritis FDA approves abuse deterrent extended release oxycodone naltrexone troxyca er pain management RSV Virology: Understanding RSV Seasonality and the Importance of Local Data Specialty societies tell members think twice about those tests Leapfrog Group Actions Will Be Felt Throughout the Health Care System John's jack linehan epstein becker green copay accumulators Patient Deaths Prompt FDA to Halt Trials of Cancer Drug Pacritinib February 2008 What Do You Do About ER Costs? Many Federal CER Projects Will Benefit Managed Care More consumers have choice of health plans, but is it enough to make HMOs responsive? Health Service Vendors Should Work Together as a Team Trisomy 21 DNA Test (MaterniT21) for Detecting Down Syndrome in the First Trimester Mental Health Parity: A Year Later, Are We There? ‘Hospital of Future' Rises in Birmingham Welcome to the Brave, New (Electronic) World, Doctor Can a Moose Inspire Leadership? utilization management December 2011 Improvement seen insurers claims response times What Do Physicians Want From Health Plans? Vol. 8, No. 6 June 1999 Prior Authorization for Safety, Not Just for Economy A Conversation with the Dartmouth Atlas Project’s Elliott Fisher, MD, MPH Surprise! Little difference between HMO, indemnity lengths of stay It’s Better To Light a Candle… High-deductible health plans favored by individual purchasers Beating Obesity Begins By Expanding Tort Reform To Cure Risk Aversion, Employers Eye Risk Adjustment Recently introduced generics helped PBM control its costs Give Us Defined Contribution, Say Workers in Survey Get ready democratic debates tonight and tomorrow night Too Many Books: How To Tell the Best Cooks? When Success Sours: PBMs Under Scrutiny When It Comes to New Drugs, If Providers and Payers Snooze, They Lose An Emergency Physician’s Complaint: ‘Your Patients Are Costing Me Money!’ Some Elderly Not Helped by Guidelines Bipartisan Bill Gains Momentum, Worries Industry 12 DM Trends You Should Know About Clinical decision support software can warn potential stroke TennCare Gets Higher Marks for Care Than for Administration and Funding FDA wants more closely monitor stem cell treatment industry How pharma companies manipulate orphan drug rule create monopolies Internet on Center Stage At Technology Conference Accrediting Agencies Turn Attention To Consumer-Directed Health Plans Drug Shortages in EDs Have Increased More Than 400% Prediabetes: Pre- Does Not Mean Preordained Index of /archives/0005 Researchers develop new drug delivery strategy pain relief Beware of the Drug Shortage Domino Effect Direct Contracting: Why It Hasn't Grown Death disease management finally Biologics Debate Heats Up Between FDA, NCCN In New York State, Employers Launch Quality Consortium Hammurabi's Managed Health Care — Circa 1700 B.C. Prompt-Payment Laws Don't Get to Heart of Matter Is Your Practice Overstaffed? Advancing Drug Trend Management in the Medical Benefit Alzheimer’s Affects Women Differently Budget Impact Analysis to Estimate the Cost Dynamics of Treating Refractory Gastroesophageal Reflux Disease With Radiofrequency Energy: a Payer Perspective Employer-backed insurance gets nonpartisan nod Cancer pill not taken costs insurers long run Persuade the HMO That a Contract Change You Propose Is Also In the Plan's Interest Making a Case for a Single-Payer System Taking the Lead for Accountability Relapsing Multiple Sclerosis Patients Can Look to Second Oral Agent Oncologists Plead For Fairer Drug Payments NCQA Takes Initial Steps To Examine Quality of PPOs Profitable Or Pointless? Maximize Your Conference Take-Away Node viewcount 6 HMOs make 1999 Sachs Honor Roll Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency Public spending on health care to accelerate Payer and Provider Collaborations that Improve Quality Outcomes in Oncology 80 percent of hospitalized kids prescribed off-label drugs Promising Results Reported for Pharmaceutical-Grade Biotin in Multiple Sclerosis Patients Study shows promise precision screening familial hypercholesterolemia Drug tier coverage differs by plan type Research Articles from Managed Care Disrupt yourself or be disrupted insurers role changing business model Health Reform and the Use of Financial Incentives in Wellness Programs New Drug Entresto for Heart Failure Drums Up a Lot of Enthusiasm PCS Can Be Had, Maybe for Less Than a Year Ago New phase 3 data shingles vaccine shingrix presented cdc advisory meeting The Weight Debate A Conversation with Jeanne Scott: We Can't Avoid Tough Decisions Forever Wendell Potter: Not-for-Profit Health Insurers Will Come to Dominate the Market Is managed care losing its coercive power? Compliance Planning's Better Than Fraud, Abuse Insurance September 2012 Getting More for Our Health Care Dollar Why drug prices will continue to roil the waters-and why Scott Gottlieb, MD, will be in the center of the action Doing the MACRA-ena: Will the celebrations continue in 2016? The new president of the American Pharmaceutical Association foresees greater cooperation between pharmacists, physicians, and health plans. Focus on the Patent Cliff To Maximize Generic Savings Medical Device Market To Hit $133 Billion by 2016 Anthem's Bid Latest in Blues Consolidation HIV: A Fragile Population Enters Managed Care PBMs Pumping Brakes on Autoimmune Drug Expenditures First treatment adult chronic rhinosinusitis nasal polyps Creativity Required Equally In Short Run and Long Run Predicting MCOs' Future By Learning From the Past Premium Hikes Slow As Plans Seek Members PPOs: Time for a reality check Improved Adherence Highlights Specialty Pharmacy’s Potential HIPAA Affects Docs' Response To Subpoenas for Medical Data Drug Pricing Regulation Pushed From Many Sides Beware of the Drug Shortage Domino Effect Index of /archiveMC/9808 Marino withdraws consideration us drug czar Medco, Consumers Union Face the Music and Dance Physician Board Certification Isn’t What It Used to Be Liver cancer drug lenvima succeeds phase 3 trial High-Deductible Health Plans See Less Emergency Room Use Catheter-Delivered Aortic Valve Avoids Major Invasive Surgery Computer-aided Multispectral Digital Analysis (MelaFind) for Assessing Atypical Skin Lesions Data Access Technology Puts Physicians Under Microscope Keeping Unemployed Covered In Managed Care’s Interest Health plans pay less when PBM owns mail-order pharmacy 5 Product Engineering Methods To Use in Health Care Management Is Selective Use of Palivizumab Appropriate in Premature Infants? Medical debt found to hinder access 2019 February Risk Pays Off Under HCFA's New Medicare Scheme Rise of the PHR Should Uncle Sam Insure Us All? Another PBM Sold As Express Scripts Buys Diversified Blogs Regulators Take More Interest In Role of PBMs in Health Care Scott gottlieb confirmed FDA commissioner 2005 HMOs' Delicate Balancing Act: The Art of Setting Copayments The Ongoing Evolution of Endpoints in Oncology Nurses Join the Executive Pool New monotherapy approved HCC patients Who’s Afraid of the Big, Bad Flu? 24 States Hope Pharmacy Plus Helps Medicaid HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously Some Plans May Prosper Despite Medicare Advantage Cuts Farewell, Dr. Solo Headlines On Deadline… Why I Am Optimistic A Modest, Not Satirical, Proposal For Assisted-Suicide Decisions New RFI Helps Employers Rank Plans, Push Quality Strengthening interviewing skills CMS puts positive spin on first-year results for Pioneer ACOs Hey, Big Spender! Why Does Your Quality Lag So Far Behind Other Countries? What makes a medical practice successful? July 2002 Praluent Cuts Cardiac Events, Deaths in High-Risk Patients Opioid Use Patterns and Health Care Resource Utilization in Patients Prescribed Opioid Therapy With and Without Constipation Privacy Legislation Is on Track; Could It Derail DM Programs? Under Azar and Boehler, CMMI Gets Its Groove Back Supplement Preparing your ACO downside risk success A Health Care Consumer Gender Gap Erenumab shows promise treatment chronic migraine Ready use rescue pen successfully treats hypoglycemia diabetes patients You've Got a Friend HMOs Defect From Medicare, Decry Drug Rider State legislatures spring ahead with restrictions on drug copay accumulators Electronic Medical Records: If Not Now, When? Primary care physicians' compensation better reflects productivity 2008 fairly good year seen health plans Report: Health Care Institutions Take Financial Hit From EHR Implementations Doctors Struggle With Medical Marijuana Knowledge Gap A Conversation with Jim Astuto: This Businessman Wants Quality You Can Measure Briefly Noted Can a Moose Inspire Leadership? Pharmacy Management Issues Proliferate Along With the Drugs Few Americans Use In-Store Clinics Indirect Costs: Asking plans to keep employees on the job Avaleres bentley snf care fundamentally changing because payment changes Headlines on Deadline… Immunotherapy for Advanced Prostate Cancer: A Novel Treatment Option to Improve Survival Hospital profit margins grow while length of stay decreases Study finds estrogen signaling impacts immune response across cancer types April 2005 Health care mergers and acquisitions decline in 1998 MANAGED CARE SEPTEMBER 2017 Association Health Plans High on Bush's '03 Agenda Gottlieb colleagues peter bach crew biologics are not natural monopolym Health Plans Walk a Clinical Tightrope When Treating Adolescents for Depression High tech drug packaging can boost patient compliance California Orders Drugs Restored To 6 Formularies National Mental Health Parity Bill Poised To Pass This Time Around Study: No Improvements With Losmapimod After Heart Attack Karl Brown’s Hardscrabble Roots Prepared Him for His Medicaid Mission Workers Fixated On Retirement, Not Health Care Tau Vaccine for Alzheimer’s Disease Enters Mid-Stage Trial Vol. 6, No. 11 November 1997 How much trouble does health care marketing cause? Orphan drugs to account for 19% of sales by 2020 Orphan drugs to account for 19% of sales by 2020 Hospitals may see plans their new confidant A Conversation With Lee N. Newcomer, MD, MHA: Payments With Purpose Nonaddictive, Nonsedating Pain Medication Shows Promise in Diabetic Neuropathy Attention to Detail Crucial in Designing A DM Program KP/Calif. Must Cover Viagra Trumpcare doesn't have votes needed pass Stark II: Division of Profits Comes Under Closer Scrutiny Vol. 8, No. 11 November 1999 Single and family enrollment in high-premium plans Meet Peter Thiel, the Billionaire Who Guides Trump on Health Care Appointments Insurers Slow to Adopt Social Media Practices More Doc Visits Good for Diabetics America’s Health Care Problems? The Solutions Exist. A Conversation with Mark D. Smith, MD, MBA New Therapy for Spinal Muscular Atrophy Offers Modest Bang for Pharmaceutical Buck Index of /archiveMC/9711 Managed Care Again Seen on Capitol Hill As Ripe for Reform Research Articles from Managed Care Wellness programs: no longer just an add-on Money isn't everything “White-bagging” creates difficulties for providers and patients Health Plans Seem Supportive of Depression-Screening Push Chiropractor-Directed Care Could Boost Costs by 30% Will managed care mimic fee-for-service? Three Groups Say They'll Coordinate Accreditations 3 Social Determinants Strategies A Conversation With Emad Rizk, MD: Disease Management Beyond the Call Center Premiums increase only little next year besieged resilient obamacare First discovery us colistin resistance human e-coli infection AMCP Seeks an End to 20 Years of Confusion Over FDAMA Section 114 A Conversation With Bruce Bagley, MD: Doctors, Too, Must Embrace Data Reporting and Analysis Second biosimilar humira receives FDA approval Compensation, patient-care time vary widely by practice size March 1998 OIG Approves ‘Safe Harbors' For Ambulatory Surgery Centers Amazon, berkshire, hathaway and jp morgan chase project Health Care Resource Utilization and Costs Associated with Restless Legs Syndrome Among Managed Care Enrollees Treated With Dopamine Agonists Medical Home Is Common Ground for BCBS/NC and Provider Group Legislation and regulation FDA accepts Application als Drug edaravone Can Amylin Analogue Lead To Better Diabetes Control? Newly Hired Auto Workers Will Test ‘Try It, You'll Like It' Intro to HMOs Worker Wariness Stifles Telehealth’s Acceptance Despite the Reform Law, Don’t Write Off Single Payer Cover Story December 2012 Health Care Utilization & Costs For Cystic Fibrosis Patients with Pulmonary Infections Distributors Offer New Beginning To Medication Management Therapy Imaging Agents That Identify Alzheimer’s Disease on the Way COBRA's prohibitive costs prevent access to pharmacy Employer health costs rise only 3% for 1997 JCAHO Agrees To Observe CARF Accreditations Headlines On Deadline… Medicare proposes first mandatory bundled payments cardiac care PDP drug costs are higher than employer plans Research Articles from Managed Care What Do We Mean By ‘Patient Engagement'? Hospital use powerful antibiotics rise Contact capitation and its cousins US judge invalidates allergan patents restasis Twilight for Fee for Service? Telehealth Business: Boom Times, but Profits May Wait JAMA Study Challenges Key HEDIS Diabetes Measure Giving More Than a Nod To the Wave of the Future NCQA Delays Standards for Behavioral Care Generic viagra tablets now available us Mobile app helps patients opioid use disorder remain recovery Medicare Spending Dips For First Time ‘Population-Based,’ Meet ‘Patient-Centered’ FDA Gives Breakthrough Therapy Status to MDMA-Assisted Psychotherapy for PTSD New Study Suggests Older Stent Better Than New Persistence Key In Blues Battle Against Fraud Wearing Black Hats … Again Clinical Brief: A Single Tablet to Help Manage Patients With Hypertension and Other Cardiovascular Risk Factors Could a Wal-Mart PBM Succeed? September 2011 Advances in HIV/AIDS Care Require Hard Choices Research Articles from Managed Care Where physician executives can expect the best pay Hospitalists Make It Look Easy Assessing clinical outcomes and cost transforming dyslipidemia management Zika linked birth defects more extensive than previously thought – UCLA-led research finds Will therapeutic interchange be put limits states? Health Reform Debate Overlooks Physician-Patient Dynamic A Conversation with Lee N. Newcomer, M.D.: Out of the Frying Pan Onto the Cutting Edge Headlines On Deadline… Potential zika virus risk estimated 50 US cities The Amazon / Berkshire / JPMorgan heath care company: Why this is a big deal—and why it’s not. New Agents Regulating Tyrosine Kinase Can Be Used Against Several Cancers Is There a Doctor in the House? With More Enthusiasm Than Money, Brailer Pushes Nationwide EMR System Pharmacist care idea whose time still coming Medicaid fees rise, but still below Medicare Could QALYs Help in Assessing High-Priced Cancer Treatments? SDOH Spenders Spawn SDOH Vendors Physician Financial Incentives: Another UM Tool Bites the Dust Cost Differences Between Open and Minimally Invasive Surgery ‘New’ Health Care Organizations Will Truly Manage Care Is Home Infusion Ready for Prime Time? Hospitals give payers low marks on image, reputation Texas Case Tests Whether HMOs Can Be Sued Making Pharmacoeconomics In Formulary Development a Reality Kaiser permanente goes all out provide access wellness Medicaid HMO enrollment up PBM Industry Today: Who's Managing Drug Costs? Funding Up for Grabs in Medicare Advantage Vol. 9, No. 6 June 2000 Specialized support programs increase treatment adherence, reducing relapses for multiple sclerosis patients Supreme court hears ACA risk corridor case Tilt of Senate to Democrats Speeded Debate on Patients' Rights Massive Databases Under Construction Doc Execs Give Consumer Ratings Sites an ‘F’ The Big Contradiction At Managed Care's Heart Four one pill cuts heart and stroke risks Cancer Immunotherapies–and Their Cost–Take Center Stage at ASCO's 2015 Annual Meeting Experts Launch Antibiotic Stewardship Playbook 1 Carrot Replaces Another, And So It Shall Always Be Three Principles for Improving Health Care Delivery Consumer-Oriented Health Plan Measures Drag in Congress, Get Push from Clinton 3 ACA taxes slated repeal spending bill Mixed Results Reported for Venetoclax (Venclexta) in AML Patients Genetic Testing: Major Opportunity, Major Problems Managed Care Trends in Statin Usage Advance of Technology Still Seen as System's Savior Oncologists: FDA needs to speed up approval of cancer-fighting drugs The 2016 election season: Democrats to play D while GOP devises a game plan High Administrative Costs and Low Enrollment Led To the Demise of Startup Insurer Crystal Run Old Saying Appropriate For Current Environment Why Market Competition Will Not Mend Our Health Care System How Managed Care Affects the Malpractice Liability Problem Making Accountability Key in Health Care Patients’ and physicians’ satisfaction with a pharmacist managed anticoagulation clinic A Conversation with Lucian Leape, M.D.: Moving Beyond A Punitive Mind-Set Rise in employer-based coverage spurs drop in ranks of uninsured Do You Always Make Sure Patients Get Test Results? Diabetes Disease Management in a Community-Based Setting Recently-Approved Sapropterin Reduces Phenylalanine Levels Commercial insurers saying ‘no' to hospitals more often Avoid Drug-Marketing Traps Purchasers to Insurers: Standardize Your ACO Measures Engaged Consumers’ Decisions Help Aetna’s CDHP Program Save Consensus Eludes Medicare Commission As Deadline for Recommendations Nears Who Is For and Against the Latest PPACA Repeal Bill Half of Americans could be obese by 2030 If congress won't salvage reinsurance state waivers may offer workaround May 2011 Anti-infection Push Seems Not to Work Demystifying Pathways in Oncology Embattled Theranos Voids Two Years of Blood Test Results Doctors claim have effective new treatment deadly sepsis Providers lag in ICD-10 readiness Gaucher’s Disease Treatment Option Rides on Carrot Cells’ Biologic Power FDA advisors recommend approval oxycodone naltrexone extended release capsules How to Dramatically Decrease Your MCO’s Rx Coverage Costs Patients Slammed With Huge Ambulance Costs Because Insurers, Ambulance Companies Can’t Negotiate Contracts CDC eyes zika link guillain barre syndrome puerto rico Research Articles from Managed Care Incretin hormones poised better control diabetes Insurers Expand Usefulness of Oncology Pathway Efforts More Will Be Expected of Pharmacists Amazon making moves disrupt health care industry October 2006 Keytruda Crosses First-Line Finish Line First Sticker shock waves: Players to respond to drug priciness Nucific Bio X4 ➤ Test, rating, side effects【2024】 Blood Clots Dent Hopes for Hemophilia Drug Emicizumab FDA won't approve ataluren PTC therapeutics appeal A Conversation With Bruce Bagley, MD: Doctors, Too, Must Embrace Data Reporting and Analysis Evolution of TennCare Yields Valuable Lessons Reform Bill's OK Prompts Clashes, Dire Predictions Aimovig for Migraine Prevention: The New Kid May Have Trouble Fitting In U.S. Women's Health: Not So Great FDA Approves Hypertension Drug Byvalson (Nebivolol/Valsartan) Briefly Noted House passes drug price negotiating bill Index of /archiveMC/9711 Just What Causes Health Care Inflation? Consumer-Directed Plans Begin Measuring Patient Satisfaction May 2015 Keep Peace in Your Practice A Conversation with Rodney G. Hood, M.D.: Fighting Invisible Barriers To Equitable Health Care Federal and State Governments Pressed to Give Tax Breaks For Wellness Initiatives Gives Some Pause About Checkpoint Inhibitors: Possible Link to Type 1 Diabetes A Conversation with Rodney G. Hood, M.D. Some insurers ACA exchanges plan hike premiums 30 Tennessee Gives Medicaid Program New Lease on Life Doc Data Oversight Crucial for Medicaid Small businesses use aggressive tactics to keep benefit costs down NCQA Launches Effort To Accredit DM Programs Prescription Drug Talk Cooled Off Faster Than a Texas Thunderstorm Some State Medicaid Programs Still Block or Limit Hep C Drugs Put away that carrot and stick New glucose monitoring system lets patients avoid fingerstick Hospitals dangerous workers health George J. Isham, MD: In Best of All Possible Worlds Health Care Acts on IOM Report Health care management companys experience palivizumab Medicare Commission Punts After It Agrees Only to Disagree Headlines On Deadline … Inpatient Rehab Facilities Benefit Post-Stroke Care After Viagra Fuss, Women's Groups Say ‘Help Us, Too' Mental Health Parity Gets Closer to Reality Would IRP Make Plans Chirp Over Savings? Beating Obesity Begins By Expanding Tort Reform 4 Ways Hospitals Can Use Their Pharmacies To Cut Costs, Improve Care SNFs Need Real-Time Data HMOs Have Stake in Quelling Anger at Drug Store Counters EMR or EHR? More emphasis wellness Go Carefully When Measuring Quality NCQA Rankings Give Edge to Not-For-Profit Insurers The Department of Managed Care To Cure Risk Aversion, Employers Eye Risk Adjustment Medical groups can receive 2% bonus from CMS Will Integrity of HEDIS Data Improve with '98 Version? Payers Struggle to Ensure High Level of Adherence to Costly Specialty Drugs High-Tech Imaging Used Increasingly Occupy the OR Court bans manufacturing drugs alabama company Value based insurance design might help medicare cut costs Medication Therapy Management — Not Just for Seniors Anymore how special are specialty drugs if they are most drug spending Monoclonal Antibody Now Available to Prevent Red Blood Cell Breakdown Does the Doctor-Patient Relationship Mean More to Doctors than Patients? HMOs, employers happier with their PBMs Mergers may stifle ma competition 9807 Some Quick Facts About Seema Verma, Nominated to Head CMS Despite Kaiser Settlement Guidelines on Web Unlikely American Nurses Association Artificial Disc Now Available, But Is It Better Than Other Therapies? Employer-based coverage makes gains, while gaining confidence of Americans FDA Accepts Application for Extended-Release Oxycodone (Remoxy) Wellness How plans manage pharmacy costs An Evidence-Based Approach To Care Depends on All Parties — Physicians Included Long-Term Safety Data Support Use of Bronchial Thermoplasty HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously Don’t Overlook Importance of Pharm Benefits in CDHPs PDP drug costs are higher than employer plans Orphan Disease Gains Second Treatment Option Zetia study keeps PCSK9s on approval course Biologics among fastest growers ‘I want what I want, or I'm outta here' Kids’ health coverage a continuing bright spot Segal sees little change in plan cost trends Providers enlisted to curtail waste Molina Watches the Kids While Mom Gets Examined Primary care physicians absorb managed care's impact Vol. 7, No. 7 July 1998 Physicians want to fit in Employers, HMOs weigh in on PBM satisfaction Health Plans Slow To Adopt Outpatient Prospective Payment Program Lets Patients Rate Doctors Online Health Care Reform Fails If Public Won’t Stay the Course Why Is It So Tough to Deliver On E-Prescribing’s Promise? How blockchain has strange bedfellows singing kumbaya Sagging Fortunes Cited in Departure Of Humana's CEO Harden Hearts Nivolumab (Opdivo) Flunks Lung Cancer Trial New Imaging Controls Strict, But May Be Easier on Doctors AHIP’s Karen Ignagni: Health Insurers Will Continue to Innovate Docs Still Prefer Volume Over Value Health Care Needs To Catch Up Which grows faster: grass or compensation? JCAHO Agrees To Observe CARF Accreditations Exploring spectrum cardiovascular care Readers Believe Biosimilars Will Be Effective Against Costs It's Time for CMS to Release Physician Medicare Claim Information Survey: Workers Not Guided When Choosing Care FDA authorizes new type test drug Why marijuana is headed for the mainstream Justice department announces largest takedown health care scammers Can Consolidation Work In Favor of Improved Care? Texas Bill Would Let Ob/Gyns Be Primary Care Physicians HMO profits up, but at a much slower rate They Wrote the Book On Fixing the System Boston scientific receives approval vercise deep brain stimulation system Primary care gains over 3 years Costs of biologics for inflammatory conditions vary Physicians' real income continues to fall Specialty Agents With Expedited Approval May Fuel 2015 Pharmacy Costs Today’s technology can facilitate collaborative network management Pharmaceuticals Humana Thinks Premium Cap Sets Plan Apart Healthcare IT Costs in 2015 Rose to $32,500 per Physician Are New Liability Caps Working? FDA fast tracks drug rare autoimmune lung disorder MD Anderson's Hahn Tapped for FDA Commissioner Post Pharmacist employment outlook rosy Viagra linked reduced heart attack risk and improved heart attack survival Alzheimer’s drug costs likely to rise as boomers age Too much variety in pay-for-performance programs? Too Early To Write Obituary For Patients' Bill of Rights Drug approved treat duchenne muscular dystrophy Hospitalists Are Changing Care Both in And Outside the Hospital Physicians Must Create Their Own HMOs Molina Healthcare Investigates Possible Theft of Patient Information Medical devices works would tackle obesity new ways Physician Practices Hiring Care Coordinators Medicare's P4P Program Under Fire Before It Has Begun Convenience comes Health care Employers Starting To Hold HMOs Accountable for Quality Headlines On Deadline… Managed Medicare's Rapid Expansion Vol. 9, No. 9 September 2000 ISSUE JANUARY 2018 4 Steps to Boost Your Medicare Star Ratings and Retain Your Customers Drug interactions plague elderly cancer patients Choking Off a Tumor's Blood Supply Semaglutide posts promising results phase 3a diabetes trial Statin Therapy: More Than Meets the Eye? INSIGHTS FROM AN OUTCOMES RESEARCHER What Makes Harvard Pilgrim So Good? How blockchain has strange bedfellows singing kumbaya ACP's split decision we're favor single payer or maybe public option The app as a remedy for health care’s inbetweenies HPV Vaccine Study Allays Concerns New hope for newborns with rare deforming disease Defined Contribution: Threat… or Fad? Health Care Resource Use and Costs Pre- and Post-Treatment Initiation With Linaclotide: Retrospective Analyses of a U.S. Insured Population You Will Live Healthily! The Right Way To Apply Noncompete Provisions Companies Search For Ways To Pass Costs on to Employees Plans Confident They Can Handle Exchanges Docs distrust ‘pay for performance' DC maryland blues plans come together Omidria intraocular solution receives approval use pediatric patients Health Care Resource Use and Costs Pre- and Post-Treatment Initiation With Linaclotide: Retrospective Analyses of a U.S. Insured Population February 2016 Headlines on Deadline… HCFA: Medicaid Must Now Cover Growth Hormone Adherence to statin therapy saves $944 over 18 months Fix medicare it bankrupts country Massachusetts physicians protest trend profit driven health care Medicare Fraud Initiative Makes Strange Bedfellows Prying Eyes Push Against Boundary of Medical Privacy PPOs continue to make enrollment gains Battlefield invention stop blood loss could save lives civilian trauma cases McAllen Texas, Revisited: BCBS Saves More Than Medicare PPOs: A Better Brand of Managed Care? When Value Is in the Eye Of the Patient ‘Broken’ American Health Care: Good People, Bad System, and The Health Powers of the Disruptors New Drug Application Submitted for Once-Daily Baricitinib for RA Patients Public policy CMS hybrid payment system shows promise Employers' Stock in Wellness Rises With No End in Sight Most HSA/HDHPs Cover Preventive Treatment on a First-Dollar Basis Direct Contracting: Why It Hasn't Grown Headlines At Deadline… Index of /archives/0003 Headlines On Deadline … Gum Control: Should the Medical Benefit Cover Some Dental Services? Insurers Find Small Gains In Weight Control With Belviq Can Insurer, Oncology Practice Really Work Together? States Defy Federal Directive Requiring Medicaid To Cover Viagra Plans Don’t Applaud Healthy Americans Act Families Often Miss Out On Free Care for Children ERISA Proposes Using TPAs Now Might Be the Right Time To Kill Hospital Value-based Purchasing Program More red ink black Employers more willing to pass benefit costs along Real Story in CalPERS Talks Lies Beyond the Headlines Neck and Neck and Neck and Neck: 4 Contenders Similar on Health Care Blues, AMA Offer Guide for Peace to Docs, HMOs Telehealth calling will health care system have answers Management Partnerships (‘ACO Enablers’) Are Pervasive Part of ACOs Will New Benefit Design Harm Some Patients? Following the Leaders Headlines on Deadline… Will Merger Talks Be the Next Step For Group Health and Kaiser Permanente? Anticholinergic drugs may increase dementia risk Payers: Expect to feel a double-team pinch NCQA: Member satisfaction and clinical quality related smoking CDC begins provide resources workplace wellness programs 75 nation's hospitals lack palliative care teams Could QALYs Help in Assessing High-Priced Cancer Treatments? FDA approves yescarta first car t cell therapy lymphoma A Conversation with Paul Fronstin, PhD: Current Crop of Consumer-Directed Plans More ‘Lite' Than ‘Heavy' data management Specialized Biomarkers Aid in Tumor Cell Imaging How Rebates, Copayments, and Administration Costs Affect the Cost-effectiveness of Osteoporosis Therapies Necessity of Payment Reform May Mother Big Data Into Being FDA approves symdeko treat underlying cause cystic fibrosis certain patients PPO Performance Hard To Gauge; Comparisons to HMOs Not Reliable Pay scales suggest mom was right Managed Care Prepares For the Worst Index of /archiveMC/9711 Elderly Achieve Better Health When Reporting Vital Signs on Web Value based care gets chance be present creation 1 Carrot Replaces Another, And So It Shall Always Be Novel Devices for Delivering Diabetes Medications: Their Value and Some Coverage Considerations The Problem With Our Health Care Cost Crisis? Hint: It Has Nothing to Do With Providers Are Health Plans Responding To Primary Care Shortage? New Diabetes Medications Drive Up Costs And Stymie Formulary Design E-Health Gives Kaiser Role In Bioterror Fight Index of /archives/0005 Employers Move Into Primary Care Go West, young pharmacist Will Biomarkers Be Next Leap Forward in RA? Cost-Sharing Effects on Adherence and Persistence For Second-Generation Antipsychotics In Commercially Insured Patients Blues Plan Helps Practices Get Up to Speed for PCMHs More Young Adults Using Sleep Aids HPV Vaccine Goes Underused New drug approved relapsing forms multiple sclerosis adults Autopsy Reveals Patient Rights Legislation May Have Been Dead for Several Months Headlines On Deadline … Some PCPs Are Worried Sick About Patients Health Plans by Design, Not by Default HMO Liability Battleground Moving to Courts, Statehouse Vision Plans Hope to Gain Access To State Insurance Exchanges Virtual vs. Actual Networks Who’s Tackling Rampant Overutilization? Health Plans! https://www.managedcaremag.com/linkout/2013/4/13 New Feature Focuses on Biotechnology Issues Accountable care organiszations get different look olde england Employers Show New Interest In Private Insurance Exchanges Medicare to cut physician pay — maybe Malarial Organisms Traced to Age of Dinosaurs Will Bigger Mean Better As AAHP, HIAA Merge? CBO Report: Nongroup market will be stable, younger, & healthier under the AHCA. The flip side: older, sicker people may be priced out. August 2007 Predictive Modeling & Genomics: Marriage of Promise and Risk Premiums Shrink Under Reform Plan Headlines On Deadline… When Falling in Love Falls Out of Bounds Risk factors identified patient patient transmission resistant bacteria Some generics cost more brand drugs medicare beneficiaries Congress mulls major drug pricing proposals ‘Prenuptial' Planning for Your Next Managed Care Contract China Gears Up to Approve Its First Drug for Advanced Colon Cancer ISSUE APRIL 2018 E-cigarette policy making should e-cigarettes use be reasonable alternative A Conversation With Jonathan Weiner, DrPH: Mixing Population-Based Care With Market Controls Study: Full Medication Adherence Reduces Costs in CVD Patients Mental Disorders In Children Soar HMO members happier than those in POS plans Small Hospitals Face Heavy Weather Eleven insurers want share their telemedicine data CBO Index of /archiveMC/9711 N.H. Plan Covers Uninsured, Taps Small Businesses Medicare holds down physician pay An App a Day Anthem offers money educated consumers Briefly Noted Anti inflammatory drugs may help depression The Elusive Culture of Health Our Readers Pummel Managed Health Care HEDIS Performance: Routine reporting drives improvement As managed care control loosens, hospital costs outpace pharmacy Can Administration Find Cure For Medicare+Choice Ills? An Evaluation of Healing Metrics Associated With Commonly Used Advanced Wound Care Products For the Treatment of Chronic Diabetic Foot Ulcers Physician retention programs gain acceptance Index of /archiveMC/9704 The Role of Proteomic Testing in Improving Prognosis And Care Planning Quality Measures for Lung Cancer Don’t Get Caught By PBMs’ MAC Mousetraps Tufts Offers Its Workers Short Commute to Care Modified HIPAA Privacy Rule Affects Research, Marketing, Security Health Service Vendors Should Work Together as a Team Headlines on Deadline … A Sound Proposal, But Look at the Implications ICD-10 Delayed For Two Years As Premium Hikes Slow, Some Brace for Famine The Uberization of American Health Care: Why We Need a Disruptive Model How To Combat Pharma’s Costly Coupon Programs Higher salaries go to clinical executives who hold business degrees (except MPH) Providers health care trenches use design thinking spur innovation Headlines On Deadline … Most Popular Trump meet vaping industry reps More Docs, Hospitals Get EHR Payments Pharmacists Can Be Crucial To Medical Home Reducing Therapeutic Duplication Successful at the Dispensing Level FDA expands invokamet label include first line treatment adults type 2 diabetes HHS Seems To Soften Hard Line on Kickbacks Free Statins Disrupt Pharmacy Benefit Plans What HMOs, insurers review when predicting health care costs Managed Care's Prospects in the Health Reform Era Survey obamacare changes favored 2-1 health care leaders over repeal and replace Ohio struggles to rescue managed Medicaid program Minnesota Blues To Keep Proceeds From Tobacco Suit Vol. 5, No. 8 August 1996 IOM Opens Eyes On Medical Errors; Support Promised What's Good for the VHA Is Not So Good for Medicare Should physicians dispense drugs? Physician Practices Hiring Care Coordinators Segal sees little change in plan cost trends August 2015 Arizona's High Court Says UR Denials Are Medical, Not Insurance, Decisions Managed Medicaid Business Might Be Worth the Difficulties Medical costs, utilization rates decline again Does Your Managed Medicare Plan Have Enough Geriatricians? Should Physician Entrepreneurs Be Held to Professional Standards? Bringing Guidelines Into the Real World FDA approves nerlynx reduce risk breast cancer returning Combating the coming physician shortage Index of /archives/0001 A Barber, a Professor, and an Entrepreneur Walk into a Room: Health Equity and the Strength of Weak Ties Provider-administered drugs move to specialty pharmacy benefit Lynparza improves progression free survival pancreatic cancer patients Buy Health Insurance Like Car Insurance? Login Disease burden most common autoimmune diseases Which grows faster: grass or compensation? July 2004 More Data in Health Care Will Enable Predictive Modeling Advances FDA expands use prevnar 13 pneumonia vaccine Victoza wins FDA indication reduce risk 3 cardiovascular events Matthew Holt: Internet Pundit Thrives on the Biggest Issues Tuning in to Telemedicine nutrition science Novartis may face criminal charges over alleged data manipulation June 2000 Not-for-Profit Group of Plans Goes After Medicine's Holy Grail What If? For Narrow Networks, Fresh Scrutiny: Can They Pass the Adequacy Test? Keep Benefit Summaries Simple What Are Gut Bacteria Doing in Critically Ill Lungs? Insurers Can Help Advance Pediatric Cancer Research New service links distant hmos covering far flung employees Ups and Downs at ASCO 2014 Ryan Floats Tax Credits, Other Plans as ACA Alternative All insurers face similar spending growth Managed care makes room for the elderly and the poor CMS Plans to Ban Theranos Founder From Blood-Testing Business ‘Doctors take oaths, lawyers take money' Ohio Medical Group Hacked, More Than 100,000 Documents Stolen Excess weight gain and elevated blood sugar pregnancy imprint childhood obesity Tracking Disparities in Care October 1998 Fewer Recurrent Infections of C. difficile Seen With Fidaxomicin One Physician's System For Reporting Test Results Savvy Patients Could Drive Costs Up Physician-owned practices benefit from diverse mix of specialists Community-Based Research: Not Just for Pharmaceuticals Meaningful Use: Tasty Carrot or Big, Brutal Stick? workplace health AMAP in Limbo; When Will Quality Really Catch Fire? Do You Always Make Sure Patients Get Test Results? Demand's cool for primary care physicians Research Articles from Managed Care Physician incomes rise in academia New Wheelchair Design Improves Maneuverability Cut Pharmaceutical Costs, But Mind the Legal Dangers August 2001 Jill R. Horwitz, JD, PhD: Workplace Wellness Programs Shift Costs to Unhealthy Workers Where’s Atul? Gawande Pulls Out From Giving HIMSS Keynote Address Are Gatekeepers Failing To Control Specialty Costs? Don't forget take care vet Preventive Care: Can We Do a Better Job? FDA says no new indication ezetimibe zetia and ezetimibe simvastatin vytorin FDA grants priority review copanlisib treatment follicular lymphoma ICD-10 Code Change Is Long Overdue Alan T. Wright, MD: He Wants AdvancePCS to Manage More Than Drugs How Plans Do–and Don't– Reward the ‘Best' Physicians On or off track? 2016 could be the year that value-based payment arrives – or maybe not Study: Push for CDHPs Runs Low on Information Vol. 5, No. 7 July 1996 Plans continue to raise copayments Consumer-Directed Plans Fall Short of Expectation Specialist Pharmacists Make Adherence Matter The Formulary Files Gain the ‘Quality' Edge In Competing for Contracts Technology's Good and Ill Effects FDA approves first implant treat opioid addiction Alirocumab praluent succeeds cholesterol study Are Gatekeepers Failing To Control Specialty Costs? Headlines on Deadline… Take as Needed… Bad Tiered Formulary Designs Yield Poor Outcomes, High Cost DAY BY DAY, PHYSICIAN STRIKES BECOME LESS ‘UNTHINKABLE' Well being and next industrial revolution Microcircuit Devices Deliver Considerable Relief From Chronic Pain Down but Not Out, California Again Watched by Industry Backlash against copay accumulators Index of /archives/0005 Why Workers Choose CDHPs: Matter of Dollars and Sense Following Great Britain's Lead on EMR and (Maybe) OTC Statins Emerging Insights About Measuring Disease Management Outcomes Liver cancer detection test gets breakthrough device status 2019 Editorial Calendar HMOs and Alternative Medicine Team makes zika drug breakthrough Dangerous drug interactions, pharmaceutical care are twin thrusts of National Pharmacy Week How's Your Office Manager Doing? Don't Let Question Just Hang There Health insurance premiums show smallest hike in recent history Plan-Physician Cooperation: A Few Small Steps on the Road patient empowerment Fixed-Dose Triple-Combination Treatments In the Management of Hypertension FDA panel backs diabetes combo iglarlixi Health management HCFA Predicts Health Spending To Double by 2007 Headlines on Deadline… With Workplace Clinics, What’s Old Is New Cost-Effectiveness Analysis of Monitoring Fractional Exhaled Nitric Oxide (FeNO) in the Management of Asthma Laws Governing Peer Immunity, Physician Credentialing Upheld What's in Store for Physicians When a Market Enters Phase III Shelter from the health care storm Cross-Border Traffic Highlights Differences in U.S., Canadian Systems BACE Inhibitor Receives FDA Fast-Track Designation for Early Alzheimer's Disease Company Prepares to Submit Cannabis-Based Epilepsy Treatment to FDA Geisinger's Embedded Nurses Improve Transitions FDA Panel Likes New Treatment for Idiopathic Pulmonary Fibrosis Can self management programs ease chronic conditions Managed Care (and Everyone Else) Unprepared for the Next Killer Flu Fearful After Enactment of ACA, Brokers Find New Opportunities Where's the Beef? Despite Predictions, Premiums Advance Only 3.3 Percent Aetna Joins With Providers In Private-Label Health Plans More cost-shifting in the pharmacy benefit: Copayments at new highs, while 3-tier formularies spread FDA rejects Merck's application to add heart data on diabetes drug Building a ‘Terribly Smart’ Doc: A Conversation with David Eddy, MD, PhD One quarter us health care spending seen waste Value-Based Tools NCQA Delays Standards for Behavioral Care Comprehensive Management Of Depression Arrives Slowly Income expectations are rising for primary care physicians States Defy Federal Directive Requiring Medicaid To Cover Viagra Will a Gift From Congress Rebuild Public Confidence? Medical Homes Prepare the Way For Accountable Care Organizations Malpractice premiums constitute small component of expenses Managed Care News Archive Compliance With Antithrombotic Guidelines: Current Practice, Barriers, and Strategies For Improvement Forecast: Stormy Weather It’s Team Trump. But the Players Are From Think Tanks, Many With Koch Brother Roots Hundreds died while taking ra drug actemra nobody warned patients How to Save a Bundle on Hospital Readmissions More antibiotics prescribed over the phone Who Defines an Emergency? Laymen, Says Georgia Law Clinical Decision Support On Slow Road to Adoption Companies Seek Guidance As Payment Options Increase Theranos CEO Banned From Operating Lab for Two Years PhyCor-MedPartners Merger Falls Through; MedPartners CEO Resigns After Stock Crash Renewing calls better cost profiling providers conversation ateev mehrotra md mph Trump Administration Still Plans to Scrap Parts of PPACA, HHS Secretary Says Employers, HMOs weigh in on PBM satisfaction Is Home Infusion Ready for Prime Time? Headlines on Deadline… Bailing Out of Medicaid Managed Care Programs How to Contact Us John Eisenberg, AHRQ's Chief, Dies March 10 Diabetes grows at an alarming pace Value-Based Health Care in Limbo The taming of cardiovascular disease: Less deadly but could be even more so Antidepressant pipeline far from depressed Humana Readies New Online Assessment Tool Device Allows Doctors to See Inside the Small Intestine PBMS put under microscope How Managed Care Affects the Malpractice Liability Problem Consumer-Directed Health Pains Major legislative reform not in store for 2004 Medicare P4P falling short on bonuses Stark II Makes It Easier To Terminate Bad Contracts New Anticoagulant Fights for Credibility Administrators Could Be Liable Under Patients' Bill of Rights Small Employers in Louisiana Put Teeth In Health Care Purchasing Expanded medicaid helps mental health Breast Cancer Screening: Some Plans Do Better Than Others What's behind increases in pharmaceutical spending? Employers plan push wellness programs more Physician salaries outpace production in 2006 Seeking Headquarters Quality In a Branch-Office Town Research Articles from Managed Care Cost Comparison of Immediate One-Stage And Tissue-Expander Breast Reconstructions After Mastectomy in Commercially Insured Patients Venture capital throws dough could fix health care woe FDA approves diabetes sensing system Is Home Infusion Ready for Prime Time? Wellness programs grow meet challenge Outcomes based incentives What Can Caregivers Do For the Self-Destructive? Debate Over Biologics Heats Up in Congress Cutting the Cost of Complex Conditions: It Pays To Be All In Russia Claims to Have “Effective” Ebola Vaccine Episode-of-Care Payment Creates Clinical Advantages Pfizer Quietly Raises Drug Prices MelaFind Improves Chances for Accurate Melanoma Diagnosis Parsimonious Care, in the Best Sense Avoid Common Problems In Risk-Sharing Contracts Drug prices on the rise as coverage gap looms Blogs FDA Requests Removal of Opana ER for Risks Related to Abuse Headlines On Deadline… Mortality rates drop cardiac arrest Disease Management Articles on This Site FDA Staff Says Long-Acting Oxycodone (Troxyca ER) Can Be Manipulated for Abuse Pharmacy cost increases below medical for the first time in four years Index of /archiveMC/9711 Self-Referral Persists Despite Stark II Law Would Healthy People 2000 Record Have Been Worse Without HMOS? Fewer die from heart failure in hospitals and nursing homes Implementing Medicare Part D Could Get Ugly Subscription Options for Managed Care For First Time Since ’07, Fewer CDHPs Offered First Subject Receives Experimental Hypertension Treatment Nonphysician Groups Push To Expand Scope of Practice HMOs should prepare now get handle injectables Drug Shortages in EDs Have Increased More Than 400% So … Why Aren't Health Plans Using the Data Bank, Anyway? Meet the Consumer-Directed HMO Index of /archives/0004 United reports strong financial results 2019 Medicare HMO Quit Rate Tied To Drug Benefit Index of /archives/0001 TennCare's Chief Says Fraud Threatens To Sink Program Providers warming up to mobile health devices Abandonment of capitation may inflate MCOs' costs AMA applauds claim processing improvement Managed Care Reform: How Texas Pulled Off What Washington Can't Long term study supports safety asthma drug mepolizumab nucala Specialty Pharmacy Management Will Become More Intense Looking Beyond Washington And Finding Much to Discuss GENETIC MEDICINE: Powerful Opportunities For Good and Greed FDA warns about general anesthesia and sedation young or pregnant Now Is the Time for Pharmacy Performance Incentives The Growing Appeal of On-the-job Health Care Doc Buy-In Needed For EHR Push Headlines On Deadline… AWP Reimbursement Ruling May Be More Than Meets Eye Is Sex Medically Necessary? Who Should Pay for Viagra? Genetic testing gone wild Bladder cancer drug apaziquone qapzola not effective FDA panel says Insurer’s Obesity Program In N.C. Reduces Medical Cost Index of /archives/0004 Inpatient Rehab Facilities Benefit Post-Stroke Care Internet revolution not yet impressing most physicians Headlines on Deadline … Profusion of Health Care Laws Creates Compliance Problems for Health Plans CMS tightens oversight medicaid demonstration project costs Making Guidelines Effective Takes More Than a Memo Making the Patient Voice Matter In Value Assessment Underused Weapon In the War on Addiction FDA ftc target unproven opioid addiction treatments FDA panel recommends approval breast cancer drug nerlynx despite modest benefit Hospital Software Often Doesn’t Flag Unsafe Drug Prescriptions Sox Selected To Edit ACP-ASIM Journal Annals Headlines On Deadline… How Health Plans Can Catalyze The Precision Medicine Revolution Smart Card A Great Idea, But When? Spend Money on Healthy People! Should Benefit to Individuals Outweigh Good for Groups? New California Privacy Law Seen as Major Threat to DM How a ‘Waste-Free Formulary' Misses What's Most Important to Employers First Bioengineered Blood Vessels Used in Phase 3 Clinical Trial Briefly Noted Hospitals, Health Plans and Employers Unite to Reduce Cesarean Deliveries Mail Order Pharmacy — Savings or Added Cost? Why We Need to Stop Being So Clinical … and Start Being More Personal The Competitive New World Of Medicare Managed Care AAHP Members Embrace Its Patient Policies Positive Phase 3 Data Reported for Nivolumab (Opdivo) in Patients With Head-and-Neck Cancer CDC announces get smart about antibiotics week Transparency Called Key To Uniting Cost Control, Quality Improvement Despite Kaiser Settlement Guidelines on Web Unlikely Study emergency rooms provide nearly half medical care Wellpoint product makes new bid working poor Health Plans Deploy New Systems To Control Use of Lab Tests Are Consumers Really Directing Their Own Care? Which condition benefits most from case management? So Much Data, So Few IT Workers April 2013 Physician Executives Need Not Fly Blind Medicare Advantage’s Influence Felt in Accountable Care Model Smoking, Slimming and Seat Belts: Is Public Health Part of Managed Care? High Hospital Capacity Raises Quality Concerns Accountable Care — But the Patient Isn’t Accountable Task force sees no need screen lipid disorders children and adolescents Education Concerns Push Back Florida's Medicaid Experiment Medicare P4P falling short on bonuses One Campaign Promise Needs Closer Scrutiny Health care remains a major concern Disease Management Gains a Degree of Respectability Prior Authorization Overhaul Sought Concierge care at a discounted price Blogs Medicare+Choice pullouts' deep, deep sting Customization of benefits: Will diversity continue? Recession? What recession? Alvimopan Hastens Recovery From Abdominal Surgery Adverse Tiering Costly for Members State Legislatures Move To Ban ‘Gag Rules' Imposed on Physicians Erleada approved more prostate cancer patients Index of /archives/0002 Vaccination: Is 1 oz. of Prevention Still Worth 1 lb. of Cure? Health Plans Respond as Microbes Develop Resistance Techniques Carve in or carve out? September 2005 Stressed States Open Doors to Medicaid Managed Care On ICD-10, the Empire Strikes Back HHS Could Run Half of State Exchanges, and That Could Benefit Health Plans Family Physicians Give Administration Mixed Reviews on Budget, Reform Plan Take as Needed… Helping Hispanics Means Improving Preventive Care Cigna’s Eva Borden Champions ‘The Stepchild’: Behavioral Health What Health Plans Should Know About the Medicaid Challenge Demand for primary care physicians slackens while outlook for specialists seems to brighten Hospital administrators see bump in pay 9704 Cost of transition-related care for transgender soldiers deemed ‘negligible' Many more CDH plans to include pharmacy Code Could Be Right Prescription to Give Pharmacy More Credence Managed Care Lynparza receives additional fda approval ovarian cancer Northeast States Pursue Price Controls To Stop Rise in Prescription Drug Costs FDA expert panel approves expanded indication fish oil drug PPMS, HMOS: In Some Cases, A Perfect Match Health Care Utilization & Costs For Cystic Fibrosis Patients with Pulmonary Infections May 2013 Money Pit: Is Accreditation Always Worth the Cost? Information underload: why claims data fall short 12 step program american health care Addressing a Nontechnical But Very Important Skill FDA approves new cochlear implant Moving On Up in the C-Suite Building the Right Incentives Into a Physician Payment System A QUICK QUESTION: Will Fifth Circuit's Decision Spur Action on Patient Rights? Premiums Rise, Medical Costs Lag, Says New Survey Unlocking cancer's chemo resistance Where do new diabetes treatments fit in? GAO Studies E-Health Exchange Ustekinumab maintains remission after one year treatment patients crohn's disease Some Elderly Not Helped by Guidelines What Changes are Coming for P&T Committees as a Result of the Affordable Care Act? Wealthy, More Than Poor, Select Health Savings Accounts Clinical Bundling Pays Off, In Antisepsis Campaign Can doing right business thing protect physicians liability Inherited pancreatic cancer risk mutation identified Placing Faith in Technology To Improve Members' Choices The Communications Job That Goes With the ‘Gate' Study prompts new ideas cancers origins Anthem Offers Money to Educated Consumers Trends Report zika virus infection may cause stillbirth loss brain tissue I.T. and Greasy, Globby Doughnuts Who Gets Covered, Junior or Grandma? Consumers Dare You to Just Say ‘No' Four-Color Flow Cytometry Detects Minimal Residual Disease in Leukemia Headlines on Deadline Medical Costs Definitions Differ In Minn. Dispute Limiting Access to Managed Care: Is ‘No Job, No Health Benefits' Fair? HMOs in N.J., North Carolina, Washington Fined Thomas, Grassley Attack HCFA Boss For Slow Service Popular content Physician income trends vary by specialty Index of /archives/0002 Headlines On Deadline… There's No Overestimating Importance of Prevention State Experiences Suggests Thompson, Bush a Tough Team School debt can be significant in primary care More State Medicaid Programs Use Preferred Drug Lists To Manage Costs Past Issues of Managed Care magazine Predictive modeling sharp lens near future Boston hospitals use machine learning manage most expensive illnesses MANAGED CARE, 1992–2019 Health Insurers Well Positioned, But Must Plan for Cost Pressure Executive bonuses: Health care takes care of its own Massachusetts City Attempts To Import Drugs From Canada It's Elementary Pneumococcal Conjugate Vaccine for Young Children Headlines On Deadline… race Lymphoma drug brentuximab adcetris succeeds phase 3 trial One Thing It Won't Be: ‘Business as Usual' Several Health Plans Stumble Over Risk-Based Capital Test Can Managed Care Programs Rein in Medicaid’s Runaway Budgets? FDA expands use heart valves NIH Launches Study of Breast Cancer Genetics in Black Women The Clinton Plan Works– As a Rhetorical Cheap Shot 2018 Editorial Calendar Health care resource utilization and costs associated restless legs syndrome among HMOs Continue Losing Ground On Liability Issues at State Level Paul Terry PhD Major Managed Medicare Player Plans No Expansion in Next 5 Years Formulary restrictions discourage adherence to medications ‘All Products' Clauses Fade From Physician Contracts Fraud and Abuse Find A Home in Managed Care Steven Peskin MD's blog Transgenic Drug Production Heads Back to the Farm Shared Appointments Improve Efficiency in the Clinic It's Too Soon To Write Off Those Suffering PHOs Women increasingly fill medical director role FDA warns serious skin reactions olanzapine Number children diagnosed high blood pressure may rise unde new guidelines On Medicaid Money, GOP Has Win-Or-Lose Proposition For States Bumper Crop of New Drugs Fails to Lift Big Pharma R&D Returns Clinton's Regulations May Be Model For Patient-Rights Legislative Push Opioids 2017 Editorial Calendar For Health Insurers, Retail Space Available! Immune Globulin Shortage Is Wreaking Havoc Use a Value-Based Strategy for Biotech Medications CalPERS Accepts Average Rate Hike Of Nearly 10% It’s No Longer Just Members Who Are Suing Health Plans Early Results out From NIH-Sponsored CER Study AMA Slams Managed Care Even As Leadership Splinters Women increasingly fill medical director role Palliative Care Improves Quality of Care, Lowers Costs An Evidence-Based Approach To Care Depends on All Parties — Physicians Included Convenient Care Clinics Inconvenience the AMA Will Therapeutic Interchange Be Put Off Limits by States? Cost control CDC: Zika-Transmitting Mosquitoes Found in Most of U.S. Medical directors’ pay up 37% since ‘97 — or not Fraud and Abuse Find A Home in Managed Care It's a Small World After All: Outsourcing Makes Inroads Health Care Costs Associated With Treatment Modification in Type 2 Diabetes Mellitus Patients Taking Oral Anti-diabetic Drugs Inventive Approaches Curtail Imaging Costs Submitting Viewpoints Study finds psychiatric medications are not overprescribed for kids A Q&A With David B. Nash, MD, MBA Cloud Computing Puts Stakeholders On Same Page New role health insurers paying lifestyle coaches HMO/Physician Strain Creates Invisible Costs Customization of benefits: Will diversity continue? Minimal improvement in quality seen in P4P Value-based reimbursement coming on strong while the fall of FFS medicine accelerates Innovative Care Model to Improve Clinical Quality and Safety of Transitional Care: Early Outcomes December 2003 Snapshot: Large employers warm up to online option States, D.C. Fight About Funding For Illegals' Care Should you use E-mail clinical practice Many Cyberattacks health care never publicly disclosed Rand Questions Off-label Use NIH scientists uncover genetic explanation frustrating syndrome Active Surveillance Helped Me Avoid Prostate Surgery For Now FDA approves narcan nasal spray opioid overdose The Role of Managed Care In Patient Safety & Error Reduction Per-Patient Visits to Behavioral Therapists Drop 63% in Just Two Years, Study Shows Hepatitis B Vaccine Heplisav-B Does Well in Phase III Study All Men Are Not Equal When Choosing a Provider January 2010 Experimental zika vaccine begins human testing Network measuring pilot narrows Health plan medical directors doing well The Uberization of American Health Care: Why We Need a Disruptive Model New Drug Entresto for Heart Failure Drums Up a Lot of Enthusiasm Pay-or-Play Ideas Make Employers Help Uninsured August 1998 Coming strong Do Health Plans Have a Role In Limiting Antibiotic Resistance? An Interview with Alan Hillman, M.D., M.B.A. Rude Awakening When Kaiser Retreats Index of /archiveMC/9808 January 2011 Introducing the CHR, More Like a PHR Than an EMR Uninsured Tracked Over 2-Year Period Treating Psoriasis Patients With Biologic Agents Do Out-of-Pocket Payments Put Preventive Care on Hold? FDA approves artificial intelligence based device detect certain diabetes related eye Destination=popular If We Do Say So Ourselves … ‘Make Gatekeepers True Integrators of Patient Care' Payers Begin to Make Plans For Coming Wave of Biosimilars February 2004 Remuneration Arrangements Important Part of Stark II Regulations Colon Cancer Vaccine Shows Promise in Mid-Stage Trial Cancer care can we afford hope Preventive Care Cut In CDHP Confusion Per-Patient Visits to Behavioral Therapists Drop 63% in Just Two Years, Study Shows Is the Comeback Real — or Is It All Just an Illusion? For Health Insurers, Retail Space Available! Concierge care at a discounted price Does the Chronic Care Model Signal Big Changes for DM? Cheers–and Boos–
If ACA Required Benefits Get the Ax Dr. Drugstore Will See You Now Take as Needed…. Diabetic Medicaid Members May Need More Than Phone Outreach March 2016 3 Steps to a Strong Pricing Strategy New metric works patient reported outcomes Index of /archives/0004 Cross-Border Traffic Highlights Differences in U.S., Canadian Systems Changing medical evidence brings shift C-section stance Attacks Prompt Examination of Mental Health Care Funding A Conversation with Robert L. Weinmann, M.D. Managing 9/11-related stress Patient and Physician Satisfaction With a Pharmacist-Managed Anticoagulation Clinic: Implications for Managed Care Organizations From the Grass Roots, A Demand for Health Security Specialty Pharmacy Grows As Cost-Control Option Major Companies Behind Push for Quality Measures After Physicians Protest, An HMO Changes Its Mind ASCO, Others Design Tools To Measure the Worth of Drugs Constructing Disease Management Programs Proposal Would Limit Profit of Some California Plans Real reason hospital readmissions have fallen E-prescribing system increases generic usage A Conversation with Nancy W. Dickey, M.D. Tomorrow's Technology Is Saving Money Today Health Expenditures Ease a Bit; Drugs Lead Cost-of-Care Increase FDA approves remicade biosimilar pfizer won't market it HMOs Won't Look Twice At AMA's Model Agreement Just What the Devil Is Population-Based Care? GENETIC MEDICINE: Powerful Opportunities For Good and Greed Sanofi submits new data insulin glargine lixisenatide pen diabetes Plans, PBMs, Employers Prod Docs To E-Prescribe Moving Consumers to the Head of the Class Diabetes costs employers 20b unplanned sick days Cost of Coverage Forces Search For ‘Alternatives' Should Doctors Guarantee Results? Or, Whose Disease Is It, Anyway? You Will Live Healthily! Patients profit dialysis center have lower kidneytransplantation rates A Conversation with Jeff Goldsmith: He Connects Health Care's Dots Along Information Superhighway February 2015 Past Issues of Managed Care magazine Novartis faces fines criminal charges over zolgensma data Roche buy spark therapeutics 48-billion Health care mergers and acquisitions decline in 1998 HIV drug doravirine succeeds phase 3 trial Formulary Standards Key To E-Prescribing Success Expect Changes In Medicare HMO Inpatient Rates Better Patient Communications Mean Lower Liability Exposure Does consolidation may not be worth trouble PBMs get thumbs up from satisfied customers One reason our health care costs so much Zerbaxa hospital acquired ventilator associated bacterial pneumonia Teaching the Teachers Means Better Doc Visits? uspstf issues final recommendation screening depression children and adolescents MOR208 named breakthrough therapy some lymphoma cases Drug Used to Treat Diabetes May Get OK for Weight Loss Sense of Gravity, Humility In Catastrophe's Aftermath Association Health Bill Fails Despite Senators' Support Effective Ways To Increase Usage of Generics Copay accumulators deductible double dip Health Care Needs To Catch Up Popular content Political Landscape May Change But Systemic Problems Remain Buyers of physician practices becoming smarter shoppers Two Western States' Voters Reject Measures To Limit Managed Care Bayer take birth control device essure US market A Conversation with David Nace, MD: Primary Care Stakes a Big Tent Reaching for the Stars: Medical Directors Feel Pressure To Score Medicare Advantage Points FDA approves new hemophilia therapy Payment by capitation comes on strong– but so far, mostly in primary care Managing Medicaid Rolls Often State-by-State Affair Oregon Attempts To Blaze Trail With ‘Reference-Based' Formulary Several HMOs Stung in N.Y. Test Of Consumer Law California program cuts maternal deaths half Mental health coverage parity delaware P&T Committees in Position To Reduce Medication Errors After a decade of tumult, what's next Blueprint for the Future? Or Trapped in a Lockbox? Managed Care Industry Change Looks to Outcomes, Not Process Pharmacy Copayments: A Double-Edged Sword Medical Tourism: Once Ready for Takeoff, Now Stuck at the Gate Genetic testing brings fight individual cancer cell How We Got It Anyway: The Clinton Health Plan Never Died Autologous mesenchymal stem cells treating knee osteoarthritis Telemedicine Kiosks: The Future of Health Care? In Separate Cases, Aetna, HIP Partner Face Tough Battles Medintranet NCQA Toughens Standards for Measuring Plans' Quality Nurse managed health centers might ease pcp shortage Roll Over, Beethoven Your Genetic Profile's in February 2007 Feed items Comparative effectiveness research paving way evidence based decision making Ombudsmen: Navigating The Managed Care Maze Injectable Drug May Help Avoid Eye Surgery In Patients With Vitreomacular Adhesion New Anticoagulant Fights for Credibility Capitation Medical Marijuana Coverage Still Lost in the Legal Weeds Medicare Expansion Steps Into the Political Limelight Never Rest Headlines On Deadline … High-Tech Imaging Used Increasingly Vol. 8, No. 5 May 1999 Payer Executives Want Plans To Boost Worker Productivity New Fee Schedule For Medicare Helps Office Docs Drug Expense Hits Home; Mississippi Pays Pharmacists Some PCPs Are Worried Sick About Patients New Generation of Issues Now Coming to Forefront Among Medicare HMOs, Capitation's the Way Health Care From the Medical Director POV Cracks are starting show affordable care act's insurance exchanges Will State Legislators Keep Playing Doctor? Long-Term Data Support Safety and Efficacy of Genvoya for HIV Infection 6-State Coalition Creating Joint Drug-Buying Pool Take as Needed … Optum’s Lisa Tseng Keeps Entrepreneurial Ball Rolling Your Disability Insurance: More Costly, More Needed More cost-shifting in the pharmacy benefit: Copayments at new highs, while 3-tier formularies spread FDA approves sofosbuvir velpatasvir combo epclusa treatment chronic hcv infection Is Outsourcing a Cure For the IT Blues? Research sheds light mechanism leads drug resistant superbugs Modern Cardiovascular Programs Cut Costs, Inpatient Days, and Deaths Providers, Plans Misinformed About Vendor Software Capability Use a ‘SWAT' Team To Collect Old Receivables Can a Health Plan's Free EMR ‘Lite' Be Useful to Doctors & Hospitals? Medicaid Rates Rise in Georgia, Bucking Trend Managing the Cost of Diagnosis Salary slowdown reported for specialists Index of /archiveMC/9609 Tennessee Gives Medicaid Program New Lease on Life Will Merger Talks Be the Next Step For Group Health and Kaiser Permanente? Payers consumers benefit patents expire A Conversation With Emad Rizk, MD: Disease Management Beyond the Call Center New Jersey Sues Management Co., Seeks HMO's Reins Doctors: FDA Threatens Strategy To Manage High-Risk Pregnancies Pharmacists Experiment With Pharmacogenomic Management don-berwick-comes-out-favor-medicare-all When new drugs are costly how high raise copays Getting Doctors To Listen to Patients ASCENIV Approved for Primary Humoral Immunodeficiency Disease in Adults, Adolescents Kaiser Permanente Wins Endorsement of AFL-CIO GOP conservatives and moderates split obamacare repeal Predictive Modeling Holds Promise of Earlier Identification, Treatment Life may be better without a white coat Nurse Practitioners Inch onto the Field Family physicians paid less per RVU than internists Computer-aided Multispectral Digital Analysis (MelaFind) for Assessing Atypical Skin Lesions Too Much Health Care Can Be Hazardous to Your Health Cigna turns toward east The Pap Test: 20th Century Success Story, 21st Century Has-Been Specialist Pharmacists Make Adherence Matter Biosimilars Charge the Market But Still Face Many Hurdles Costly biologics have plan sponsors looking at benefit designs Expanded approval cf treatment children aged 6 ACA Decreased Racial Disparities Biggest increases in specialty drug costs seen in rheumatologic, cancer, and hemophilia agents Effort Puts Medication Adherence On Geisinger Health Plan’s Radar External Review of Disputes Gains Steam on Capitol Hill New Type of Pill Prolongs Drug Release Headlines On Deadline … Despite What You Hear, State Privacy Statutes No Threat to DM Headlines On Deadline … Congress Asked To Take Action As HMOs Flee Managed Medicare Sept. 11's Lessons in Disaster Care Using Option-Based Contracts to Improve Health Outcomes Index of /archives/0002 CVS Caremark Wants To Make Drug Rebates a Thing of the Past Kennedy-Kassebaum Law Means Greater Fraud Scrutiny Doctors: FDA Threatens Strategy To Manage High-Risk Pregnancies Aetna humana consider appealing court decision blocking their merger More young adults prescribed ADHD drugs Game drones Copay coupons improve cv drug adherence not much What We Talk About When We Talk About Value-Based Care Managing Drugs for Rare Genetic Diseases: Trends and Insights perjeta old adjuvant treatment certain breast cancer cases Stroke-related costs to double by 2030 November 2010 Four-color flow cytometry detects minimal residual disease in leukemia Dual-Treatment Approach To Parkinson's Disease Who Will Pay for High-Cost Biologics? Kaiser Permanente Wins Endorsement of AFL-CIO Physicians uncertain about how ACOs might affect pay Population Care Coordinators: A Key to Improved Care at Lower Cost? Regional Spending Variations Tied to Doctor Care Methods SWITCHING DOCTORS, SWITCHING PLANS: The ‘Revolving Door' Problem More demand for oncologists as boomers age States' transparency rules fall short of members' needs Step therapy comeback continues 5 companies maintain market ‘Advantage’ The ACA as a Survivor December 1996 Molecular Diagnostic Testing Presents $5 Billion Conundrum An age-old question: Would universal access result in higher costs from those less in need? Approach and Avoidance: Order of the Day With Medicare Headlines on Deadline … Medicare Reform Dead for Now On Capitol Hill For Mega-Mergers, ACA Giveth and Taketh Cancer costs to reach at least $173B in 2020 AI for all that ails American health care. But how smart is that? Trials Wrap on Interferon-Free Hepatitis C Regimen Taking back the power? They made the right choice when the money ran low MelaFind Improves Chances for Accurate Melanoma Diagnosis Rare Pediatric Disease Priority Review Voucher Sells for $130 Million States trim what they can to restrain Medicaid costs What’s ahead? Private spending growth slows Blue Cross and Blue Shield of Ohio, Selling to Columbia/HCA, Loses Name Senate Republicans Consider Keeping Obamacare Taxes to Pay for Repeal Managed Care Has No Place For Unscientific ‘Therapies' League of Their Own: What Makes a Winning IPA? Buzzwords collide positive results Electronic Medical Records: If Not Now, When? New Organization Will Calculate Out-of-Network Physician Charges Health Information Network Costs More You Have To Follow the Patient… Navigators cancer terrain help patients and may cut costs Renewing calls for better cost profiling of providers Bush launches 10 year effort create national EMR system Is Paying Physicians By Capitation Wrong? Disease Management, Medicaid Mix Like Oil and Water in Florida Novel approach allows expansion indication cystic fibrosis drug Is Paying Physicians By Capitation Wrong? Listening to St. John's Wort Aetna Rewrites Doctor Contracts; AMA Not Swayed Wellness Debate Irrelevant For Insurers Eyeing the Market Drug Wholesalers, Teva reach opioid settlement in Ohio The Commonwealth Fund antes up a universal health plan FDA approves noctiva nasal spray for nocturnal polyuria ‘Contact Capitation' and its Cousins Flat Tax? Single Payer? Find Those Easy Answers Index of /archives/0005 Docs Ill-Equipped to Evaluate Genetic Variant Data Pain Management: Health Plans Need to Take Control Survey one quarter americans skip health care because cost concerns The ACO Contract: Four Parts of the Basic Chassis How to Get TB Patients to Take Their Pills? Ombudsmen: Navigating The Managed Care Maze A Conversation With David B. Nash, MD, MBA: Game Changers for Population Health September 2006 Hospitalists Make It Look Easy RU-486 Coverage Decisions Lack Debate Seen With Some Drugs Managing 911 related stress Electronic Medical Records: High Hopes Meet Harsh Reality US Family Health Plan Satisfies Members in Many Ways Inovalon announces agreement boehringer ingelheim support outcome based contracting CDC Concludes Zika Virus Causes Microcephaly and Other Birth Defects It’s Not Perfect, But It’s Hot: Quick Triage from Dr. Bot Health Care Costs Associated With Treatment Modification in Type 2 Diabetes Mellitus Patients Taking Oral Anti-diabetic Drugs Joint Venture Health Plans May Give ACOs a Run for Their Money Some Builders’ Remorse: The Rise and Fall of the Oncology Medical Home E-Health's Greener Pastures What if They Threw a Revolution And No Health Plans Showed Up? Over counter pain pills work well opioids emergency department patients Variance in Medicare pharmacy benefits is wide Headlines On Deadline… Employers plan to push wellness programs more Salaries Within MCOs: Up, Except for Primary Care 440000 deaths preventable Global Payment System No Massachusetts Miracle Turning Back the Clock — Or Pushing the Envelope? Reformed UCR Calculations Not Without Problems Trouble for Hospitals & Health Plans In States That Nix Medicaid Expansion A Conversation with William Rowley, MD: What's Past is Prologue? Don't Bet on It ‘Freeze the pay on specialists’ New Governors in Georgia, California Push Reform, But Their Styles Contrast User account Staff-Model HMOs: Don't Blink or You'll Miss Them! For oncologists, it is bye to buy-and-bill and hello to value-based care Two Agencies: Don't Change Antitrust Laws In Trump, HIV/AIDS Groups Find an Ally Who's Tough To Love Parity could use some fixing least it won't be dismantled Comparative Effectiveness: An Idea Whose Time Has Finally Come Family Physicians Give Payers Middling Grades Progress Seen In Hospital Safety Identification of Resource Use And Associated Costs for Viral Meningitis Is There a Doctor in the House? Five Sepsis Deaths Reported in Parkinson’s Disease Drug Trial Dangling Dollars Getting closer treatment parkinson's disease The New Team in Town: Primary Care UnitedHealth Stakes Claims On New Drug Safety Program A Canary in the Coal Mine for Co-Ops? Headlines on Deadline… New Prescribing Patterns Behind Rx Cost Hikes? Plans Give Docs Seed Money for Meaningful-Use Systems A Conversation With Regina E. Herzlinger, PhD: A New Individual Market on the Horizon Defined Contribution Health Care Could Really Shake Up the System PhyCor-MedPartners Merger Falls Through; MedPartners CEO Resigns After Stock Crash Payments medicare advantage plans nearly doubled between 2007 and 2017 Label provisions spread Risky Business When Public Plays Doctor With Open-Access MRI Study: Half of Elderly Colorectal Cancer Patients Receive Valueless Treatment Headlines On Deadline … Telehealth Overview: The Reality Check, Please The Enduring Problem of Rising Costs Vol. 9, No. 7 July 2000 PDPs see increases in cost-sharing amounts Magnetic sphincter augmentation treating GERD Headlines On Deadline … Overall drug spending increases 2.7 percent AUGUST 2018 Better ways pay providers Modern Cardiovascular Programs Cut Costs, Inpatient Days, and Deaths New Protections In California Not Helping Docs Elisabeth Rosenthal, Top Editor at Kaiser Health News Most docs see benefit price transparency What Is Prescription Drug Step Therapy? P&T Committees in Position To Reduce Medication Errors Retail Medical Clinics Draw Patients & Payers August 2013 They're Coaching Your Patients On What To Demand From You Scientists Develop Breathalyzer Device to Detect Lung Cancer New FDA drug approvals reach 21 year high 2017 A Patient's Perspective: Is There No Better Way? Plans wait for payoff from IT investment Managed Medicaid Braces for Influx of Ex-Inmates When They Want Your Network But Don't Want All Its Members CDC launches educational campaign about dangers sepsis Participants asthma study have fewer inpatient days higher functional status Managed Care's Prospects in the Health Reform Era Index of /archiveMC/9711 Lowering Copayments Can Improve Quality of Chronic Disease Care Walgreens wants half rite aid stores Joint Venture Health Plans May Give ACOs a Run for Their Money Potential for Profit, Potential for Real Change Virtual Primary Care ‘Visits’? That Future Is Already Here Blogs Learning from Brazil Managed Care Industry Welcomes Provisions in Budget-Balancing Deal Risk Adjustment: Immature System Heads for Big Time Consumer groups wellchoice funds improperly used Marginal increase in chief medical officer pay Why Managed Care Is Getting A Bad Rap September 2001 PBMs’ Rebate Income Threatened By Lawsuits and Move to Generics CE research often ignores payers’ concerns Aducanumab flops alzheimer's study Predicting risk five deadly diseases Utilization of Generics: A Managed Care Failure? Many States Preparing Laws Rejecting Individual Mandate December 2009 Don't Let One Bad Apple Spoil Your Medical Bunch Capitation: an update Health plan foundations how well are they spending money Why blockchain health care may be finally turning corner Family practice base salary continues to improve Can We Design a Fair Benefit For Bariatric Surgery? Hospital at Home: Compelling Findings, But Replicable in Other Systems? Mail Order Pharmacy Saves Money, Says PCMA, but at What Cost? How to Save a Bundle on Hospital Readmissions 3 Health Care Startups Refuse To Be Boxed In Terms & Conditions of Use Agreement How insurers can bear the burden of proof for new treatments Help Your Patients EAT Their Way To Health Medicare Helps PCPs at Specialists’ Expense Staff-Model HMOs: Don't Blink or You'll Miss Them! Are We Unmanaging Care? New Test Gauges Danger of Rejection When Children Need Organ Transplants Health savings accounts keeping costs down Health insurance premiums show smallest hike recent history U.S. Infant and Maternal Mortality Rates: Shamefully (and Unnecessarily) Bad and Getting Worse Look Ahead, Not Back Headlines On Deadline… Transcription factor keeps breast cells healthy advancing dna damage repair Harvard Pilgrim To Pay for 2 Autoimmune Drugs Based on Outcomes, Value Emicizumab cuts bleed rate 87 patients hemophilia Program Takes on Diabetes Before and After Diagnosis FDA panel vote whether empagliflozin jardiance cuts risk cardiac death Politics and policy Aetna's latest move called intrusive September 2008 9 things health plans must do to meet the ACA challenge Subsidies for Insurers in ACA Exchanges Should Continue, Says House Speaker Ryan Year Later, Aetna's Cut-Rate Product Has Few Takers Hospital profit margins grow while length of stay decreases Aptamers slowing progression amd Wellpoint Health Networks Turns East for an Acquisition PBM industry stabilizing amid mergers and spinoffs Parsimonious Care, in the Best Sense California May Stop Giving Physicians New HMO Licenses Prescriptions for generic drugs rise sharply Blue Days For Blues In Pennsylvania Texas Blues Won't Get Harris As Sale Collapses Health care falls fourth among hot presidential topics Doj and dea propose lowering opioid production quotas Less-is-More Approach Now Under Heavy Fire FDA Staff Says Suicide Risk With Psoriasis Drug Brodalumab Is Difficult to Assess Important role guidelines appropriate management disease states and their treatment options Is Home Infusion Ready for Prime Time? New health care plan unlikely year republican senator says Why drug approval takes so long pipeline has been clogged 20 years Atezolizumab (Tecentriq) Wins FDA Nod for Treatment of Metastatic Lung Cancer Payers Benefit When Hospitals Issue Improved Discharge Orders Medicare Formulary Model Seen by Many as Too Inclusive The New Era of Mega-Plans Aiming at a Moving Target In Rheumatoid Arthritis HMO drug formulary access increases for COX-2sHMO drug formulary access increases for COX-2s The Final ACA Wellness Provisions and the Reticence of the EEOC CONTRIBUTING VOICES More cost-shifting in the pharmacy benefit: Copayments at new highs, while 3-tier formularies spread Biosimilars in Oncology: Reality Could Bite the Copycats, Dog Potential Major Savings Managed medicaid ups sdoh game Starving cancer the key to new treatments CVS caremark formulary removes jardiance favor invokana Suicide Prompts First Challenge of HMO Liability Law in Texas Individual Wariness Needed To Spot Biased Drug Research Is New Medicare Package A Cure for Medicare HMOs' Ills? AMA votes require drug makers disclose prescription costs ads Destination Contents Medicare+Choice = Slow Start; Cost, Questionable Return Cited HHS Contractors To Ratchet Up Antifraud Activity This Isn't the First Attempt To Shift Cost to Employees With HMO Gone, Texas Health Will Wed Baylor Health ‘You Talking to Me?’ Docs and Feedback Disenfranchised Doctors Need New Skills To Compete Off-label provisions spread Managed Care (and Everyone Else) Unprepared for the Next Killer Flu Diabetes Drug Pioglitazone Linked to Bladder Cancer Risk More Office Hours, Lower Expenditures Metabolic Agents Lead In Total Dollars Spent Rush to Robotic Surgery Outpaces Medical Evidence, Critics Say Second DMAA Report Issued A Conversation with David Lansky, Ph.D. All health care is local, but its financing is universal Financial Woes Doom a Merger, Dog an HMO, Dampen Investor Spirit Whatever Happened to Insurance? More Small Companies Retain Risk Do We Really Have Best Health Care in the World? Savings Seen With Evidence-Based Care Electronic health records bolster diabetes outcomes Medical Tourism Takes Off, But Not Without Debate FDA Expands Revlimid Label Advances in HIV/AIDS Care Require Hard Choices Some Medical Groups Prefer To Grow Their Own DM Programs COPD costs to approach $50B per year in 2020 PLAN WATCH Not So Much of a Reach: Let Sick Pay Less for Drugs P4P Programs Offer Catnip That May Distract Doctors Original Research Why blockchain for health care may be finally turning the corner Kaiser seen as biggest earner as HMO profits soared in 2003 Patient Liquidity at Time of Service Big New Problem for Providers, Insurers Large Plans Do Well Under Part D, But Premium Hikes Cloud Future AMA joins trend hires first health equity officer Paul Ellwood, MD: Only Government Has the Clout To Fix Broken Health Care System This IPA's Slide Toward Ruin Could Have Been Prevented Lowering Copayments Can Improve Quality of Chronic Disease Care Biometrics now part wellness mix Poor in Part D plans face more premiums in 2010 Dual treatment approach parkinson's disease National managed care companies increase share of HMO enrollment Staying True to Roots While Branching Out Health Plans Will Use New Tools To Help Physicians Practice Better Health Care Reform in the U.K.: Managed Care by Another Name? If You Think It’s Bad Now, Plans Could See Worse Reaping What Mergers Sow: How To Prepare for Bankruptcy Spitzer just getting started on health care Medical groups can receive 2% bonus from CMS Short FDA Review Time Seen as Bad Sign for Breast Cancer Drug Neratinib Popular content Value = (Quality + Outcomes) / Cost Want to Change Patients’ Behavior? Look to the Internet Managed Care's Makeover: Can PPOs Handle the Task? Community Pharmacy Struggles To Remain Relevant October 1999 2008 cost hike should be less than 2007 States Balk at Premium Hikes; Health Plans May Face a Squeeze Should Specialty Drugs Be Shifted From Medical to Pharmacy Benefit? Selling Supplements in the Office Means Grappling With Tough Issues FDA Rejects Drisapersen (Kyndrisa) for Duchenne’s Muscular Dystrophy States Balk at Premium Hikes; Health Plans May Face a Squeeze Targeting a Cystic Fibrosis Mutation Opens Door for Personalized Treatment Health care's forth and back while medical progress marches forward prescriptions Determine a Comfortable Capitation To Effectively Negotiate Contracts Teleconsultations: HCFA Issues New Payment Rules Nations Rated On Health Care ‘Put All Your Drugs Into a Bag and Take It to Your Pharmacist' ASCO's Model for Cancer Payment Reform Countdown Nears for Launch of ICD-10 Medicare's big changes A Conversation with Jeff Goldsmith, PhD: Reform Opens the Door For Consumer-Oriented Market For first time ever, HMO enrollment drops in 1999 mixed results medicare's bundled payment program HIT Decisions Lie on the Horizon, But Savings Remain Elusive A Conversation with Steffie J. Woolhandler, MD, MPH: Despite the Reform Law, Don’t Write Off Single Payer If You Think It’s Bad Now, Plans Could See Worse Two For The Price Of One: Beauty of Pill-Splitting Catches On Key PBM Functional Areas Require Radical Transformation Beware of the CAR-T Hitches Cast Your Bread Upon the Waters?: The Debate Over Enforced Charity Gene identified cause and early indicator breast cancer A Modest, Not Satirical, Proposal For Assisted-Suicide Decisions Democrats demand probe trump health nominee Cut pharmaceutical costs mind legal dangers Retail and mail copayments on the rise How's Your Office Manager Doing? Don't Let Question Just Hang There Its time cms release physician medicare claim information Beating Obesity Begins By Expanding Tort Reform Health Care Reform: Payors, Providers, and Patients E-Prescribing Gets More Enticing Second DMAA Report Issued Managed Care Prepares For the Worst The Weight of the Nation: How Many Rounds Ahead for This Public Policy Fight? There Once Was a Man Who Could Not Feel Disgust Potential for Profit, Potential for Real Change PBM leaders fight back say they're-not blame high drug prices Federally Negotiated Drug Prices Anticipated for Medicare Part D The Role of Physicians In Disease Management A Conversation With Uwe E. Reinhardt, PhD: Health Care Deserves More Respect Medicaid expansion improved infant mortality black babies buckeye state New Treatment Approaches To Diabetes Insulin Pumps Buy Time Until Transplant Therapy Arrives Pennsylvania's individual market seems be slowly stabilizing Great Taste or Less Filling? Guidelines Have Their Uses Clinical Decision Support On Slow Road to Adoption With California Task Force Report Done, Reform Focus Moves Back to Legislature Extenders' pay gains exceed physicians' A Conversation With F. Randy Vogenberg, PhD, RPh: Changing Market for Pharmacy Benefits The Epilepsy Battle in the War Between Brands and Generics Coming clean can save lives Middle class faces steeply rising premiums Index of /archiveMC/9706 Helping hispanics means improving preventive care Electronic prescribing has no effect on formulary compliance Plans Go Directly to Patients, Describing Treatment Options Headlines on Deadline… Staff-Model HMOs: Don't Blink or You'll Miss Them! FDA approves ayvakit gastrointestinal stromal tumors October 2008 Women Are Ten Times More Likely to Get Tested for BRCA1 and BRCA2 West Virginia Hopes DM Program Will Control Medicaid Drug Costs Prior Authorization for Safety, Not Just for Economy Bitter harvest deaths drug scourge puts more organs transplant play Does Mail-Order Pharmacy Really Deliver the Goods? Accountable Care Organizations Hold Promise, But Will They Achieve Cost and Quality Targets? How Many More Quarters of Profits on the Way? Specialty anti-inflammatories see huge increase in utilization Interoperable PHRs Offer Best Value for Insurers Most provider-owned health plans weather economic downturn Plans and Physicians in Hawaii Experiment With Online ‘Visits’ 4 Payer Trends To Control Specialty Pharmacy Costs Workers fail exploit health savings accounts Adherence to Biologics Requires Patient Buy-In TennCare Gets Higher Marks for Care Than for Administration and Funding Pfizer R&D Spending Increases To Accelerate Blockbuster Drug Approvals Medicare Payment Formula Triggers Specialists' Suit Wave of the Future? Illinois Docs To Be Paid for E-mail With Patients States and plans adjust to ACA’s reality Electronic Health Records Bolster Diabetes Outcomes No easy passage to integrated care because vested interests are at stake More Trouble for Theranos: Company Halts Zika Test After FDA Inspection For Patients Who Inherit Homozygous Familial Hypercholesterolemia, 2 New Treatments Available Wellness Programs: No Longer Just an Add-On A Conversation With David M. Cutler, PhD: Efficiencies, Jobs, and Staying the Course Will the Employer-Based System Collapse? May 2017 Endobarrier device fails safety assessment obese diabetic patients Afstyla wins FDA nod hemophilia May 2002 Evolution of TennCare Yields Valuable Lessons How Do Employers Cut Rx Costs? Let Us Count the Ways Specialists warming to pay for performance Tougher Penalties Arrive For Upcoding, ‘Unnecessary' Care Reader questions HMO s call home tracheostomy care Can ICER bring cost-effectiveness to drug prices? A Conversation with Richard ‘Buz’ Cooper, MD: Questioning the Reform Agenda A Case Study in Keeping Plan Members ‘Satisfied' Switching Doctors, Switching Plans: The ‘Revolving Door' Problem Silent PPOs Spur Doctor Push-Back Drug Adherence Focus of Meta Study Protect Against Outliers That Destroy Your Profitability Under a Contract Researchers use light launch drugs red blood cells Check Out Our New Electronic Edition Ocrevus: How a Dying Young Woman’s Wedding Led to Revolutionary Drug To Treat Multiple Sclerosis Countdown Begins for Compliance With HIPAA Electronic Standards Reframing the Pharmaceutical Manufacturer/Health Plan Relationship in Managed Care How Broadening DM's Focus Helped Shrink One Plan's Costs Health Care Reform in England – Commercial Opportunity Or Another False Dawn? Medical Costs Rise For Family of Four What's Unthinkable Today Might Be Ordinary Tomorrow Younger Women Too Often Ignore Signs of Heart Attack California Puts Doctor Scores On Report Cards Vol. 8, No. 7 July 1999 Vitamin D could extend life cancer patients Health care spending to grow at current rate through 2015 CT Head Scans Done Too Often ICUs Cut Costs by Hiring Intensivists Back Up Your Data! Florida Blue Tells Folks To Step Right In, Feel at Home Past Issues of Managed Care magazine Reform Forces Health Insurers to Reinvent Themselves Limiting Access to SSRIs Does More Harm Than Good Laws Governing Peer Immunity, Physician Credentialing Upheld Pennsylvania Takes an Important Step in Fight Against Opioid Abuse ‘Alternative' Medical Treatments Raise Ethical Questions for Managed Care Some states harder hit by problem of uninsured Employers Roll Up Their Sleeves HHS Seems To Soften Hard Line on Kickbacks Medical directors’ pay up 37% since ‘97 — or not The Show-me State Shows the Way On ‘Health Homes’ for Mental Health HMOs Would Be Wise To Investigate Alternative Ways To Improve Health Pharmacogenetic, Pharmacogenomic Testing Rapidly Gaining Acceptance Shortage of IT Workers Coming, But There Is a Glimmer of Hope FDA Approves Hemophilia B Therapy Idelvion Peter Wehrwein's blog November 2008 Minnesota Plans, Providers Using Same Guidelines Link between cost-sharing, noncompliance cited Managed care: An ever-growing part of physician income October 1997 Headlines On Deadline … International consortium selects icon help advance value based health care Treating Depression With a Pulsating Magnetic Field Medicaid Plans Too Successful For Own Good? Tumor Treating Fields Therapy For Recurrent Glioblastoma HMOs Continue Losing Ground On Liability Issues at State Level Medicare PPOs Face Challenge to Funding Cost, outcomes mixed for tele-ICU Don't Rely on Hospitals To Report Test Results The Slow Reveal Hospital returns pen and paper after virus shuts down it systems Remarkable Work Went Into Designing the New HPV Vaccine 90 Million Left In Dark About Medical Info Largest Domestic Health Plans Building Overseas Operations GAO Report on Medicare Pullout Outrages Many in HMO Industry Reinsurers Offer Services To Keep Client Costs Down Urgent Care Finds Its Place In the Age of ACOs FDA Panel Reschedules Review of Troubled Muscular Dystrophy Drug Eteplirsen Time To Lift the Curtain On PBM Wheeling and Dealing Friday, October 13, 2000 Competing HMOs Discover When It's Better To Cooperate Headlines On Deadline… No I told you so howard dean yet Individual Premiums Rise 20 Percent Briefly Noted Hospitals urged create chief primary care medical officer position PBMs: Maligned as Middlemen, They’re Hearing Wedding Bells September 2003 Going for Brokers: Spitzer Rides Again Provider Prices Drive Cost Hikes ‘E-dentities' Will Reduce Internet Security Problem Health Plans Seek Leverage When Physicians Submit Extremely High Bills Medical Director to the Rescue! Complaint Rates On Indiana's HMOs Available Online MAY 2019 Advancing Drug Trend Management in the Medical Benefit Oncology Medical Home Study Examines Physician Payment Models Health Plans Cautiously Optimistic as ACOs Enter Prime Time Use therapeutic interchange biologic therapies Predicting avoidable 30 day readmissions And oscar health goes cleveland clinic The C-Suite is Still Mostly a He-Suite Emicizumab succeeds phase 3 study children hemophilia ACO gamble Hospital Board Members Trained on Blues’ Dime Diabetes Rates Soar In 15-Year Span Value-Based Insurance Design: Spend a Little More On Selected Patients For Payoff Down the Line For First Time Since ’07, Fewer CDHPs Offered Many practices’ EHRs might not pass muster Statins Continue to Be Ubiquitous, But Increasingly Controversial Scientists may have found second superbug gene new york patient Vol. 8, No. 10 October 1999 Vol. 14, No. 1 January 2005 Task force issues guidelines screening colorectal cancer Wish List: 10 Things You Want From Your PBM Teaching Tomorrow's Doctors To Choose Cost-Effective Care U.S. Docs Outspend Ontario Physicians Internet on Center Stage At Technology Conference Don't Read Too Much Into Oregon Single-Payer Vote Disruptive Innovation Could Up-End an Innovative Industry King v. Burwell, by the numbers Plan Design Helps Poor Get Coverage Say Goodbye to Ulcers, Say Hello to Savings Coronavirus outbreak news 17 dead 500 infected 3 chinese cities lockdown Similarity seen in prescription cost-sharing Despite downturn, pharmacy jobs abound Specialty Pharmacy Presents Unique Set of Challenges Beating Obesity Begins By Expanding Tort Reform These vendors offer clinical decision support software Liraglutide (Victoza) Lowers Heart Risks in Diabetes Patients What Can Be Done to Counteract Growing Power of Providers? Specialty Societies Tell Members, ‘Think Twice About Those Tests’ Antidepressant pipeline far from depressed He Puts Patient Safety First By Bucking Conventional Wisdom Health Insurers Need Social Media Presence Hospital profit margins grow while length of stay decreases Private practice physicians find dual role challenging Popular content Slavitt on the ACA: It’s a Fixer-Upper, Not a Teardown ‘What Can You Do To Help Control Costs?' May 2014 Aetna Opens Gate With Several New No-Referral Plans Preventive Care Cut In CDHP Confusion New model, more money for family docs Hospitals Asked To Account For Errors on Their Watch Call it repurposing, repositioning, or recycling, it’s a fast-growing strategy Fraud and Abuse Find A Home in Managed Care Gene Therapy Fast-Tracked for Huntington’s Disease Treatment Peace of Mind Comes With a Price: The Battle Over Full-Body Scans Popular content April 1998 Patients like condensed drug information February 1998 Downstream Without a Paddle What’s the ROI on Wellness? health care becoming commodity leading corporate executives suggest A Conversation with Robert A. Berenson, M.D. NCQA-AMA Plan Would Reduce Paper Duplication Diabetes Database Offers Perspective September 1998 Common Cold Virus Completely Eliminates Tumor In Patient With Bladder Cancer Researchers Question Accuracy of Remote Dermatology Care Can medical ‘facebook’ help your plan thrive Extricating Yourself From the Hospital System Headlines on Deadline … Biotech Med Ixekizumab (Taltz) Wins FDA Nod for Treatment of Plaque Psoriasis FDA approves vitrakvi NTRK fusion cancers Goals 2000: For HMOs: Administrative Retooling; For MDs: Managerial Competency Human factors inhibit medication adherence Racial disparity breast cancer mortality shrinks Asthma Programs Show Progress, Not Just Promise Headlines On Deadline… Headlines On Deadline … Virta health wants make insurers offer they can't refuse A Better Office Visit For Doctor and Patient Health plans won't sit out while docs, hospitals dance Onerous Regulations Put ACOs on Ropes The future holds too few docs Don’t Forget Productivity Gains When Rating Health Programs 193 Vaping related lung illnesses under investigation California fines anthem 96 million Looking for Bold Ideas? Sit Out the Off-Year Election Pay for Performance in Pharmacy Is More Theory Than Reality DISEASE MANAGEMENT: A SPECIAL REPORT Death rate older black americans continues declining century Health plans respond as microbes develop resistance techniques Do diabetes wellness programs work? Employers, DM Vendors Edging Just a Bit Closer Four Views of Managed Care Ethics Low dose chlorthalidone beats hctz ambulatory blood pressure control Medicare for All Should Not Be One Size Fits All Prepaid care third world style uganda health cooperative 7 Things You Should Know About the AHCA For Autoimmune Ills, Biologics Bring Promise—and Problems Should Capitation's Financial Incentives Be Part of Informed Consent to Treatment? New model, more money for family docs Master the ‘ABCs' of Activity-Based Costing Team Care and EHRs Are Key to Preventive Medicine New Generation of Issues Now Coming to Forefront November 2006 Price not greatest concern in medical travel Let Comparative Effectiveness Help Docs to Select Right Tools 9801 Low-performing docs benefit most from P4P Plans and Purchasers Team Up To Manage Kidney Disease What makes a medical practice successful? Hospitals brace obamacare repeal After viagra fuss womens groups say help us too Study most ambulatory care nurses don't comply precautions blood borne pathogens Humana’s Multi-Year Pacts Could Be Attractive to Customers Vol. 7, No. 8 August 1998 The Smart Way To Take ‘The Capitation Plunge' Increased Attention Given Growing Rolls of Uninsured Mylan NV CEO Taken to Task by House Committee Kansas City Focuses on Depression Carbon fiber is more flexible than metal, so it may help fractured bones heal faster Proceduralists Seem Up To the Task About Us FDA joins foreign regulators review cancer drugs Hospitals May See Plans as Their New Confidant When it comes repeal and replace americans are divided and still making their Drew altman medicare all would end states role health care DM Standards Off and Crawling Care Coordination Strikes Right Chord FDA approves label update ceftazidime avibactam avycaz Data Support Potential Benefit of Ataluren in Preserving Lung Function in Muscular Dystrophy Patients ‘The Badger State’ pays FPs and GPs the most Diabetes Rates Soar In 15-Year Span HSA Rolls Continue to Grow, Up 14% From Last Year How to Address Skyrocketing Prices of Cancer Drugs Headlines on Deadline … Outlook for the ACA in 2015 Could be Death by 1,000 Cuts For ED, the Doctor Is in But the Men Are Staying Away Ustekinumab Demonstrates Clinical Response, Remission in Crohn’s Disease AHCPR's Online Guidelines Tool Open for Business Majority of docs contract with managed care Fewer employers sponsor retiree health benefits Vagus Nerve Stimulation For Treating Chronic Heart Failure HIPAA Modifications Ease Burdens, But Don't Take Anything for Granted Unitedhealth provides housing hefty dose sdoh Power to the People: Newt's Battle Cry Positive Results Reported for Ixmyelocel-T in Heart Failure Trial Gene therapy optimism combines fear cost Congress Works To Permit ‘Biosimilar’ Drugs Very Soon How To Run Managed Care –If You Want To Destroy It When the Cost of Medications Keeps Patients from Taking Them Helping Marginally Covered May Take Public-Private Effort Health care executives predict no winners under trump administration Nearly 11 million Americans had individual health insurance policies, but some for only a short time It's Hard To Not Take Diabetes Personally Orkambi's Slick Unveiling Puts Insurers in a Bind A Model Approach to Biologics Certificate of Need: ’70s Remnant Shows Its Age Medicaid value based programs have yet prove themselves Traceability key if biosimilars are to compete, cut costs Move to Mandatory Coverage Wouldn’t Ensure Universality School debt can be significant in primary care More Eye Exams In Stand-Alone Plans Sunny for Florida Blue, but It's Partly Cloudy in Sunshine State Homeopathic Medicine Should Have a Role in Managed Care Cost Differences Between Open and Minimally Invasive Surgery Medicaid Fosters Innovations In Treatment of Mental Illness North Carolina PCMH’s Data Offer Promise, Spur Debate Dupilumab Shows Promise for Treatment of Atopic Dermatitis Call for Manuscripts 500 Patients in San Diego Might Revolutionize Care Congressional Anti-Kickback Battle Hinges on HCFA's Regulatory Stance Apply Integrated Care To Our Opioid Crisis Telehealth Dials Up Discussion About Payment to Providers ‘Business to Business' Is Where Real Action Is in Internet Health Care ‘Have I Got a Magic Lamp for You!' Lawmakers Take Interest in Hep C Drug Pricing Doctors: FDA Threatens Strategy To Manage High-Risk Pregnancies Does Your Managed Medicare Plan Have Enough Geriatricians? Genomics: Brave New Twists In ‘Nature vs. Nurture' Debate qmas offers how when it comes measuring care quality indicators HEDIS: LOOKING AT THE NUMBERS New SARS-Like Virus Is Poised to Infect Humans Shining Light Or Shipwreck? Transitions nurses Retail Medical Clinics Draw Patients & Payers Medical Homes Prepare the Way For Accountable Care Organizations No Change in Mission, But a Changing of the Guard Using Virtual Assistant Technology to Improve Outcomes, Adherence Health Reform Cultural Sensitivity Is Vital In Medication Management States seeing more revenue STATE INITIATIVES Biologics Debate Heats Up Between FDA, NCCN Get Help Fighting Fraud Investigation, But Don't Shoot Yourself in the Foot Population Care Coordinators: A Key to Improved Care at Lower Cost? Financial Woes Doom a Merger, Dog an HMO, Dampen Investor Spirit Nonopioid drug helps migraines more opioids study shows Narrow Path Offered for Specialty Care March 2002 Indication-Specific Drug Pricing – Simple in Theory, Complex in Reality Yes, DTC Presents Problems, But Pluses Can Surprise You One Health System's Approach To Disease Management The Closed Formulary Makes a Comeback Preventive Services Not Being Utilized Giving Some Ground to Physicians Helped Turn Health System Around Veterans More Likely to Delay Seeking Health Care It aint easy being patient Health plan medical directors doing well Doctors say they're busy but underpaid States expand ACA's reach Dapagliflozin Is Effective in Treating Heart Failure, Study Finds Americans concerned about drug costs tolerant expensive gene therapies Physicians oppose public disclosure of quality Payers Struggle to Ensure High Level of Adherence to Costly Specialty Drugs Coverage of Obesity Problematic for Most Health Plans What Do We Mean By ‘Patient Engagement'? Higher salaries go clinical executives who hold business degrees except mph Everybody Wants to Close The Doughnut Hole A Conversation With Lee N. Newcomer, MD, MHA: Payments With Purpose King v. Burwell: What did Congress mean by “an Exchange established by a State.” How Smart Use of Data Can Help To Manage Complex Medicaid Patients A Conversation With Michael L. Millenson: Health Care Reform Movement Has Only Scratched Surface Insurers Blew the Whistle on What They’re Calling a Hospital Scam Hemoglobin a1c outcomes and health care resource use type 2 diabetes mellitus Is the degree of restriction on choice of care overstated? Higher Copayments and Deductibles Delay Medical Care, A Common Problem for Americans Finding Common Ground: Where Foundations, MC Meet Helping hispanics means improving preventive care April 2015 Digitally, the VA Leads the Way Smart Approach to Testing Needed For Fragile X Syndrome AHCPR: Employers Should Use Power To Boost Quality Trying sidestep label dance around Making Water Run Downhill By the Numbers Trisomy 21 DNA Test (MaterniT21) for Detecting Down Syndrome in the First Trimester Stable enrollment over last 5 years, except for high-deductible plans NCQA's New Online Survey Tries To Tame the Paper Tiger Making the case for account-based health plans Prior Authorization Process Needs Overhaul, Say Major Health Care Organizations More young adults prescribed ADHD drugs New Privacy Rules May Provide Boost For IT Companies In Narrow Heart Vessels, Catheter Device Prevails Extremely Premature Infants Benefit From Technology Medicare Advantage to remain robust this year Intensivist Program Pays Off Big for Provider Group HMOs and Doctors Agree To Disagree — But Just Why? 340B Program Fails to Meet Its Promise, Study Finds New Cholesterol Guidelines Could Mean Higher Premiums Meet George C. Halvorson Wrist worn heart rate monitors show variable accuracy First Oral Medication OK'd To Fight Psoriatic Arthritis Staff doctors' pay up 2.9% in '96 but 1 out of 4 received no raise FDA Accepts Application for Remicade Biosimilar Self-Funded HMOs on the Rise Popular content Ten Ways To Save Money On Your Office Dictation Oxford Drug Pricing Regulation Pushed From Many Sides A Conversation with Ted Eytan, MD: Social Media Are Your Friends obesity drugs Pay Incentives to Physicians For Filing Electronic Claims 1/3 adults mixes supplements drugs Anthembids Cancer Agents Taken Orally Pose Adherence Problems Despite Ease of Administration Treatment Persistence & Health Care Costs of Adult MDD Patients Treated With Escitalopram Vs. Citalopram in a Medicaid Population Life may be better without a white coat Legislators, CMS Pull In Reins On Medicare Advantage Plans ‘Real Age' in Managed Care Means Making Prevention Treatment of Choice Interim Federal High Risk Groups May Far Exceed 5b Allocation September 2007 What Works Best for Patients? PCORI Hopes to Provide Answers Retinal Implant Brings Some Sight To Profound Retinitis Pigmentosa Patients Popular content Diabetes Intervention: Achieving Tight Glycemic Control Through Combination Therapy One Network Makes Comeback While Another Is Just Beginning Insurers Ready for Exchanges; States — Not So Much Study: Copayments do affect compliance Index of /archiveMC/9808 Steven Peskin MD's blog AMA president calls physicians stop opioid epidemic How Health Plans Can Keep Their Approach to New Markets Nimble, Collaborative, and Effective Medication Nonadherence: $290 Billion Problem Selling The Electronic Patient Chart: A Conversation With Mark Leavitt, M.D., Ph.D. Drug dealing doctors office or whos criminal whos victim A Little More Respect, Please, For Our Primary Care Doctors Hospital system creates 10 epikit compete epipen California Physicians Struggling — Problems Ahead for Other States? Capitation: How well is your back covered? Explosive Numbers THE PROMISE AND PROBLEMS OF LIMITED ACCESS Nearly 11 million Americans had individual health insurance policies, but some for only a short time Medication Therapy Management Program in N.C. Saves $13 Million Indiana Senate Passes Physician Choice Legislation Ten Years Ago, Measuring Patient Satisfaction Was the Next Big Thing Plans and oncologists don't see eye to eye on prior authorization Stakes Raised for Reform Hospital administrators see bump in pay The Role of Physicians In Disease Management Third antidepressant tier requires careful design Marginally frightening It’s Time to Ask More of Utilization Management Personalized Medicine Complicates Medical Decision-Making AHCPR Encourages Physicians To Help Smokers Kick the Habit So Much Data, So Few IT Workers GAO: Consultants Point Docs Toward Federal Law Violations Accountable Care Organizations Hold Promise, But Will They Achieve Cost and Quality Targets? Feeding Items Prospective Value-Based Assessment Of New Health Care Technologies and Practices Ray E. Drasga, MD: It's About Time to Enact A National Single-Payer Program Generics of the Authorized Kind Narrow Networks' Broader Vision Report: Health Care Institutions Take Financial Hit From EHR Implementations More Plans Discover Value of Health Risk Assessments Anthem Provides Platform for Young Physician Leaders Medicare to cut physician pay — maybe Psoriasis Patients' Options Include Effective Oral and Injectible Drugs Leadership Index of /archiveMC/9808 A Conversation with E. Andrew Balas, M.D. Terms of California Reform Debate Clearer as Sides Develop Want Lists Blood Sugar Control Limbo: How Low To Go? Spending drops on behavioral health benefits, but the decline in share of total coverage halts Pa. Pharmacies Sue for Better Medicaid Money Does Supreme Court's Tilt Portend Problems for HMOs? Hospital at Home Saves 19% In Real-World Study Why Antibiotics Fail Innovation + Incentives + HEDIS = High Immunization Rates Abandonment of capitation may inflate MCOs' costs Small Businesses Look at Health Care Changes and Say ‘Duh!’ Many Guidelines Skirt Cost Issue Mortality Rates Drop For Cardiac Arrest Bariatric Surgery Called Cure for Some Diabetes Patients World orphan drug congress europe 2014 Would IRP Make Plans Chirp Over Savings? June 2013 Obamacare collapse iowa blues withdrawing ACA exchange Tobacco Companies' ‘Punishment' Contains Seeds of Their Prosperity FDA approves trikafta cystic fibrosis Medicare Advantage beneficiaries enroll in only a few plans Drain on the System: How To Manage the Worried Well Pay Docs More For Better Services Digital Health Technology Adoption Depends On Tech Comfort Level, Willingness to Pay Would Steve Jobs Have Agreed With an ACO Movement? TennCare Gets Higher Marks for Care Than for Administration and Funding Value-Based Contracts May Lower Patients’ Out-of-Pocket Costs by 28 Percent MA Less Costly Than Traditional Medicare, But Is That Because of an Unfair Advantage? Employers take lead drug benefit design Specializing in specialty drugs: A new middleman steps in Philadelphia's Fox Chase In Pursuit of Fewer Readmissions Don't Be Decredentialed Without Putting Up a Fight Rx trend moderates while PPO costs increase The First and Last Resort Taking the hospital out of hospital care Specializing in specialty drugs: A new middleman steps in Major Managed Medicare Player Plans No Expansion in Next 5 Years Emergency department visits on the rise Compliance With Antithrombotic Guidelines: Current Practice, Barriers, and Strategies For Improvement Health Plans' Financial Instability Presents New Regulatory Challenges Elbasvirgrazoprevir combo zepatier wins FDA nod treatment chronic hepatitis c-infection Employers predict liability expansion bad coverage Capitation Prime Therapeutics’ Clients See Only 2.5% Drug Spend Increase in 2016 Payers Genetic test costs medicare billions delivers little FDA Proposes Ban on Electrical Stimulation Devices Intended to Treat Self-Injurious or Aggressive Behavior Trump Expected To Ease Rules on Association Health Plans Today Is ‘Mobile Health’ Revolution Made for Managed Care? Byte by Byte, Harvard Pilgrim Choked on Unhealthy IT Systems PCPs report little knowledge of CDHPs The Uberization of American Health Care: Why We Need a Disruptive Model Opioid use patterns and health care resource utilization patients prescribed opioid Report: Metastatic Prostate Cancer Cases Up Sharply in U.S. Differin Gel (Adapalene Gel 0.1%) Wins FDA Approval for OTC Acne Use How Health Plans Can Keep Their Approach to New Markets Nimble, Collaborative, and Effective In a Rare Head-to-Head Matchup, New Psoriasis Drug Seems a Winner African-Americans Die Younger Due to Heart Disease, Stroke Emerging role new niche specialists Second ‘Quality Plus' Standards Released FDA Approves Generic Tamiflu Meaningful-Use Measures Fall Short on Medication Safety Cigna Colorado Ends Capitation For Most Primary Care Physicians You've Got to Believe: The Evidence on Positive Thinking in Cancer Outcomes King v. Burwell: What did Congress mean by “an Exchange established by a State.” Gottlieb proposes split decision vaping regulation Specialty drugs to spark next round of cost increases When HMOs contract with organized delivery systems Rand Questions Off-label Use Another Alzheimer’s Drug Bites the Dust FDA approves rinvoq moderate severe rheumatoid arthritis E-Prescribing Tools Touted Personal Freedom Called Key to Coverage SDOH Spenders Spawn SDOH Vendors Web Site Helps Californians Become Informed Purchasers of Health Care Molina Program Addresses Racial Disparity in Detroit FDA advisors recommend approval adalimumab humira biosimilar What the Medicaid Expansion Under the ACA Means for All MCOs PBMs: New Power and Influence Medicine by Legislation: Can Physicians Learn Techniques Patients and HMOs Already Know? Index of /archives As AMA Picks Its '99 President, '98 Leader Picks Up Benefits Whip Headlines On Deadline… At long last … pay for outcomes starts to replace pay for performance Three Benefit Models Improve Specialty Drug Adherence How physicians will fare under macra International research collaboration creates powerful new tools combat zika Meaningful Use Program Finished, CMS Head Says Beware the Hidden Consequences of the Malpractice Crisis Medicare PDP premiums will increase slightly Thomas, DeParle Bickering About Computer Glitch McAllen Texas, Revisited: BCBS Saves More Than Medicare The Business Case for Process Improvement The Role of Managed Care In Patient Safety & Error Reduction Preparing for NCQA: What Not To Do Information: Its better when you share Prevent Crime From Paying: Fight Managed Care Fraud Tiers Reach New Heights Under Part D Get Ready! Electronic Prescriptions Are Coming Gknorman's blog June 2012 Keeping ED Costs Down an Exercise in Frustration Pending Affiliation Could Make Blues Group Biggest Not-for-Profit Recently introduced generics helped PBM control its costs Successful Treatment of Insomnia Starts With Formulary Design Narrow Networks Found To Yield Substantial Savings Insurers skeptical of usefulness of companion diagnostics Specialty meds will put pressure on overall costs COPD inhalers – hold your breath Bringing Humira (Its Price) Down a Peg Headlines On Deadline … Liability Concern Balances Medical Tourism’s Cost Appeal Fate of Health Insurance Reform Left to House-Senate Conferees To get or to skip care? Coverage makes the difference Kansas City Focuses on Depression Neck and Neck and Neck and Neck: 4 Contenders Similar on Health Care It's Elementary Think tank clinton era roots proposes milder dose health care reform Medicine's Cease-fire: Is It the Real Deal? Aetna Opens Gate With Several New No-Referral Plans Headlines On Deadline… Evaluating the Tools Used to Assess the Medical Home Electronic Health Records Bolster Diabetes Outcomes Scientists Develop Remote-Controlled “Microrobots” for Medical Procedures Scheme Capitates Specialist But Not Primary Doctor Health spending expected to slow HMO premium rate hikes slow a bit Economic Outcomes of a Precision Medicine Blood Test To Assess Obstructive Coronary Artery Disease: Results from the PRESET Registry Trying to measure interest in HSAs Worriedwell Oregon Attempts To Blaze Trail With ‘Reference-Based' Formulary Physicians Seen As Next in Line For NCQA Review Biosimilar trastuzumab shows promise phase 3 trial Vol. 6, No. 7 July 1997 Getting in Some Practice With Private Insurance Exchanges Pompe Disease Therapy Presents Coverage Challenge Massachusetts Battle Goes To Heart of Tax-Exempt Question Ease of navigating system varies by condition Stakes Raised for Reform Consumer-Directed Coverage Makes Market Inroads Managed care's influence felt on brand-name drugs Headlines on Deadline … Medical school costs deter qualified candidates GAO Report on Medicare Pullout Outrages Many in HMO Industry Researchers identify multidrug resistant e-coli bacteria new jersey patient The Evolving Health Plan Employers Roll Up Their Sleeves Copayment coupons undermine formularies Women's health: Not enough strides Defined Contributions Will Point Employees Toward ‘Health Marts' FDA committee votes against accelerated approval lung cancer drug rociletinib Effort Puts Medication Adherence On Geisinger Health Plan’s Radar Cost, Outcomes Mixed for Tele-ICU Costs to Bring a Drug to Market Remain in Dispute Health Plans: Disrupt and Prosper Tough Road Ahead for the AMA's Physician Accreditation Program Staff-Model HMOs: Don't Blink or You'll Miss Them! TennCare's Chief Says Fraud Threatens To Sink Program Health Care Fraud Resistant to Reform Decision Support’s New Advocates Strict Regulatory Environment Dogs Cancer Pain Management Blood Test Can Replace Invasive Heart Biopsy The Enduring Temptation of Physician Self-Referral Terms of Coverage for Elderly Top Priority for Drug Industry Has Medicare Gone Too Far To Control Imaging Costs? First non controlled substance treatment narcolepsy What the For-Profit Trend In Health Care Really Means For 2010, most PDPs do not offer gap coverage Al Lewis's blog FDA advisors narrowly back approval empagliflozin jardiance cardiovascular indication Jay Sultan: Poor Utilization Management Will Doom Many ACOs Why It Pays To Go ‘Online' Aptamers: Slowing Progression of AMD Four Ways To Avoid Being Deselected A Conversation With Steven Pearson, MD, President of the Institute for Clinical and Economic Review (ICER) DM's Cost-Effectiveness Doubted in CBO Report Grow Your Own Medical Management Software? Headlines On Deadline… How manage specialty pharmacy when its not so special anymore Study indicates heart improves diabetes drug Home hospital halves costs The impact of molecular diagnostics on treatment pathways, outcomes, and cost Should You Use E-mail in Clinical Practice? Gop considers four obamacare replacement measures Cannabis Drug Succeeds in Epilepsy Trial The Health Care Consumer's Unlikely Ally: Managed Care Cost-Effective Psoriasis Treatment May Demand Creative Coverage Rules Managed Care Has Useful Role In Promoting ‘Meaningful Use’ Headlines On Deadline… Younger Women Too Often Ignore Signs of Heart Attack A Conversation with Thomas H. Lee, MD Progress based incentives Should medical ethics be part public relations AHIP Proposal Called Promising Starting Point A Conversation with Lucian Leape, M.D.: Moving Beyond A Punitive Mind-Set Printer-friendly version January 2002 System Tries to Boost Productivity by Looking at Total Health Care Picture Biotech Hall Shame Consumer-Directed Health Plans: Built to Last Or Designed to Fail? Letters to the Editor Blue Cross Blue Shield of Massachusetts Makes Two-Sided Risk, Value-Based Care Work Blogs Putting Greater Emphasis On Getting Back to Work Shortage of IT Workers Coming, But There Is a Glimmer of Hope Wellness Debate Irrelevant For Insurers Eyeing the Market Will Politics Change Managed Care's Rules? FDA approves duaklir treatment COPD Lawsuit Claims Sexual Dysfunction Drug Cialis Tied to Skin Cancer Retail pharmacies miss out on specialty drugs PBM Industry Today: Who's Managing Drug Costs? Could Japan Leapfrog America in Employee Well-Being? Large Employers Now Use DM To Cut Their Costs Financial incentives encourage pregnant women quit smoking Providing Medical Management In Consumer-Directed Plans Avoiding ‘Bad Faith' Denials of Medical Claims Improving Processes Easier Said Than Done Vote unlikely drug price bill Employers Starting To Hold HMOs Accountable for Quality Privacy Concerns Delay Health Information Network Stroke Survivors Often Forsake Preventive Drugs DM's Motivation Factor Can Skew Study Results New Drugs, and New Prices on Old Drugs, Fuel Steep Rise in Prescription Costs Health care spending to grow at current rate through 2015 Do You Always Make Sure Patients Get Test Results? Physician incomes rise in academia Can Your HMO's Documents Pass the Readability Test? A few specialty drug prices fall — all generics Holistic care management requires IT integration The Comeback Isn't Complete: HMOs Still Shaky Evaporation of Retiree Benefits May Be Health Plan Opportunity Search form Four republican senators reject gop health care bill CDHP Enrollment Grows More Slowly A Conversation With François de Brantes: Bundled Payment’s Many Challenges Push To Reform System Makes Strange Bedfellows Takeda dumps obesity drug contrave naltrexone bupropion Europe us cooperate drug regulation Is There an Advocate in the House? Interest in capitation backs off Making the Case for a ‘Health Care Fed': Should Uncle Sam Decide What Works? Insurers still not doing customer service well PBM rebate arrangements Privacy Regulations Revert to HHS While Congress Works on Other Issues Will Palm-Size Computers Make Electronic Prescribing Happen? 46% jump in number of physicians working part-time CDC contaminated devices putting open heart surgery patients risk Study many patients stop taking life saving statins after heart attack Payers, providers weigh value of some costly biologics August 1996 Chief medical officer position crucial to bottom line States Trim What They Can to Restrain Medicaid Costs May 2007 Some Plans Ignore Nay-Sayers When It Comes to Telemedicine Despite What You Hear, State Privacy Statutes No Threat to DM Working Too Hard, Doctor? Poor Work Flow Could Be To Blame Insurers: Trump trumps all expectations New drug works other drugs attack pancreatic cancer Here's zolgensma ll be 2 million Outcomes derail study educated consumers Shrinking the Psychiatrist Shortage Just What the Devil Is Population-Based Care? Buckeye Bullseye on the Backs of PBMs Medical cost trend for 2012 to hit 8.5 percent New Fee Schedule For Medicare Helps Office Docs Evidence based medicine An Evaluation of Healing Metrics Associated With Commonly Used Advanced Wound Care Products For the Treatment of Chronic Diabetic Foot Ulcers March 2013 Industry profits seen rising again in 2004 August 2014 Good Hospital Care Benefits Insurers New england midwest states score high ncqa rankings Navigating the Personnel Rapids: What They Never Taught You in Med School February 2013 Plans Put Greater Emphasis On Cancer Management Europe Offers Example For Approving Biosimilars Headlines On Deadline… How Medicare Advantage Plans Are Paid: The Devils–and the Insights–Are in the Details Insurers should promote expansion of residencies Paucity of PCPs may hurt children the most Bring ‘Young Invincibles’ Into the System Wendell Potter insurers use choice messaging protect status quo Headlines On Deadline… Contact Us July 1998 Expanded Role for Pharmacists Tested Push Is On for Improved Treatment of Women's Psychological Maladies PSA Fails the Test, but Does It Matter? Letters to the Editor Why Looking for Victims of Domestic Violence Makes Sense FDA to Act on Benlysta, Rare New Drug for Lupus A Conversation with Allan M. Korn, MD: It’s Time to Get Aggressive On Patient Safety 1999 Will the New Fat-Fighter Drugs Be More Worthy of Coverage? Psychologist Prescribing: Not Such a Crazy Idea Medication Payment Proposal Lets Consumers Pay Annually Plans Slow to Cover At-Home BP Monitoring Projecting a Leaner Managed Medicare Liver neglected and deadly cancer Stroke Rehabilitation Requires Knowing What Level a Patient Needs FDA panel gives high marks remicade biosimilar Mylan hikes epipen price 400 Johnson & johnson must pay half billion landmark opioid trial Headlines On Deadline… Task force issues recommendation statement skin cancer screening When It Comes to Viagra, State Medicaid Programs Vary Pioneer Not-for-Profit Plans Struggle to Remain Leaders RA Drug Baricitinib Succeeds in Late-Stage Trial December 2006 Decreasing Medical Costs: How Insurers Are Taking the Easy Way Out E-prescribing system increases generic usage It's good to be a pharmacist in California Molina Program Addresses Racial Disparity in Detroit Residencies sale FDA called lax curbing use powerful class opioids Tightly Organized Doctors Seen as Best Bet for Quality A Conversation With Jonathan Weiner, DrPH: Mixing Population-Based Care With Market Controls What Caused Painkiller Trial Tragedy in France? Repeal and replace story Disease Management Gains a Degree of Respectability Harvard Pilgrim To Pay for 2 Autoimmune Drugs Based on Outcomes, Value Headlines on Deadline … September 2000 GAO Says ACA Needs More TLC Florida's Medicaid Waiver Will Be Scrutinized Closely Should pharmacists be allowed vaccinate their patients Identification resource use and associated costs viral meningitis Financial incentives play a subordinate role in drawing doctors to a practice opportunity Much hope placed big data artificial intelligence improve health care delivery FDA staff backs etanercept enbrel biosimilar CMA Balks as Calif. Eyes Mexico To Recruit Docs To Serve Latinos Paying More Than You Should For Outpatient Procedures? Cap on, Premiums up Prime Therapeutics Says ‘Super Spender' Numbers Are Growing Accrediting Agencies Turn Attention To Consumer-Directed Health Plans National drug bill to continue rising by 14%–18% Chief medical officer position crucial to bottom line Lenalidomide revlimid fails improve overall survival lymphoma study Few Seem To Use POS Option To Go Out of Network For Both Parties, Drug Costs Are a Hard Pill To Swallow A Conversation With David B. Nash, MD, MBA: Game Changers for Population Health Headlines On Deadline … Health Plans, Patients Struggle To Pay for High-Cost Drugs 2017 Closing Dates for Managed Care Index of /archiveMC/9711 Use a Value-Based Strategy for Biotech Medications New organization will calculate out network physician charges INRatio Devices to Leave U.S. Market Seven design features that could improve P4P Clinical Decision Support On Slow Road to Adoption AHCPR, Kaiser Studying Help For Depressed Cms opens window bpci advanced target prices are still behind curtains Physicians Seen As Next in Line For NCQA Review Workers more concerned about layoffs and health insurance New guidelines back reduced antibiotic use hospital acquired pneumonia FDA Approves Once-Monthly Dosing Option for Praluent Injection Contract Talks Are Like Dating: Ask Those Important Questions 2016 marked payer provider collaborations Smoking Programs Succeed for Plans and Patients Ivoral antibiotic delafloxacin effective against skin and skin structure infections Oral/Infusion Cancer Drug Parity Begins to Raise Health Plan Costs Changing Payment Methodologies Force Physicians Into Larger Groups Former Pharma sales reps enlisted fight drug costs Respiratory virus vaccine flunks phase 3 study Consumer Power Will Put HMOs, Physicians on Spot Calling something ACO does not really make it so We Better Not Blow It The Next Frontier: Patient Engagement And they go can drug prices be brought down earth 2019 Tough Formulary Decisions Need to be Made Is 1 the Answer?: More Calling for Single-Payer System HMO–PPO performance gap narrows A Multidimensional Framework For Specialty Drug Management Health insurers often foot bill whendrug coupons are used Rdaily CEO Contends That Eliminating Financial Risk Allows Medicaid Plans To Focus On Management Prolonged loss after heart transplant more common children congenital disease Pediatricians first responders opioid battle FDA Advisors Question Study Findings for Diabetes Drug IDegLira Health Plans Seek Leverage When Physicians Submit Extremely High Bills Keep Politics Out of Examining Room ‘All Products' Clauses Fade From Physician Contracts Leading With Its Heart Program HHS Regulations Identify MLR Provisions for Direct Care For All the HEDIS Hoopla, Employers Shrug Shoulders Direct Primary Care Is About To Take Off–or Maybe Not From Theory to Practice: Identifying Authentic Opinion Leaders to Improve Care Targeted therapy treatment macular degeneration The Next Frontier: Patient Engagement Out-of-Pocket Costs Hamper Utilization Pay for Performance: As Much About Costs as About Quality A Conversation With Paul H. Keckley, PhD: Clinical Perspective Critical to Health Care Reform Nurses as Primary Care Providers Get New Backing, Old Opposition FDA oks adakveo reduce painful sickle cell disease crises Mayo Clinic’s Telemedicine NICU Study Shows Some Success, But Also Tech Glitches Here and There, Work Is Under Way to Reform Med School Curriculum N.J. Orders HMOs To Accept HIP's 144,000 Members Senate fails pass zika funding bill again Steven Peskin MD PBM Effort Takes Cue From Reform, Market Headlines on Deadline… Managed Medicare Revitalized: Feel-Good Plan of the Decade How Rebates, Copayments, and Administration Costs Affect the Cost-effectiveness of Osteoporosis Therapies In 5 years, >50% of top-selling drugs will be biologics Drug combo brings chronic lymphocytic leukemia treatment new era Ncqas quality compass points plan differences New Bone Kit Uses Platelet Growth Factor FDA approves label update ceftazidimeavibactam avycaz Don't Be Caught Off Guard If Government Comes Calling 2 Federal Courts Differ Concerning External Appeals Employers identify strategies to reduce pharmacy costs Smoking-Cessation Efforts Set Cost-Effectiveness Bar May 2009 Consumer-Directed Health Care Won't Fly Herzlinger Predicts ACOs, PCMHs Will Fail Management of Moderate to Severe Plaque Psoriasis With Biologic Therapy The Next Frontier: Patient Engagement Ark Drops ➤ Test, intake, side effects, evaluation【2024】 NIH report nonmedical prescription opioid use doubled 10 years Hospital emergency departments starting be used opioid war HIEs Are Slow Going But Critical Part of HIT Index of /archiveMC/9711 Cut Pharmaceutical Costs, But Mind the Legal Dangers HEDIS: LOOKING AT THE NUMBERS Webadmin 4 Republican Senators Reject GOP’s Repeal, Replace Efforts Due to Medicaid Concerns 9 Ways To Reduce Unwarranted Variation Rules for Evaluating Biosimilars Put Applicants Through Hoops Everybody Wants to Close The Doughnut Hole Gallup Survey: Zika Virus Not a Worry to Americans HSAs: Early Returns Are In Index of /archiveMC/9711 Medicaid Rates Rise in Georgia, Bucking Trend discrimination EDTUs: Last Line of Defense Against Costly Inpatient Stays Pursuing a Bang for the Buck In the Battle of the Bulge Fixing utilization management fit value based world Finally, Attention Switches To Progressive Multiple Sclerosis Medical Costs Rise For Family of Four A Conversation with Donald R. Fischer, MD, MBA: Taking Charge in an Era of Change Tracking Trends in Plan Design: A Conversation With Blaine J. Bos Bush Takes Sides On Patient Rights: Limited Liability Will Plans Follow the New Diabetes Screening Guidelines? Pa. Pharmacies Sue for Better Medicaid Money Through the Looking Glass FDA Warns of Burns and Scarring With Zecuity Migraine Patch March 2001 Wal-Mart Announces Better Insurance Package For Part-Time Workers FDA approves bevespi aerosphere patients copd Excessive Use of Screening Tests Costs System Millions Each Year Immune Globulin Shortage Is Wreaking Havoc Headlines On Deadline … An Evidence-Based Evaluation of Percutaneous Vertebroplasty Cheaper Dressings Just as Effective Health Status, Health Maintenance, and Health Care In the 21st Century AI for all that ails American health care. But how smart is that? Genetic Testing: Handle With Caution How Plans Can Improve Outcomes And Cut Costs for Preterm Infant Care Electronic Medical Records: High Hopes Meet Harsh Reality An In-Office Diagnostic Procedure To Detect Dermatophytes In a Nationwide Study of Onychomycosis Patients MSAs Fall Short Of Expectations, Says GAO Report October 2005 Now Is the Time for Pharmacy Performance Incentives Get Ready! Electronic Prescriptions Are Coming Reviewing the Evidence for Using Continuous Subcutaneous Metoclopramide and Ondansetron To Treat Nausea & Vomiting During Pregnancy A Conversation with Barbara Starfield, MD, MPH: An Evidence Base For Primary Care As Medicare Overhaul Stalls, Reformers Eye Managed Care Popular content Physicians Fudge Insurance Forms To Help Patients September 2014 Disruptive innovation wait until you're ready Pharmaceutical management of depression lags Health Plans Stream Out of Medicare While Medicare+Choice Starts Slowly Herzlinger Predicts ACOs, PCMHs Will Fail Trump Vows To Quickly Overhaul the FDA Approval Process, Slash Drug Prices IOM: Workforce Diversity Lacking In Health Care Headlines On Deadline… Steroids Lower Lung-Cancer Risk in Patients with COPD Insurers Expand Usefulness of Oncology Pathway Efforts Plans Look Askance at Me-Too Medications 2007 Headlines On Deadline… Tiered formularies: Giving employees more responsibility Headlines On Deadline … Interoperability of Electronic Health Records: A Physician-Driven Redesign Culture of health Health Plans Will Use New Tools To Help Physicians Practice Better Medica Splits With Physicians; Aetna Drops ‘Em Headlines On Deadline… HHS inspector general flags ma risk adjustment Members Confused By Coverage Details Missouri Blues Agree To Transfer Millions to Charity Index of /archives/0002 Oral steroids elevate infection risk patients inflammatory disease FDA Expands Afatinib (Gilotrif) Label to Include Previously Treated Squamous Cell Lung Cancer The growth of capitation continues Health Plans That Decredential Docs Must Do It Correctly and Expect a Fight Democratic Agenda Places Medicare Advantage at Risk Unknown Consequences May Ride On Affordable Care Act’s Roll-Out Money Pit: Is Accreditation Always Worth the Cost? A Review of the Utility and Cost Effectiveness of Monitoring Fractional Exhaled Nitric Oxide (FeNO) in Asthma Management Headlines On Deadline … The Incremental Value of Medical Nutrition Therapy in Weight Management States Increasingly Mandate Special Autism Services Forever Young A News Reporter Explains His ‘HMO Horror Stories' February 2006 Headlines On Deadline… Byte by Byte, Harvard Pilgrim Choked on Unhealthy IT Systems Union Carbide Uses Education To Improve Patient Compliance Conversation regina e-herzlinger phd new individual market horizon Statins too often not taken directed prevent second heart attack Mass. Medicare Plans Will Limit Drug Benefits Any way you cut it, employers appear to save if Medicare adopts drug benefit Wharton’s Mark Pauly on health insurer mergers: worry not vs. worst of both worlds Once-a-day HIV Treatment: Pricey But Perhaps Worth It Billing for Alternative Services: Who Gets Paid for What, and How? Meeting the Challenges and Burdens Associated With Hereditary Angioedema Taking Back the Power? Will Physicians Reclaim Control of Medical Care? Third antidepressant tier requires careful design Soaring Price of Cancer Drugs Leads Plans To New Approaches Statin Spending Up 156 Percent Could Japan Leapfrog America in Employee Well-Being? Biotechnology's Reach Extends Author's Grasp Report trump's promise rein drug prices could prompt consumer drug importation Countdown Nears for Launch of ICD-10 Feds Extend Deadline To Use FSA Benefit Index of /archives/0005 The Long Road to Level 1 February 2011 Prescription coverage adds to satisfaction with Medicare Three ways telemedicine changing health care Does the Chronic Care Model Signal Big Changes for DM? Restrictions health navigators may be easing some states Value = (Quality + Outcomes) / Cost Dr. thomas G reddy wins major general bill b lefler federal services award american college NCQA Standards Focus on PPO Performance Potential blockbuster alirocumab praluent scores late stage trial CMS Takes the Lead In Oncology Payment Reform A Conversation with Peter I. Juhn, M.D. Employers take stock illness clock Medication therapy management program in N.C. saves $13 million Adhd linked young maternal age What the Medicaid Expansion Under the ACA Means for All MCOs Care Management Strikes Out in Study Quality is important, but productivity rules Demand's cool for primary care physicians Young Docs: The New Blood That Health Care Needs For Hospitals, Treating Violence Beyond the ER Is Good Medicine––and Good Business Accountable Care Organizations Hold Promise, But Will They Achieve Cost and Quality Targets? FDA To Regulate Drug Company-Owned PBMs HIV Transmission Penalties Outdated and Too Harsh, Say Some California Officials Oxide (FeNO) in asthma management Replace all those sample closets high tech dispensing machines December 2001 New York’s UCR Controversy Likely to Spread Nationwide Health Care Resource Utilization and Costs Associated with Restless Legs Syndrome Among Managed Care Enrollees Treated With Dopamine Agonists Deep Brain Stimulation Presents Radical Fix to Dire Opioid Crisis In Economics, Managed Care Marches to a Different Drummer Study Pinpoints Ketamine Metabolite, Opening Doors to New Treatments 9604 Research topics underpin comparative effectiveness Four-Tier Approach Injects Consumerism Into Drug Benefit Obesity's link certain cancers puts wellness programs trial Number of prescriptions grows faster than population Growing ma membership requires more providernetwork oversight State Exchanges to Offer ‘CO-OPs’ Phase 3 Clinical Trials Support STELARA® (ustekinumab) for the Treatment of Moderate to Severe Plaque Psoriasis Cost-effectiveness analysis of monitoring fractional exhaled nitric oxide (FeNO) Key Texas Lawsuit Against HMO Now Off Court Docket HealthPartners Sets Ambitious Member Goals MSAs Fall Short Of Expectations, Says GAO Report Insurers Find Small Gains In Weight Control With Belviq Theranos Says It Will Share Blood-Test Information in August Why Medication Adherence Matters To Patients, Payers, Providers New options treatment rheumatoid arthritis In N.J., Officials Begin Liquidating HIP Health Plan HMO–PPO performance gap narrows Single-source drugs get formulary preference Expanding the Boundaries Of Migraine Management: A Focus on Menstrual Migraine 10 Notables From Behind the Scenes of the Health Care Reform Debate Health plans, employers seek common goals AHIP’s Karen Ignagni: Health Insurers Will Continue to Innovate Ibx offering no membership fee fitness app Public wants keep aca coverage pre existing conditions greg-adams-succeed-bernard-tyson-kaiser-permanente Citing Losses, Florida Closes Troubled Plan Briefly Noted Chronic disease treatments contribute significantly to spending growth Encouraging Patient Choice Involves Drawing a Line Headlines On Deadline … Managed care's influence felt on brand-name drugs The Enduring Problem of Rising Costs Insurers paying heavy price opioid abuse Hospital Mergers May Go on Whoever Wins in November Linkout Vol. 5, No. 3 March 1996 Physician retention programs gain acceptance Kaiser, Aetna Keep Eyes On Health Care Consumer Tougher Penalties Arrive For Upcoding, ‘Unnecessary' Care Study patients do well generic antiplatelet drugs costly brand Aetna Rewrites Doctor Contracts; AMA Not Swayed Managing Cancer Treatment Begins Before Diagnosis New Solutions for Curbing Runaway Drug Costs Inter-Rater Reliability Testing For Utilization Management Staff NCQA to look more closely at issues small employers care about Employers Want Plans & PBMs To Push Hard for Generics What Makes Harvard Pilgrim So Good? Transdermal Patches Are More Than Skin Deep Manipulating Deductibles To Foster Healthful Behavior Call for Manuscripts Hemoglobin A1c Outcomes and Health Care Resource Use In Type 2 Diabetes Mellitus Patients Treated With Combination Oral Antidiabetic Drugs Through Step Therapy And Loose-Dose and Fixed-Dose Combinations How Should We Evaluate The New Insurance Models? Drug-discount program's effectiveness hindered by lack of use Hammurabi Deal patient complaints arrival subpoenas New Injectable Medication Effective Against Wet AMD Headlines On Deadline… New possible candidates listeria infection Headlines On Deadline… MANAGED CARE June 2017 Headlines On Deadline … Chicago Employers' Study Reveals Wide Variation in Health Costs Clinical decision support systems seem fast track acceptance Drug spending could double by 2004 ‘E-dentities' Will Reduce Internet Security Problem Latinos more likely to be uninsured, says study Meaningful Use in 2014: Are We Seeing the Forest Through the Trees? For most states, medical error reporting is uncertain science Two New Drugs for Tardive Dyskinesia Hit the Market Who Is at Risk for Influenza? Using Criteria Other Than Age Do P&T Committees Have Enough Power? Blue Cross and Blue Shield Plans Continue Growth Via Mergers Repatha Demonstrates Reduced Need For Apheresis In Patients With High LDL Cholesterol In Phase 3 Study Media Kit High-Utilizing Patients: Where Are the Savings? Women increasingly fill medical director role New Study Demonstrates Safety of Belbuca (Buprenorphine) Buccal Film for Chronic Pain Hospital-owned health plans grow Three New Kinds of Liability Stalk Managed Care Precision Medicine in Primary Care: Bespoke. Genetic and Genomic. And Maybe Not Ready. Plans Give Docs Seed Money for Meaningful-Use Systems New Hepatitis C Regimen Stimulates Changes in Therapy Management Hospital Cuts Sepsis Deaths With Surveillance, Extra Training CVS selling generic epinephrine autoinjector treat allergic reactions Cigna Offers Quick Care At Retail Outlets Goals 2000: For HMOs: Administrative Retooling; For MDs: Managerial Competency Competition Wins Over Centralization HHS on 2 Tracks to Persuade Plans To Moderate Rate Hikes Survey: Health System Changes Should Not Be Made Too Quickly AWP Leaves, AAC Arrives; Can It Really Do the Job? Key PBM Functional Areas Require Radical Transformation Do Out-of-Pocket Payments Put Preventive Care on Hold? Putting More Health Into Health Reform Standing Ovation! First Business, Now Health Care: Signing Away One's Right To Sue Conversation mary d naylor phd rn managing transition hospital With More Enthusiasm Than Money, Brailer Pushes Nationwide EMR System Could a Wal-Mart PBM Succeed? Sharp Premium Hikes on Way As HMOs Dig Out From Deep Hole RA Gets First Oral Agent To Compete with Biologics Dole Makes One Last Run At Health Insurance Reform Former Governor Attacks Overhaul of Ky. Coverage Amisulpride baremsis shows promise treatment postoperative nausea and vomiting Keys to Diabetes Control? Patience, Persistence, and Perseverance A Conversation with Robert L. Weinmann, M.D. Diary of the Birth Of an HMO Most docs break bread with pharma Smoking's Out, Drugs Passé, So Why Are We Overweight? Can we design a fair benefit for bariatric surgery? Storm brewing over virtual colonoscopy Malpractice protection efforts seem to come up short Medical ethics A Conversation with Thomas H. Lee, MD Index of /archiveMC/9604 Traditional Behavioral Health Treatment Falls by the Wayside High Hospital Capacity Raises Quality Concerns How To Combat Pharma’s Costly Coupon Programs Fee for Service Is Dead. Long Live Fee for Service? Patients, Payers, and Plans Vexed by Formulary Problems New York plan emerges as pattern for rating physicians Should Physician Entrepreneurs Be Held to Professional Standards? Cost of Imaging Index of /archiveMC/9711 Large Employers Join To Create Mini-Med Benefits Seventy Percent Surge In Diabetes Spending FDA Panel Backs Approval of Abuse-Deterrent Painkiller Arymo ER Executive bonuses health care takes care its own Long acting factor viii hemophilia creates hope less taxing treatment Physicians Urged To Tell Patients: ‘Change Behavior' Employers offer financial incentives healthy behavior Report delayed obamacare replacement could jeopardize safety net hospitals Sublingual sufentanil improves pain scores er patients How Doctors Are Paid Now, And Why It Has to Change Congressional Anti-Kickback Battle Hinges on HCFA's Regulatory Stance Poor Transitions of Care Can Be Corrected Now Stem Cell Therapy Shows Promise in Spinal Cord Paralysis Bush officials seek bounce from Medicare reform law The CVS Effect on American Health Insurance Romneycare Plans Balk While Patients Clamor for Robotic Surgery PBMs: Will the Amazon cometh? Another Group Hopes To Measure Quality of Care Costs slow down, but not enough to assuage employers' concern Even mild head impact breaches blood brain barrier Prescription Plan For Medicare Faces Lawsuit Primary care salaries hold steady Heart Failure Treatment Gaps Costs Lives, Hikes Expenses First US patient treated study lithotripsy peripheral artery disease Advance Directives in Managed Care: Are They Inspired by Love or Money? A Health Care Management Company's Experience With Palivizumab – 1 Year Later Don’t Get Caught By PBMs’ MAC Mousetraps Handful of PPOs Agree To Take Part In NCQA Review Maryland HMOs Sue State Commission Over Charges Levied by Hospitals Generic Drug Price War Begins To Benefit Insurers Keep Peace in Your Practice Looking back to understand future trends Serious Birth Defects Reach 8% for Women Infected With Zika in First Trimester of Pregnancy FDA to Consider Expanded Label for Nivolumab (Opdivo) for Treatment of Hodgkin’s Lymphoma Patients At Long Last… Pay for Outcomes Starts to Replace Pay for Performance Huge Challenges Cannot Be Avoided When Patients Repay Docs By Putting Them in Their Wills Reader questions hmos call home tracheostomy care Big Companies Holding Fast To Employer-Sponsored System September 2010 Influenza vaccination trends recommendations and best practices Analysts Foresee Substantial Growth in Glioblastoma Treatment Market Depression Programs Might Provide an Edge Not Getting It the First Time Headlines On Deadline… Administrative Costs: Trying To Find the Balance Government's EMR Project Yet To Net Seed Money N.J. Regulators Take Hard Look At Diet-Pill Mills Plan Uses AAA-Type Tracking to Reduce ER Overutilization New York Plan Emerges As Pattern for Rating Physicians Index of /archiveMC/9711 Less is More Where physician executives can expect the best pay Is PSO Paucity Instance of ‘Put Up or Shut Up?' Medical Directors’ Role Crucial in Making Provider Purchase WorkIf United ICU Stays Greatly Reduced By Use of Telemedicine Repeal and replace triple aim needed more ever Taking Back the Power? Greater Freedom Through Winning HMOs' Trust Air Ambulance Turbulence: Consolidation, Cost Shifting, and Surprise Billing Gastroenterologists willing but wary of biosimilars Post-Election Spotlight Focuses On Medicare's Nuts and Bolts Good News on Preterm Births Creates Financial Challenges Predictive Modeling Holds Promise of Earlier Identification, Treatment Kaiser, Aetna Keep Eyes On Health Care Consumer Acute Drug Shortages Forcing Workarounds in Hospitals Thinking Globally, Acting Locally Enter Mepolizumab, Better Late Than Never Headlines On Deadline… Some Plans Take Advantage of Managed Medicare Redux August 2011 Identifying Characteristics of Patients With Low Urgency Emergency Department Visits In a Managed Care Setting States' transparency rules fall short of members' needs Test Prospective PBM Before Signing Contract Wharton’s Mark Pauly on health insurer mergers: worry not vs. worst of both worlds Inpatient Rehab Facilities Benefit Post-Stroke Care Test Prospective PBM Before Signing Contract Computer Game Simulates Coverage and Outcomes Blues Build on CMS Program To Boost Hospital Quality August 2005 CDC we're losing fight against stds E-mailing Doctors Desirable for Those with Comorbidities Are Purchasers Now The Ones With the Vision? Budget ‘Deal' Wings Medicare But Keeps It Flying Till 2008 The Age of Mergers Is Here: Decide Now How To Decide ERISA Expect Close Encounters With Pharmacy's Third Tier Purchasers Still Not Focused On Quality, Says Business Group More Questions Than Answers For Tax Reform Proposals 2000 PPM Industry Shaky After Fall Of MedPartners Two Tonsillectomy Studies Reach Opposite Conclusions Biosimilars Ready, At Last, To Make Their Entrance: Stars Are Born or Do They Fizzle? Government's EMR Project Yet To Net Seed Money probable-ncqa-standard-addresses-minorities’-needs Fewer new therapies expected for GI disorders by 2010 Making sense antisense and interference Deciding factor how much health care discretionary HMO players continue earnings roll: How long will employers put up with it? Reviewing the Evidence for Using Continuous Subcutaneous Metoclopramide and Ondansetron To Treat Nausea & Vomiting During Pregnancy Unitedhealth group might buy half advisory board 2019 ‘Have I Got a Magic Lamp for You!' New Drugs, Greater Utilization Drive Rx Costs Research shows transition from volume to value FDA approves shingles vaccine more 90 efficacy FDA approves rebinyn adults and children hemophilia b Herzlinger's ACO pcmh comments create storm Strict Regulatory Environment Dogs Cancer Pain Management Examining Costs of Chronic Conditions In a Medicaid Population Disputes Between Physicians and Plans Can Be Settled Without Costly Litigation Who’s Tackling Rampant Overutilization? Health Plans! Guide to Critical Care Ethics Not Ready for Prime Time Is GOP Idea Déjà vu All Over Again? Psychology State Insurance Commissioners Weigh PBM Regulations This Month Many More Medicaid Members — If the States Choose to Cooperate Medicare Spending Dips For First Time Big meets even bigger: More consolidation in the offing The 30-Minute Practice Checkup It’s Team Trump. But the Players Are From Think Tanks, Many With Koch Brother Roots Valeant hit crl key dermatology drug ‘Phantom' Provider Panels Get Attention of States, NCQA Probable NCQA Standard Addresses Minorities’ Needs PPOs: A Better Brand of Managed Care? Index of /archiveMC/9808 Fragmenting Services Leads to Suboptimum Data Analysis Managed Care Reform: How Texas Pulled Off What Washington Can't Researchers identify molecule needed sperm activation Enrollment still rising — and now, HMO count is, too Many consumers feel quality plays second fiddle to stock price Quality improves at nation's health plans HealthPartners Sets Ambitious Member Goals HMOs Continue Losing Ground On Liability Issues at State Level ISSUE FEBRUARY 2018 Vol. 7, No. 5 May 1998 The Most Profound Change We Will See in Health Care Study shows lynparza effective prostate cancer Relapsing Multiple Sclerosis Patients Can Look to Second Oral Agent April 2011 Efforts To Kill Coverage Mandates Run Up Against Powerful Forces Making the case for account-based health plans Atezolizumab (Tecentriq) Wins FDA Nod for Bladder Cancer Vol. 6, No. 9 September 1997 High-Cost Drugs: Where's the ROI? For ED, the Doctor Is in But the Men Are Staying Away For Most States, Medical Error Reporting Is Uncertain Science FDA Lifts Partial Clinical Hold on Pidilizumab Index of /archiveMC/9711 A Conversation With Uwe E. Reinhardt, PhD: Health Care Deserves More Respect Pathway parkinsons takes surpristing twist Genetic, Other Lab Tests Run Amok Tofacitinib (Xeljanz) Succeeds in Late-Stage Psoriatic Arthritis Trial ‘Real Age' in Managed Care Means Making Prevention Treatment of Choice January 2008 Patent Law Rulings Work in Favor of Generics You Can Drag Physicians To Guidelines… But You Can't Make Them Comply (Mostly) Prostate cancer plummets: Incidence and mortality rates in free fall Two Accrediting Organizations Prepare To Issue DM Standards Americans want uncle sam keep drug prices down Metabolic Agents Lead In Total Dollars Spent CDC report diabetes rise among children teens February 2011 FDA rejects latanoprostene eye drops glaucoma destination Everyone Uses E-mail Now (Except Doctors and Patients) FDA issues recommendations to reduce the risk of Zika virus transmission Delivering RomneyCare Should You Use E-mail in Clinical Practice? Bankrupt Hospitals in England Turn to Private Sector 9611 U.S. Health Insurers Find Opportunities Overseas Calif. Businesses Vow To Fight Coverage Law Medicaid fees rise, but still below Medicare It’s a Jungle Out There: The New Health Insurance Ecosystem Wave of the Future? Illinois Docs To Be Paid for E-mail With Patients Retail pharmacies miss out on specialty drugs Like Stock Brokers, Are Health Care's Middlemen Losing Influence? Companies Brace For Record Hikes In Health Costs Vol. 9, No. 2 February 2000 Cancer Agents Taken Orally Pose Adherence Problems Despite Ease of Administration New Test Gauges Danger of Rejection When Children Need Organ Transplants Medicaid ACOs: Innovation Follows the Brave It’s in Insurers’ Interest To Help Cut Readmissions ACA’s effect on employer-sponsored insurance And the Last Shall Be First, Specialists and Nurses Find Thanks to CMS Rule Change, MA Takes SDOH to a Whole New Level A Conversation With Michael Kanter, MD: Casting a Wider Net Recovering From The PPM Debacle Health Plans Undaunted By Medicare Part D Back dead ACA exchange market looking healthy hale and competitive How primary care doctors are paid affects quality in Medicaid MCOs Health spending expected to slow September 1997 Prison accused of killing inmates slowly Today’s Technology Can Facilitate Collaborative Network Management Gain the ‘Quality' Edge in Competing for Contracts Headlines On Deadline … Evidence-Based Medicine Gets Push from Businesses P&T Digest: Pain Management 9 Ways To Reduce Unwarranted Variation How RWE Is Becoming the Real Deal Electronic Enrollment Can Save Expense and Grief HMOs Need To Share Gains of DM Programs Tuning in to Telemedicine Headlines On Deadline… High blood pressure redefined for first time in 14 years ACA Co-Ops Continue To Falter and Drop Out Physician assistants in demand Laws Governing Peer Immunity Study: Loosening of Managed Care Hurts the Poor A High-Stakes Match Game To Keep Patient Identities Straight Economically, country mouse does better Direct-To- Consumer Advertising: Can Everyone's Interests Be Balanced? N.J. Orders HMOs To Accept HIP's 144,000 Members Congress Fails to Preserve Right of Insurers to Be Reimbursed Where Will Health Plans Find The Next Generation of Savings? 2011 HHS Regulations Identify MLR Provisions for Direct Care Device Allows Doctors to See Inside the Small Intestine Little change in overall rate of medical and pharmacy cost increases Study antibiotics not dirty hospitals main cause c-difficile epidemic HMO Complaints Posted Online @ Texas Web Site August 1997 Selling The Electronic Patient Chart: A Conversation With Mark Leavitt, M.D., Ph.D. FDA step regulation stem cell therapies regenerative medicine Military Brings Order To Formulary System Ten Practical Pointers For Tracking HEDIS Data Jeffords's QUEST Would Establish National Health Quality Council January 1999 Label use often presents conundrum health plans Headlines On Deadline … Do P&T Committees Have Enough Power? Uninsured Don’t Jam Up the ED Iron replacement therapy works on kids too Doctors Seek to Limit Health Plan Profitability FTC Antitrust Rules Offer Hope of Limiting ACO Market Power D.C., Maryland Blues Plans Come Together HEIPs On Way For Care Variation Four or more tiers common among PDPs and MA-PD plans Is There a Doctor in the House? UnitedHealthGroup’s Hemsley highest paid health insurance CEO in the ACA era Managed Medicare Revitalized: Feel-Good Plan of the Decade Aetna and Hannaford Make a Singapore Connection Evidence Based Medicine Patient’s Death in Trial Raises Questions about Safety of Hemophilia Treatment Emicizumab A Conversation with Paul Fronstin, PhD: Current Crop of Consumer-Directed Plans More ‘Lite' Than ‘Heavy' Wellness Debate Irrelevant For Insurers Eyeing the Market Fallout from the “new economy”: claims payment slower than ever Popular content Worker's Comp — Can Managed Care Fix It? Events of Sept. 11 Add Pressure To Boost Health Plan Premiums It's Not the Road You Take – It's Getting There That Counts Use a ‘SWAT' Team To Collect Old Receivables Don’t pay too much generic fills MSA Compromise Helps To Enact Decade's First Health Insurance Law A Conversation with Leonard Fleck, PhD: Public Deserves Honest Debate On Rationing Two For The Price Of One: Beauty of Pill-Splitting Catches On Small Changes or Big Ones? The Case of Limits on Prescription Drug Copayments in California February 1997 Next Generation ACOs Must Defy FFS Gravity Micro hospitals growing popularity Employers, Others Not Sold On New Anti-Obesity Drugs Privacy Legislation Is on Track; Could It Derail DM Programs? CAR-T Therapies Approved on a Case-by-Case Poor in Part D plans face more premiums in 2010 Improving Oral Pharmacologic Treatment And Management of Type 2 Diabetes Iowa Obamacare Close to Extinction—Would be First State Without Any ACA Plans Hospitals Try to Deal With ICU Delirium FDA Approves Radicava for ALS A Conversation With François de Brantes: Bundled Payment’s Many Challenges We Don't Serve Your Kind! Team Care and EHRs Are Key to Preventive Medicine What Attracts Workers to Consumer-Directed Plans? Mass. Medicare Plans Will Limit Drug Benefits DM's Motivation Factor Can Skew Study Results HCFA Approves Expansion Of Los Angeles Medicaid Program Case Studies That Flunk Every Plausibility Test Known to Mankind King v. Burwell Majority Opinion Shows Savvy About Insurance, Adverse Selection Advances in Catheter-Based Renal Denervation Can Help the Uncontrolled Hypertensive Patient Changing the Public's Image of Managed Care Health Plans Stream Out of Medicare While Medicare+Choice Starts Slowly Trump's pick CMS chief comes medicaid experience Weiss Ratings: 10 HMOs Weak, Nearing Failure As HMOs Recover, Signs Emerge That 1999 Could Be a Good Year Lessons From a Highflyer Popular content Waiting Room Crowded? Put a Few People In the Examining Room at Once Hospitals may see plans their new confidant How and How Much Should Physicians Be Paid? Limiting Access to SSRIs Does More Harm Than Good Mushroom extract may eradicate human papillomavirus women Where health expenditures have been, and where they are likely to go hemlibra-approved-hemophilia-inhibitors Trying To Get Control of Drug Costs, Florida Earns Kudos — and a Lawsuit Providers Union Carbide Uses Education To Improve Patient Compliance A Conversation with Mai Pham, MD: Payment Innovation at Anthem: Downside Risk Will Be Rewarded A Conversation With Robert Wachter, MD: Medicine's Bumpy Ride Into the Digital Age Best and worst Cities for Doctors Anthem's Geoffrey B. Crawford Wants To Fix Wellness Programs September 1996 Health Plans Won’t Sit Out While Docs, Hospitals Dance Patients who inherit homozygous familial hypercholesterolemia 2 new treatments Has Medicare Gone Too Far To Control Imaging Costs? Efforts To Kill Coverage Mandates Run Up Against Powerful Forces Handful of PPOs Agree To Take Part In NCQA Review First PI3K inhibitor for breast cancer July 2007 Bundled Payment for Bundles of Joy House Call Revival, Digital-Style Cancer Drug Keytruda Continues To Get Rave Reviews CIGNA colorado ends capitation most primary care physicians Single tablet dolutegravir rilpivirine regimen submitted FDA Community-Based Research: Not Just for Pharmaceuticals One dose pembrolizumab melanoma surgery can put patients remission Another Common Mosquito May Carry Zika Virus, Scientists Say Providers warming up to mobile health devices Health plans begin address chronic care management Care Coordination: More Keystone Kops Than Coordinated Legal Privilege Cannot Shield Routine Business Discussions 911 Doesn’t Need To Mean a Trip to the ED transparency Index of /archiveMC/9711 The Use of Therapeutic Interchange for Biologic Therapies Tomorrows Medicine Characteristics and health care resource use of subjects with COPD in the year before initiating LAMA Quality improvement studies don't learn from their mistakes March 2006 Risky Business When Public Plays Doctor With Open-Access MRI ‘New PARCA' Doesn't Placate Critics; Passage Prospects Going Down Tube The Compliance Challenge in Treating Helicobacter Pylori MA Offers Post-Acute Discharge Care CalPERS Takes Tough Stand In Giving 38 Hospitals the Boot Prior Authorization for Safety, Not Just for Economy Pitavastatin livalo tops pravastatin HIV study The Death of Disease Management (Finally) Primary care salaries hold steady Joint commission issues report new and revised pain assessment and management standards Biopharma companies mix medications and cannabis Former valeant and philidor executives charged fraud and kickback scheme Capitation payments shrinking Briefly Noted Preventive Care: Can We Do a Better Job? Hospital at Home Saves 19% In Real-World Study A Better Office Visit For Doctor and Patient Stimulus bill spurs plans rapid it progress Obama Rescinds MA Letter Enzalutamide improves survival men metastatic prostate cancer Medicare Advantage Hits Jackpot with Private Fee-for-Service Plans March 2000 FACCT's president talks about the need for patients to take charge of their health care and the challenges of developing a set of quality measures for children. Too Many Books: How To Tell the Best Cooks? Managing care in the 21st century Antitrust Investigators Target Mylan’s EpiPen Consumer-Directed Health Plans Continue to Gain Adherents Worker's Comp – Can Managed Care Fix It? Index of /archiveMC/9711 CDHPs aren’t catching on PBMs’ Rebate Income Threatened By Lawsuits and Move to Generics Liability's Jaws Closing on HMOs Price Teva's Generic Drug Wilson's Disease Sparks Outrage Academic detailing effectively reduces Rx costs New Method Could Fast-Track Existing Drugs as Novel Treatments for Depression In Early Diagnosis, Too, We Find That Less Is More Lax Coding by Physicians Hurts Medicare Advantage Plans AMA, Federal Government Fret More About Online Prescribing and Pharmacy Better outcomes less cost will follow engaged patients Gastric cancer incidence rate rise Terms & Conditions of Use Agreement ‘B’ Isn’t Always for Biologics Transparency Catches Eye In Coalition's Deal With Medco Changing medical evidence brings shift C section stance Eribulin mesylate halaven succeeds late stage liposarcoma trial What the For-Profit Trend In Health Care Really Means What do physicians want health plans? Prior Authorization for Safety, Not Just for Economy Pa. Internists Fight To Block Blues' Merger Study: HMOs Beat FFS In Diagnosing Breast Cancer Physician pay remains flat, but bonuses rise Doc Buy-In Needed For EHR Push CDC reports rising flu hospitalizations 16 more pediatric deaths More U.S. kids overdosing on ADHD drugs Supreme Court Ruling Will Speed Biosimilars to Market A Conversation With Reed Tuckson, MD: Championing Change from the Inside Projecting a Leaner Managed Medicare We Have the Tools for Safer Prescribing and Dispensing Why Blogs? Patrick Kennedy Sees More Talk Than Action in Mental Health Coverage and Parity Less Carrot, More Stick? How Some HMOs Go Too Far Ranks of Uninsured Grow In Southwest's Arid Climate Whatever Happened to Exclusive Contracting? Clinical and Economic Outcomes of the Cincinnati Pharmacy Coaching Program for Diabetes and Hypertension Truce! Health plan foundations how well are they spending money Physician-Owned HMOs Turn Up the Heat in Florida Plans & employers step up controls on specialty pharmacy Outpatient Treatment of Deep Venous Thrombosis In Managed Care Imbruvica wins FDA approval treat chronic graft versus host disease Wellness programs proliferate employers buy big time A Conversation with John Abramson, MD: Is It Time To Create a ‘Fed Board' To Oversee Clinical Research? Concierge Care by Any Name Raises Ethical Concerns Praluent Cuts Cardiac Events, Deaths in High-Risk Patients Physicians oppose public disclosure of quality More Attention Paid To Physicians, Patients EHR gets f for physicians April 2001 Dr. Drugstore Will See You Now Nations rated health care 16 FDA-approved Biosimilars Employers Want More Cooperation From Plans: A Conversation with Larry S. Boress Health plans pay less when PBM owns mail-order pharmacy Frustrated With Managed Care ‘Lite,' Radicals See Virtue of Competition Written Tests Can Help You Hire the Best Employees Better Analysis of Risk Means Less Risk for All Organ trail matching supply demand With Cost Study, Group Argues For OTC Benefit No one here gets out alive preparing patients end Adam Fein: Drug spend is NOT skyrocketing Asking plans keep employees job Gordon Chairs Group That Will Examine Quality Real world analysis dispensed international units coagulation factor viii and January 2000 NCQA Takes Initial Steps To Examine Quality of PPOs Headlines on Deadline … Assessing Provider Partnerships For Accountable Care Organizations Employer retention big motivator for HMOs' workers' comp activities Index of /archiveMC/9711 Index of /archiveMC/9711 Study: Consumers benefited most during '90s conversion to managed care AAHP's Analysis Of Election Day: We Told You So Genetic Variant Burden and Outcomes in Pediatric Cardiomyopathy Stress May Affect Physician Retention Genentech Asthma Drug Less Than Stellar in Late-Stage Studies Report: Physicians storm Web sites to get information on formularies Two-Pronged Approach Holds Promise Against Peripheral Arterial Disease Untangling the HIE Mess Outcomes Derail Study on Educated Consumers July 2015 2009 costs will continue to outpace inflation NIH Endorses Some Uses for Acupuncture; Whether HMOs Will Too Is Less Certain A New Approach for MS A Conversation with Regina E. Herzlinger FDA Free Statins Disrupt Pharmacy Benefit Plans Mips we just don't know yet Study bodes well biosimilars Off-label provisions spread More Children Get Coverage Physician income trends vary by specialty August 2004 Management of Moderate to Severe Plaque Psoriasis With Biologic Therapy Infliximab Biosimilar Is Noninferior to Remicade in Phase 3 Crohn’s Disease Study ‘New’ health care organizations will truly manage care New Stark II Rules on Referrals Will Further Restrict Medical Practices United HealthCare And Humana Plan $5.5 Billion Merger Free Database Encourages Wide Sharing of Information on Programs' Outcomes As Restrictions on Abortion Increase, Interest in Access Via Telemedicine Increases Every Insurer Is Capable of Delivering High Quality Florida's MCO Medicaid path may be taken by other states Senate Republicans unveil Obamacare replacement bill Don't Bet That Problems With Part D Are Over AHRQ's national guideline clearinghouse has gone dark Immunotherapies Can't Keep Market Forces at Arm's Length King’s Attorney Tells Managed Care How It Would Have Been If He’d Won ‘Dr. Jeeves' Gives Rich Medical Star Treatment Plan Lets Ombudsman Go To Bat for Members Say Goodbye to Ulcers, Say Hello to Savings N.Y. Life's Sale To Aetna Triggers Physician Worries Coverage expansion means more regulations Evaluating Quality of ‘Medical Tourism’ For Heart Surgery: Measures That Matter Index of /archiveMC/9808 NIH Reviews Status of TB Diagnosis and Treatment Index of /archiveMC/9711 AHIP’s Karen Ignagni: Health Insurers Will Continue to Innovate Genes tell story young doctors age too quickly Boom Times for Brain Injuries Can Doing the Right Business Thing Protect Physicians From Liability? Index of /archiveMC/9711 Plans Feel Pressure to Vaccinate More Adults Everyone Uses E-mail Now (Except Doctors and Patients) Accountability in Managed Care: What Should We Expect From Patients? Competing HMOs Discover When It's Better To Cooperate Plans and Physicians in Hawaii Experiment With Online ‘Visits’ Spend Money on Healthy People! There Are Good Reasons to Follow U.S. Preventive Services Task Force Recommendations Genetic Testing: Handle With Caution October 2004 Take as Needed… Swim at your own risk Smoking Cessation Coverage May Be Worth Plans’ Effort PBMs report increase in drug margins Survey finds more prior authorization, cost shifting by large employers in 2016 Viagra Takes Market by Storm; Who Pays is Another Matter What women's health wants your market ACOs called key to doc payment reform HIV/AIDS treatment drastically reduces mortality and helps to limit transmission Bad tiered formulary designs yield poor outcomes, high cost Transparency Catches Eye In Coalition's Deal With Medco Skeptics Say Trump’s Efforts To Lower Drug Prices Don’t Go Far Enough In Managed Care as in Life, Small Advances Add Up New Diabetes Medications Drive Up Costs And Stymie Formulary Design 5 Product Engineering Methods To Use in Health Care Management ‘New PARCA' Doesn't Placate Critics; Passage Prospects Going Down Tube Prescription Omega-3 Fatty Acid Products and Dietary Supplements Are Not Interchangeable Specialty Societies Tell Members, ‘Think Twice About Those Tests’ RA Gets First Oral Agent To Compete with Biologics Don’t Get Caught By PBMs’ MAC Mousetraps Q&A with Scott Gottlieb, MD An Interview with David Nash, M.D., M.B.A. Most People Happy With Their Coverage Primary Care Docs unconvinced about P4P effectiveness Study questions efficacy formularies cutting costs Barrett's Esophagus Seen In New Photodynamic Light Measuring Outpatient Outcomes of Emesis and Nausea Management in Pregnant Women Implementing the New HEDIS Hypertension Performance Measure A Conversation with William R. Gold, MD: ‘Random Gifts of Information' Should Never be Ignored Pneumococcal Conjugate Vaccine for Young Children More Families Rely On State Insurance December 2007 ACOs Sit Like Gibraltar In Rough Seas of Change The Cost Benefit to Health Plans of Pharmacotherapy for Alzheimer's Disease 2014 2016 Editorial Calendar The C-Suite is Still Mostly a He-Suite Will Health Plans Keep Their Erisa Shield? Taxpayers Reject Idea of Losing Deduction for Health Insurance Manufacturers Square Off Over Naming of Biosimilars December 2014 IPA models predominate among newer HMOs Modest Investment in ‘Coaching' Seems To Lead To Lowered Costs Why Is It So Tough to Deliver On E-Prescribing’s Promise? Illinois's Medicare Drug Program Called 1st Stab at National Reform Primary care in the consumer-centric era Insurers and Oncologists Forge a Better Cancer Drug Policy Snail Venom key better diabetes treatments More Retirees Face Life Without Health Benefits Extenders' pay gains exceed physicians' Health Reform Law Makes Us Relevant Coupon Programs Curb Antihistamine Utilization Primary Care Salaries ‘Go South' Getting Members more Engaged CMS hybrid payment system shows promise Physician Payment Reform Will Need Insurer Assistance Privacy Legislation Is on Track; Could It Derail DM Programs? First, Do No Harm– To the English Tongue Too much of a good thing: Overdiagnosis to get its due Opioid Deaths Among Women Not Getting the Attention They Warrant NQF Unveils New Surgery Measures Index of /archiveMC/9711 Abbreviated Approval Process In the Works for ‘Biosimilar' Drugs It's To Plans' Benefit To Spell Out Authority Confronting The Medicare Cost Shift Less Invasive, More Informative Monitoring Breakthroughs on Way Missed rebate opportunities dog medical benefit Venclexta obstructs diabetes mice targeting beta cell senescence 13% of workers pay separate drug deductibles Mental Health Parity: A Year Later, Are We There? Health Reform Trying To Get Its Act Together Medicare advantage step therapy proposal seen step backward patients Targeting a Cystic Fibrosis Mutation Opens Door for Personalized Treatment Continuity of Care When Coverage Changes Draws Attention of Regulators, Legislatures Q&A with Scott Gottlieb, MD Disease Management What's New Is Old For Home-Health Agencies in U.S. Some HMOs See Dividends In Charging Deductibles Clinical and Economic Outcomes of the Cincinnati Pharmacy Coaching Program for Diabetes and Hypertension How We Got It Anyway: The Clinton Health Plan Never Died Closed formulary keeps student-run clinic afloat Todays medical directors line be tomorrows health tech chiefs ICUs Cut Costs by Hiring Intensivists AAHP's Analysis Of Election Day: We Told You So Screen patients quickly workers comp fraud The Comeback Kid: Harvard Pilgrim Health Care User July 2014 Headlines on Deadline… Can Health Plans Change Unhealthy Behavior? 12 DM Trends You Should Know About Molecular Diagnostic Testing Presents $5 Billion Conundrum Privacy Up, Liability Down In State Houses This Year Unmet Needs in the Management of Plaque Psoriasis 12 Million Misdiagnoses a Year Due to Gaps in Outpatient Care The Inevitability of E-commerce For physician executives, that M.B.A. really pays off 11 Slices of Expert Advice For Today’s Medical Directors Left behind by the boom? Plugging chronic pain money drain Pay-or-Play Ideas Make Employers Help Uninsured Clinton Wants HMO-Medicaid Match To Stick Diabetes Could Be Managed Care’s Big Chance Quality-Measurement Organizations Look Beyond HMO and POS Plans Coverage for Uninsured Children Emerges as Major Legislative Goal Lobbyists That the Founders Just Never Dreamed of Vol. 9, No. 2 February 2000 AHCPR employers should use power boost quality April 1998 Telemedicine program aims keep nursing home residents put Bipartisan Bill Gains Momentum, Worries Industry An Editor's Problem: How To Stay Humble Bundled payments may have unintended consequences Aetna's profits soar second quarter Bipartisan agreement reached surprise billing legislation An Initiative Aimed at Influencing Cell Physiology and Psychology Survey: Enrollees View Docs, HMOs As One and Same Two Major studies focus Mental Health NCCN Updates Genetic Screening Guidelines Norwood and Gingrich Butt On Reform Pace So How Much Would Medicare for All Really Cost? Good Question. Medication Therapy Management Faces Tighter Requirements in 2010 Any International Health Plan Has To Be Cheap Three components missing many population management strategies “Artificial Pancreas” Makes U.S. Debut Medicare+Choice Reform: Hope, but No Quick Action Expected Got problem you can't solve hire health care consultant Avastin Extricating Yourself From the Hospital System Feeling financial squeeze hospitals slash jobs across country Budget impact Florida’s MCO Medicaid Path May Be Taken by Other States Discussion Groups Next Generation Anticoagulants May Push Warfarin to the Wayside An Interview With Paul Ellwood Jr., M.D. Calif. Blues Plan Says No Tiers For Hospitals ACOs Will Depend on HIEs, With an Assist From Plans Physician Executives Don't Have To Go It Alone Same-Day Appointments Promise Increased Productivity Fall Prevention Hits Stumbling Blocks Mental Health Parity Leaves a Lot Out Though more ex inmates are covered gaps still remain End Is Coming For Managed Care (Or Is It?) With Weight Management, One Thing Leads to Another Nation's largest nursing home pharmacy pay more 28-million settle kickback allegations Report: Pediatric Asthma Costs Vary Widely Across Hospitals Making the Medicare/Managed Care Marriage Work Prime Sees Dip in Opioids, Triptans as CGRP Inhibitor Scripts Take Off HMOs, Physicians Discover They Really Need Each Other E-Health Gives Kaiser Role In Bioterror Fight Some Builders’ Remorse: The Rise and Fall of the Oncology Medical Home Orphan Drugs: Way Too Many, Way Too Expensive Better Patient Communications Mean Lower Liability Exposure Suit Aftermath: What Are HMOs' Softest Spots? CVS and 100000 qaly AI designs drug 21 days Letters to the Editor With a Favorable Side Effect Profile, Tecfidera Gains the FDA’s Approval Irresistible Force Called DM Facing Some Immovable Objects April 1999 Why bundled payments are poised to take off First Encounters of the QALY Kind Health care plans & providers to invest heavily in IT services Radiologists, anesthesiologists in demand Newsletter Prepaid Care, Third-World Style: The Uganda Health Cooperative Headlines On Deadline… 400 Million Dollar Countdown Begins for Compliance With HIPAA Electronic Standards Sizing Up the Mega-Mergers Through Prisms and Microscopes FDA panel backs nocturia treatment Great hopes, great obstacles in preparing and ending the Hivaiden we know 7 Managed Care Reform Measures Vetoed by California's Gov. Wilson Human-Derived Clotting Agent Avoids Immunogenicity Copayment, coinsurance rates change little price-transparency-could-backfire Medicare enrollees oppose cuts to MA to fix physician pay Health Care Reform in the U.K.: Managed Care by Another Name? They're Coaching Your Patients On What To Demand From You Antibiotics Versus Surgery for Appendicitis Study: “One-Stop Shopping” Cuts Hospital Costs by Double Digits in Older Patients Fallout from HMOs' Medicare pullout A Conversation with James C. Robinson, PhD, MPH: Waiting for Economic Pressure to Force Our Hand Physician payment may hinge quality not quantity 2010 Chronic Fatigue Syndrome Poses Management Challenge Pioneer Not-for-Profit Plans Struggle To Remain Leaders FDA Says “No” to Hyperkalemia Drug Capitation Is for Specialists, Not for Primary Care Physicians Cascade costs could push gene therapy over 1 million patient Index of /archiveMC/9712 NIH Endorses Some Uses for Acupuncture; Whether HMOs Will Too Is Less Certain Antiviral drugs have made hepatitis C-eminently treatable Global market for biosimilars expected to explode Relapsing Multiple Sclerosis Patients Can Look to Second Oral Agent Many Not Eligible For Benefits Get Them Anyway Defined Contribution: Threat… or Fad? Small drop in measles vaccinations would have outsized effect Male sexual dysfunction drug gets ax after disappointing trial results Follow the Shrinking Managed Care Savings Opinions on DM Outcomes Can Be Swayed FDA Panel Recommends Approval of C. difficile Drug Bezlotoxumab How blockchain has strange bedfellows singing kumbaya Treating Diseases and Managing Costs Colon Surgery Study Sees Decrease in Pain Medication Use Explosive Numbers Health Plans Are Ill-Prepared for Looming Diabetes Epidemic Diabetes costs rise, but so does adherence Cancer moonshot 2020 may offer more hype hope Hospitalists No Longer Novel Primary care physicians worked harder and were rewarded, if not commensurately Unfairly Targeting 340B Hospitals Biologics trend leads pharmaceuticals How Much Trouble Does Health Care Marketing Cause? Though Still a Priority, Reform May Take Back Seat as Privacy Issues Heat Up The memo that launched 1,000 (well, not quite that many) think tanks Competing HMOs Discover When It's Better To Cooperate Monoclonal antibody now available prevent red blood cell breakdown October 2015 NCQA Adds Performance To Accreditation Reviews Atrial fibrillation largely ignored by plans, states July 1999 Gain the ‘Quality' Edge in Competing for Contracts Increased Abandonment of Prescriptions Means Less Control of Chronic Conditions Case Study of a Failed Merger of Hospital Systems A Strategy for Identifying and Disseminating Best Practice Innovations in the Care of Patients with Multiple Chronic Conditions or End-of-Life Care Needs Another Cancer Vaccine, Another Retreat Public Policy Largely Ignores Adult Immunization Needs Esteban l pez blue cross and blue shield texas Are we undermanaging hospital care? Doctors Bypassed As More Medicine Purchased Online Kidney Disease Drug Wins Breakthrough Therapy Designation Access to Notes Boosts Adherence What do you do about ER costs? Episode-of-Care Payment Creates Clinical Advantages A Conversation with Donald M. Berwick, M.D., M.P.P. FDA Approves Obalon Balloon System A Conversation with David B. Nash, MD, MBA: Steadily, We Move Toward the Primacy of Outcomes FDA thwarts drug companies abuse citizen petitions Index of /archives/0003 Legislation Would Allow Association Health Plans Doctors in the House Medstat Promises Satisfaction Reports That Are Free of Suspicion of Bias Morning Complete ➤ Test, intake, side effects, rating【2024】 April 2014 Waiting for the Unicorn: Another Study Questions Whether ACOs Will Appear Caregivers Fill Crucial Role But Don’t Get Much Help Tougher Penalties Arrive For Upcoding, ‘Unnecessary' Care December 2016 Medically, Race Means Nothing Base salaries paid by HMOs to family physicians and internists Tiering Hospitals Pays Off For Calif. Blues Plan New Stark II Rules on Referrals Will Further Restrict Medical Practices More than half of the nation's HMOs use pay-for-performance programs An Interview with Dennis O'Leary, M.D. AHRQ’s Free Research Can Help Plans Anticipate Coverage Issues Pregnancy+Birth=$$$v Financial Picture Looking Better For Part D 3 off the scrap heap Revolution in Massachusetts May Spread to Other States Specialist compensation outpaces primary care Gilead, Abbvie Ready Hep C Combinations for FDA Meet George C. Halvorson Fall Prevention Hits Stumbling Blocks Cdc death rate blacks continues decline Adherence to biologics demands greater attention Part D Model Guidelines Updated Far Too Infrequently Six therapeutic categories account for most drug costs Cover Dietary Supplements? Some Plans Say Yes Herzlinger’s ACO, PCMH Comments Create a Storm Take a Bow, Pharma, for the Hepatitis C Drugs Pushback on Zaltrap’s Price Highlights Sensitive End-of-Life Issue Conversation michael kanter md casting wider net March 2007 Flu season: Most HMO formularies cover Tamiflu, Relenza Rules Laid Down for ‘Navigators’ Medicaid Overhaul Includes an MLR Rule Hospitals must cut administrative tasks red tape aha says Retail Gets Some Respect Universal Care Making Rounds In State Houses and on Ballots Medicare Payment Formula Triggers Specialists' Suit Milestones & Musings: As Managed Care Turns 10, Where We Goofed, Where We Called It Managed Care (and Everyone Else) Unprepared for the Next Killer Flu The Private Sector Can, Should, and Will Help Solve the Problem of the Uninsured MC TV Transforming Dyslipidemia Management: Assessing Clinical Outcomes and Cost Transforming Dyslipidemia Management: Assessing Clinical Outcomes and Cost Employers, DM Vendors Edging Just a Bit Closer Drug Cost-Sharing Amounts Stable 2010 to 2011 Index of /archiveMC/9711 In the World of Tomorrow’s Medicine, A Single Physician Makes a Difference California Doctors Fear That NCQA Would Be Too Lenient With Plans Vol. 6, No. 2 February 1997 Report social and economic factors disrupting health care are here stay Is the Comeback Real — or Is It All Just an Illusion? COVER STORY To Be Continued:The Search for a Cure for HIV New Era of Health Care Spending Could Roll Into the Good Times First Time in U.S.: Mount Sinai Treats Liver Cancer With Radiopaque Beads 52,000 More PCPs Needed by 2025 ‘MAKE GATEKEEPERS TRUE INTEGRATORS OF PATIENT CARE' Pharma APMs: Can the Industry Learn To Play Well With Others? Reform expected to add 1.1% to plan costs New Prescribing Patterns Behind Rx Cost Hikes? Specialists' salaries on rise Few ‘likes' for managed care companies Chart: Medicare vs. private insurance: Which is more tight-fisted? Headlines On Deadline … Laronidase Opens Door To Treat Other Rare Disorders Finding Opportunity Where Business Models Meet Getting Serious About Generics Impact of 17P Usage on NICU Admissions In a Managed Medicaid Population — A Five-Year Review With Direct Contracting Boeing Cuts Out the Middleman What the Medicaid Expansion Under the ACA Means for All MCOs Service-line Delivery Transformation: Some Pain but Big Gains Achieving quality measures yields high bonuses for U.K. physicians Managing Rapid Change In the Health Care Environment Clinical and Economic Effects of Coronary Restenosis After Percutaneous Coronary Intervention in a Managed Care Population Facing the Opioid Crisis: Scientists Search for Less-Addictive Alternatives Pilot telehealth program reduces costs hospitalizations and readmissions complex chronically A Conversation with Regina E. Herzlinger: ‘Focused Factories' Will Provide Care Employers gear up for more employee health management Use of Generics On the Rise Cost of transition-related care for transgender soldiers deemed ‘negligible' New method offers promise dna based vaccines pill form January 2003 Death of a Clinic Nurses and Kaiser Reach Agreement; HMO Boosts Rates AMA Lobbies To Give Docs Union Rights Getting Serious About Generics Not the Best of Times For Managed Care Plans Does Charity Care Suffer When Docs Earn Less Money? Sanders wants pay americans past due medical bills Gender gap continues: Women health care execs earn 19 percent less than their male counterparts Progress Stalls in U.S. Stroke Death Rates After Decades of Decline Medicare holds down physician pay Biosimilars in Oncology: Reality Could Bite the Copycats, Dog Potential Major Savings Disruptive Innovations That Will Change Your Life in Health Care Has capitation weathered storm Plans Should Harness PBMs To Help Educate Customers Medicare raises payments car T therapies DNA-Based Stool-Sample Test Might Improve Colorectal Cancer Screening Productivity continues to outpace compensation Health Care Report Cards Who's Paying Attention? Direct-to-Consumer Ads Garner Mixed Outcomes Bed days higher in smaller markets? Not with commercial plans September 2016 Off-Label Use Often Presents Conundrum for Health Plans ‘I want what I want, or I'm outta here' Following the money PBMs’ Rebate Income Threatened By Lawsuits and Move to Generics It’s Time to Ask More of Utilization Management Wellness Program Gets On-the-Job Training IRS Issues New HSA Limits A conversation with Margaret T. Stanley Three Drugstore Giants Expand Their Health System Partnerships A Conversation with Thomas S. Bodenheimer, M.D., M.P.H.: Emphasizing the ‘Care' In Managed Care Headlines on Deadline … ICUs Cut Costs by Hiring Intensivists FDA authorizes new type test find drug resistant hiv FDA Approves Hypertension Drug Byvalson (Nebivolol/Valsartan) Signs life ACA market Stop Fooling Around Re: Population Health November 2014 Survey finds EHR usage remains subpar FDA Handling of Avastin Discourages Innovation Insurers and Oncologists Forge a Better Cancer Drug Policy Readmission What Health Plans Should Know About the Medicaid Challenge One Network Makes Comeback While Another Is Just Beginning A Conversation With Michael Kanter, MD: Casting a Wider Net History At a Crossroads? Which Reimbursement Pathway is Best Suited to Your Practice? Diagnosis of sleep apnea moves from lab to home Legislation and regulation Index of /archiveMC/9701 Anthem cigna prove breaking really hard do HMOs: Watch Out For Internet-Based Benefit Managers Clinical, Financial Woes Seen For Those Who Switch Plans Verma tops-modern healthcares 100 most influential list ‘Quick Fix' Not The Answer: Drug-Development Process Already Subject to Oversight Excessive Use of Screening Tests Costs System Millions Each Year Developmental disabilities children and teens rise PCPs, Health Plan Executives Differ About Value’s Chances Informal Physician Ties Forge Stealth ‘Networks’ Knee Replacement Procedure Means Less Stress, Bone Loss Index of /archiveMC/9711 Employers offer incentives to better health Care Coordination Strikes Right Chord What If? Retail Medical Clinics Draw Patients & Payers PPO Deductible Jumps 100% Adherence to biologics demands greater attention Easier use formulation bydureon wins FDA's blessing And the Winner Is … ‘Doctors take oaths, lawyers take money' Survey: Most Patients Clueless About Risks of X-Rays for Cancer Diagnosis Headlines on Deadline… Compliance and Persistence With Medication Therapy Federal and State Governments Pressed to Give Tax Breaks For Wellness Initiatives A Conversation with Margaret T. Stanley Genetic Testing: Major Opportunity, Major Problems Gazyva designated breakthrough therapy lupus COVER STORY In Early Diagnosis, Too, We Find That Less Is More Health Care Reform in England – Commercial Opportunity Or Another False Dawn? Bound or Gagged? Privacy, Confidentiality and CPR A Conversation With F. Randy Vogenberg, PhD, RPh: Changing Market for Pharmacy Benefits Higher Copayments and Deductibles Delay Medical Care, A Common Problem for Americans Could aspirin alter breast cancer outcomes Medical errors Human cost not offering medicare all Convenient Care Clinics Inconvenience the AMA Like Stock Brokers, Are Health Care's Middlemen Losing Influence? Medicaid, Prescription Drug Assistance Common Threads in Tobacco Settlement November 2009 How nice to be the chief medical officer — of a large commercial HMO in or near Minnesota EHRs Turning Out To Be Not as Wonderful as Expected Persister bacteria may pass along resistance genes Paul Terry PhD Specialty, traditional drug cost divide to widen Study: Treatment of UT Infection Just Phone Call Away Discrimination and Health Status Viagra Takes Market by Storm; Who Pays is Another Matter Payers: Expect to feel a double-team pinch What Does the Future Hold For Disease Management? Fannie Mae's Osteoporosis Program Blazes Trail in Women's Health Physician-owned practices benefit from diverse mix of specialists Quality-Measurement Organizations Look Beyond HMO and POS Plans Key PBM Functional Areas Require Radical Transformation June 2012 What Happened to EBM? NCQA puts external appeals on accreditation to-do list Medicare's Drug Coverage Seeks To Strike Compromise Microsoft Launches Health Record System Debating RICO Suits vs. Health Plans Logic Flies When EMRs Debated HMO's survey confirms regional practice differences Blogs FDA approves zulresso postpartum depression November 2004 Another State Court Expands HMO Liability for Providers' Actions Medicare to cut physician pay — maybe 2001 Advances in Catheter-Based Renal Denervation Can Help the Uncontrolled Hypertensive Patient Premiums Rise, Medical Costs Lag, Says New Survey Consumers Don't Know What They Don't Know The Medicare Advantage Advantage–For Insurers, It’s a Sweet Deal, Indeed! Index of /archiveMC/9709 Who will fund tomorrows breakthroughs medical research Milliman, VBID Health Unleash Tool To Sniff Out Waste Plans not mining data that could prevent falls Administrative Costs: Trying To Find the Balance Aptamers: Slowing Progression of AMD HCFA Proposes Medicare Plan Report Cards CDC updates guidelines sexual transmission zika virus Skeptics Abound as Demand Grows For Obesity Treatments April 2015 Plans Scramble to Defend Their Medical Loss Ratios PCSK9 Inhibitors May Show Benefits of Ultra-Low LDL Levels Headlines on Deadline… Combo tumor inhibitor immune system modulator makes nsclc resistant Index of /archives/0001 9610 ncqa Take our Innovations Survey Transgenic Goats Are Key To Antithrombin Production Wendell Potter: Insurers Will Be Radically Different Hospital Cuts Sepsis Deaths With Surveillance, Extra Training Index of /archiveMC/9702 Retrospective Cohort Study of Medication Adherence and Risk for 30-day Hospital Readmission in a Medicare Cost Plan Maybe It’s Old News. But Has Anything Been Done About the High-Need, High-Cost 5%? Plans & employers step up controls on specialty pharmacy Memo Clarifies CMS Guidelines on Injectables About Us HRT Has an Uncertainty Problem. Does Compounding Make It Worse? Your whole life's work judged in a mouse click Plans' pharmacy costs to rise as much this year as in 1999 Plans Don’t Applaud Healthy Americans Act Would Steve Jobs Have Agreed With an ACO Movement? Can Transparency Save Health Care? Prescription Drug Talk Cooled Off Faster Than a Texas Thunderstorm Surgeons Now Have Glue to Keep Skin Grafts in Place July 2000 Scientists Discover Nonopioid Pain Pathway in the Brain The Final ACA Wellness Provisions and the Reticence of the EEOC Employers Will Expect More From Specialty Pharmacy P&T Digest: Pain Management Bring the Cancer Moonshot in for a Landing Physician compensation trend differs depending on whom you ask Focus on the patent cliff to maximize generic savings Sharp Premium Hikes on Way As HMOs Dig Out From Deep Hole Potential for Profit, Potential for Real Change Accountable Care — But the Patient Isn’t Accountable Same-Day Appointments Promise Increased Productivity ‘Model HMO' Contract Lets St. Louis Employers Compare Taming the Gene Genie MedPAC Proposals Echo Private Payers’ Own Concerns 8 years after ACA passage fewer uninsured more underinsured FDA panel recommends approval etanercept enbrel biosimilar Real World Evidence An Important—and Controversial—Piece of the Cures Act Transdermal patch tailors antinausea treatment Striving for Optimum Transitions of Care Inpatient beds? We don’t need no stinkin’ inpatient beds. Telescope Placed in Eye Improves Central Vision Orphan designation non infectious uveitis drug candidate Keep Health Plan Foundations on Their Original Mission How NQF Measures Could Affect Plans Plans Ready To Go All Out For Part D Big Companies Push For Better Online Tools Violence Against Nurses: Casualties of Caring What Can Be Done to Counteract Growing Power of Providers? Headlines On Deadline … PBMs: Higher profile puts them in the crosshairs Employer Coalition Leaps at Challenge of Grappling With Misaligned Incentives 3 conditions linked heart problems June 2015 Psychologist Prescribing: Not Such a Crazy Idea Keys to Diabetes Control? Patience, Persistence, and Perseverance Programs for High-Need Patients: What Makes the Good Ones Good? In Five Key Clinical Areas – What Falls Through The Cracks When Quality Is Measured? Incremental Hospital Costs Associated With Comorbidities of Prematurity Stroke Rehabilitation Requires Knowing What Level a Patient Needs Anal cancer rates are soaring Aetna, AMA Row Over Florida Contracts; HMO Faces Legal Trouble in Rhode Island Health Plans Embrace Retail Clinics United HealthCare And Humana Plan $5.5 Billion Merger Adherence to Biologics Demands Greater Attention New Immunotherapies for Cancer Yield Exciting Results but High Cost Highmark Medical management Plans and Oncologists Don’t See Eye to Eye on Prior Authorization Traceability key if biosimilars are compete cut costs Lung Cancer Drug Seribantumab Wins Fast Track Designation Pediatric groups' revenue increase falls behind boost in practice costs ‘New' Aetna and Kaiser Face Future Gilead wins reversal 254 billion hepatitis c drug patent verdict Prior authorization do insurers pay bonuses denying new drug requests They Wrote the Book On Fixing the System Companies maintain market ‘advantage’ American Academy of Pain Management Changes Name PBMS will amazon cometh Index of /archives/0001 Outpatient treatment deep venous thrombosis managed care Geisinger all and thumbs electronic payment providers HEDIS Performance: Routine reporting drives improvement Vol. 7, No. 1 January 1998 NCQA's New Rating Scheme To Allow Easier Comparison November 1996 Premium hikes slow plans seek members How Kaiser matches up against Britain’s National Health Service HMO growth rate near flat The CVS Effect on American Health Insurance 3 Years at the Top: Moving Intermountain to Wellness and Value League of Their Own: What Makes a Winning IPA? What NPS Have to Offer Is Real, if Not Concrete What legislature? Health care issues increasingly going straight to voters Doing harm in American health care: The case of misdiagnosis July 2005 Research Topics Underpin Comparative Effectiveness Vol. 6, No. 6 June 1997 Can transparency save health care Snake venom Taking back the power? Life can be simpler with a cash-rich partner Rising rates bring focus on self-insured plans Is Medical Ethics the Same as Corporate Compliance? A Conversation with Peter Boland, Ph.D.: Predicting MCOs' Future By Learning From the Past Report: Half of U.S. Adults Have Musculoskeletal Conditions Subscribe to Our Newsletters The seesaw of CVD: Deaths down, costs up Price not greatest concern in medical travel Vol. 8, No. 2 February 1999 Getting Doctors To Listen to Patients RA patients dissatisfied maybe resigned Most Physicians Take Care of Patients in the Best Way They Know How, and Not Just Because They Want to Make a Buck HMOs Continue Losing Ground On Liability Issues at State Level IOM Tells Plans To Cover 8 Health Services for Free The Challenge of Personalizing Health Care Erosion of Employer-Sponsored Health Care: Bad for Everyone Blood thinner also effective artery disease Ethics of Alternative Medicine: The Unconventional Has Its Place FDA Approves New Indication for Eye Drug Lucentis Don’t Get Trapped By PBMs’ Rebate Labeling Games How small businesses pick health plans: Cost, access, choice rank ahead of quality Group Rates Value Of Recommended Preventive Care Kentucky OKs Health-Adjusted Individual Rates Hospital payment reform englands nhs Consumer-Directed Health Plans: Built to Last Or Designed to Fail? Wearing Black Hats … Again — A Comment on the Movie ‘John Q' CMS: Prescription Drug Costs Will Rise 6.3% a Year for a Decade Drug that was specifically designed for migraine Orphan drug debate cheat sheet Spread Pricing: From Largely Unknown To Much Scrutinized and Criticized A Conversation with David B. Nash, MD, MBA: Steadily, We Move Toward the Primacy of Outcomes Health Plans Begin To Address Chronic Care Management Antidepressant pipeline far from depressed Researchers develop gene therapy box Harvard researchers investigate adverse tiering Do We Overspend on Health Care, Underspend on Social Needs? FDA to Act on Benlysta, Rare New Drug for Lupus Headlines On Deadline … Narrow Path Offered for Specialty Care Cost nonadherence medications staggering Innovation 5 Trouble Spots You Could Face In Implementing the ACA Computer analytics reduce hospital readmissions A Conversation with Economist Paul Ginsburg, Ph.D. The Evolving Biosimilars’ Landscape HSA Rolls Continue to Grow, Up 14% From Last Year Paul Ellwood, MD: Only Government Has the Clout To Fix Broken Health Care System Kaiser, Oxford See Quarterly Gains; 1st Since 1997 CDHP offerings tied to fate of the Cadillac Tax Managed care offered to more Medicaid enrollees Simponi Aria Approved for Psoriatic Arthritis, Ankylosing Spondylitis FDA's gottlieb aims end biosimilars groundhog day Covering Post-MI Therapies Could Save Billions in Long Run Pharmacists Make Inroads As Members of Medical Homes Is Managed Consumerism The ‘Third Way'? Too much of a good thing: Overdiagnosis to get its due 2019 Closing Dates for Managed Care Therapy for Parkinson's Psychosis Closer to Market Stimulus Saves Medicaid, But Nobody’s Celebrating Interim Federal High-Risk Groups May Far Exceed $5B Allocation Acting dea administrator meets drug control officials china Mergers, Acquisitions Afoot In Disease Management Industry A Conversation with Suzanne F. Delbanco, PhD: Employers Enlist Health Plans In Campaign for Payment Reform Reinsurance and Stop-Loss Coverage: Are You on a Firm Footing? Alan T. Wright, MD: He Wants AdvancePCS to Manage More Than Drugs Following the money When You Can Safely Discuss Fees With Others in a Physician Network First Encounters of the QALY Kind Hale, Not Frail: MA Set on Keeping the Elderly Fit MANAGED CARE July 2017 Bill Would Change Negotiation Rules For Physicians Study copayments do affect compliance Study Questions Efficacy of Formularies in Cutting Costs N.J. Regulators Take Hard Look At Diet-Pill Mills Health Plans Undaunted By Medicare Part D Meeting Calendar Plans, PBMs, Employers Prod Docs To E-Prescribe Underused Weapon In the War on Addiction Which executive earns most at an HMO? (Hint: It's not the chief medical officer) September 2014 How to Save a Bundle on Hospital Readmissions Visual impairment, blindness cases in U.S. expected to double by 2050 new ankylosing spondylitis treatment guidelines Sanofi Partners With U.S. Army to Speed Up Zika Vaccine Physician Groups In N.Y. and Calif. Changing Hands Index of /archiveMC/9808 Trump establishes commission combat drug addiction and opioid crisis Consumers Don't Know What They Don't Know Reverse new way forward Empowered Physicians Are Key To Diabetes Program’s Success Copycat Biopharmaceuticals Would Not Guarantee Savings The Future of Capitation In a World of Shared Risk Most Want Choice of Doctors More Than Pick of Health Plan The Urgent Care Surge Theranos Dumps Finger-Stick Blood Tests, Closes Testing Sites CAQH Certification Yields $1B Savings Leapfrog Group Actions Will Be Felt Throughout the Health Care System The Smart Way To Enhance Your Online Data Capability NCQA To Put Report Cards On the Web Getting Members More Engaged High-Tech Imaging Full of Kickback Dangers 5 companies maintain market ‘Advantage’ Fewer Part D options for low-income seniors One Winner Could Take TennCare Bid Mixing and matching Medicare and Medicaid Plans Help Bridge Cost Discussion patient safety Women's health: Not enough strides New Provider Coalition Attacks OIG's Ruling Barring ‘Gainsharing' Headlines on Deadline… Menopausal hormone therapy improves bone health Health Insurers Gain Ground In Poll of Public Perception Drug Imports: The New Idea That’s Kind of Old It’s No Longer Just Members Who Are Suing Health Plans Would Steve Jobs Have Agreed With an ACO Movement? Insurers relax rules help members after hurricanes harvey irma Improved adherence expected new hiv combo treatment Headlines On Deadline… Continuous glucose monitors long and winding road acceptance coverage Despite Decades of Initiatives, Rural Physicians Grow Scarcer Certificate of Need: ’70s Remnant Shows Its Age Emerging role for new niche specialists Hospital Copayments: At What Cost? 4 Payer Trends To Control Specialty Pharmacy Costs NCQA To Help CMS Monitor Quality of M+C Plans Medicare for All Should Not Be One Size Fits All de Brantes misses mark about infant and maternal mortality Physician-Owned Hospitals Forced To Plead Their Case Why Blogs? Employers: It’s on Us To Tackle Care Costs System Helps P&T Committees Get Pharmacoeconomic Data They Need Wal-Mart Announces Better Insurance Package For Part-Time Workers How Medical Directors Survive In a Tough Job Market ARBs already widely available on formularies for controlling hypertension Speaking plainly how one health plan ungobbled gook Fewer doctors contract with managed care Formulary Restrictions Inhibit Medication Adherence 2016 could be the year that value-based payment arrives–or maybe not Cut Pharmaceutical Costs, But Mind the Legal Dangers March 1997 OTC antihistamine may reverse vision damage caused multiple sclerosis New Blood Test for Alzheimer’s Diagnosis Antibiotics continue be overprescribed February 2017 7 Strategies for Improving Drug Utilization Zero copayment for generic statins could save billions FDA Staff Says G5 Glucose Monitor “Not as Good” as Standard Self-Monitoring Neil Minkoff MD's blog Women's Health: Is It the Conception or the Delivery? Letters Quality-Adjusted Cost of Care Called New Measure for New Cures Drug-Eluting Stents To Transform Cardiovascular Medicine Malpractice Report Finds Hospital Miscommunication Costs $1.7 Billion Real-World Evidence Faces Some Real-World Challenges Mental Health Coverage Parity In Delaware Peer Review May Not Be Confidential When Fairness of Process Is at Issue Less Pain, Lower Costs: Can Integrative Medicine Do Both? Selumetinib granted orphan drug designation thyroid cancer Thomas, DeParle Bickering About Computer Glitch New Privacy Regulations Almost Certain To Be Tested August 2006 Web Site Helps Californians Become Informed Purchasers of Health Care N.J. Orders HMOs To Accept HIP's 144,000 Members Shelter from the health care storm The 30-Minute Practice Checkup Current Billing System Fosters Error, Dishonesty HMOs Defect From Medicare, Decry Drug Rider EDs Are No Place For IBS Surgery States Feel Less Inclined To Issue Coverage Mandates Beyond the Ready and Willing: How AI Can Engage the Hard-to-Reach Rising Costs Strike Unions As Being Cause for Unrest Oral drug shows promise type 1 diabetes trial Health Plans Strain To Contain Rapidly Rising Cost of Imaging The First Four Continuous Glucose Monitors Use of antidepressants on rise What Doctors Don't Know About the New Plan Designs Mixed results keytruda advanced small cell lung cancer trial PBM Effort Takes Cue From Reform, Market Pharmacy Copays, Out-of-Pocket Costs Rise As Spending on Medicare Drugs Soars Balancing Act: Plans and Promises for '98 Personal Freedom Called Key to Coverage AMA: Doctors' income still rising Dealing With ‘Deal-Killers' In Managed Care Contracts Main Reasons Why Docs Hide Truth Would Healthy People 2000 record have been worse without HMOs? Physician, Tarnish Not Thine Image Index of /archives/0004 ‘Final' Stark Regulations Still a Work in Progress After a Big Entrance, It’s Just So-So for Entresto Competition Heralds Beginning of Bio-Generics Patent Law Rulings Work in Favor of Generics Effectiveness/Efficacy Difference Too Often Ignored Supreme Court Ruling Encourages Greater Awareness Among Patients Stressed States Open Doors to Medicaid Managed Care U.S. Supreme Court To Hear Suit Against HMOs Over Incentives PBMs Raise the Curtain Report Reviews Strategies for Putting Quality Data in Employees' Hands Why Does Managed Care Look and Feel So Unfair? Injectable Drug May Help Avoid Eye Surgery In Patients With Vitreomacular Adhesion Physician Board Certification Isn’t What It Used to Be New Governors in Georgia, California Push Reform, But Their Styles Contrast Patient and physician satisfaction pharmacist managed anticoagulation clinic Lessons america should learn land free health care Use of TNF inhibitors for RA to fall sharply Is Bundled Payment an Idea Whose Time Has Come? Making Sense of the Reform Law’s Insurance Pools & Exchanges HHS secretary upcoming enrollment efforts are pivotal affordable care act FDA Approvals of Old Drugs Put New Pressure on Payers HEDIS Is the Hassle That Became a Habit Technically Prohibited Contracts May Still Be OK Under Stark II Law FDA approves first automated insulin delivery device type 1 diabetes Venclexta wins FDA nod cll specific chromosomal abnormality Headlines On Deadline… Hand-Held Devices Take Hold A Conversation with Peter I. Juhn, M.D. Timing genetic counseling breast cancer pits health insurers against ob gyn lobby Health Plans Demand Proof That DM Saves Them Money February 2009 State exchanges offer Co-ops Organovo to Begin Trading on Nasdaq Stock Market Association Health Bill Fails Despite Senators' Support Extricating Yourself From the Hospital System Direct-To- Consumer Advertising: Can Everyone's Interests Be Balanced? Telemedicine: Cost-Effective Management of High-Risk Pregnancy Defining Nondiscriminatory Wellness Programs Remains a Work in Progress A Conversation with the Dartmouth Atlas Project’s Elliott Fisher, MD, MPH New Home Health Caregivers Get OK From Medicare CalPERS-Blue Shield 3-Year Deal Gives Disease Management Vital Role Fiscal '98 Funding Bills a Focus For Back-to-Work Congress HSAs Surge, Leaving HRAs in a Niche Physician, help thyself: management positions available Index of /archives/0006 PBMs need be disrupted not disintermediated NCQA Wonders: Who Keeps Tab On Consumer Plans? Chief Experience Officers Push Patients to Forefront California Physicians Struggling – Problems Ahead for Other States? Horizon Rolls Out Exchange For Mid-Sized Companies Access Equal In For-Profits, Not-For-Profits? Report march rising health care costs has slowed pace still unsustainable ‘You Talking to Me?’ Docs and Feedback Four-Tier Approach Injects Consumerism Into Drug Benefit Robert Royce, PhD Is the Comeback Real — or Is It All Just an Illusion? Getting Doctors To Listen to Patients Group practice managers' take-home pay is up — except for medical directors Health savings accounts develop the mystique of a winning product Aveo quietly terminates ficlatuzumab study VA Mission Act: New Access to Care for Veterans Health Plans: Important Considerations for Medicare Part D Bids Benefits of Ticagrelor Debated As Antiplatelet Class Approaches Generic Market NYLCare Settles Rx Beef Bush Launches 10-Year-Effort To Create National EMR System Team-Care Approach Catching On Medicare Advantage Enrollment Rocks On Advance Directives in Managed Care: Are They Inspired by Love or Money? Pay scales suggest that Mom was right Can Congress Get ‘Right to Try’ Right? Study: Extended-Release Naltrexone for Opioid Addiction Reduces Risk of Relapse Engaging Busy Physicians Key to Improving Outcomes FDA Ponders How To Regulate Next-Generation Sequencing Smoking's Out, Drugs Passé, So Why Are We Overweight? Early Tiered Networks Encounter Many Obstacles Why Medicare Advantage enrollment will keep on growing, whatever the politics Is Sex Medically Necessary? Who Should Pay for Viagra? Confidence In For-Profits Is Eroding FDA report cancer drug websites skimp safety data As CMS Opens the Data Vault, Entrepreneurs Build a How-to-Use-It Guide Breakthrough Drug Category Demands More Communication Mayo clinic study skin cancer rise Capitation as Whipping Boy: Court Takes on Touchy Issue Paramedics providing care it emergency Chronic Illness New Battleground For Retail Clinics, Primary Care Physicians Health plan medical execs see pay increases July 2013 United States obesity, overweight rates to soar Headlines On Deadline… Recruiters show less ardor for primary care physicians Survey predicts more demand for pharmacy precertification Study: HMOs Beat FFS In Diagnosing Breast Cancer Retail Clinics Expand In Numbers, Services The hunger gains: Appetite for quality to grow 2016 year microhospitals and specialty service lines What does future hold disease management Financial and Risk Considerations for Successful Disease Management Programs NCQA Adds Performance To Accreditation Reviews HMOs more solvent and stable — for now Health plan medical execs see pay increases Trisomy 21 DNA Test (MaterniT21) for Detecting Down Syndrome in the First Trimester Coverage of Obesity Problematic for Most Health Plans Holistic Care Management Requires IT Integration January 2011 Two therapies now available for idiopathic pulmonary fibrosis Consumer Power Will Put HMOs, Physicians on Spot Medicare enrollees oppose cuts to MA to fix physician pay Physician, help thyself: management positions available Imbalances seen with revenues, compensation Evolution tenncare yields valuable lessons The reviews are in! CMS Rating of Hospitals Gets 1.5 Stars A Conversation With Paul E. Terry, PhD: The Advantage of Progress-based Incentives Implementing Disease Management Programs for Type 2 Diabetes in Germany DM Grows, Though Under Fire Employers' Institute To Fight Obesity With HMO Assistance Can Value-Based Design in Pharmacy Save Money and Cut Heart Attacks? Plans Change Tactics As Costs Keep Rising For Specialty Drugs Etanercept Biosimilar Approved to Treat Variety of Autoimmune Diseases Parity for Behavioral Health: Will Change Be for the Better? Steven Peskin MD's blog Legislation shortens members waiting time Listening to St. John's Wort How doughnut hole affects prescription fulfillment decisions involving Service Often Too Slow When HMOs Use ‘McLabs' National Guideline Clearinghouse: Extensive Resource Underused Managing 9/11-Related Stress Economic Outcomes of a Precision Medicine Blood Test To Assess Obstructive Coronary Artery Disease: Results from the PRESET Registry Medicare Helps PCPs at Specialists’ Expense A Historical Perspective on Where We Are 2 More Groups May Be Formed To Push ‘Quality' Having a Baby? Avoid CDH Plans Achieving Price Transparency Is in the Realm of the Possible FDA approves topical acne treatment dapsone aczone Association health plans offer lower premiums, but for what-cost? Index of /archiveMC cms will make doctors feel financial pain if value goals aren't met Contraceptive Coverage: Fertile Ground for Controversy Irresistible Force Called DM Facing Some Immovable Objects You Can Get There From Here With These New Mobility Aids Foes of Capitation Pick a Fight in Oregon Heart disease Plans OK With ICD-10 Delay, But Dread Too Long a Wait MA Part B Makes Controversial Jump Into Step Therapy Court battle will delay launch enbrel biosimilar until least 2018 One Physician's System For Reporting Test Results June 2005 June 2009 PBMs Just Say No to Some Drugs–But Not to Others November 2016 The Pursuit of Happy Docs Study Suggests U.S. Medical Errors Kill More than 250,000 Annually In this corner, weighing In at…. FDA Issues New Guidance on Digital Health Tools February 2005 Headlines On Deadline… NCQA To Judge Plans on Drug Monitoring The Ethical Way In a Season of Change Fecal Microbiota Transplantation for Treating Recurrent Clostridium difficile Infection Out-of-network charges out of this world Positive Phase 3 Results Reported for First Oral Proteasome Inhibitor, Ixazomib (Ninlaro) March 1999 What About the Private Exchange? U.S. asthma drug costs to jump 50% by 2023 A. Mark Fendrick, MD: Taking Aim at Short-Term, Short-Sighted Cost Minimization Emergency care examined FDA Expands Omalizumab Label for Allergic Asthma in Children Study 1 docs responsible 32 malpractice claims Avoiding ‘Bad Faith' Denials of Medical Claims Briefly Noted Study finds patient safety unaffected switch electronic health records Index of /archiveMC/9711 Rules for Evaluating Biosimilars Put Applicants Through Hoops ‘Prevention Doesn't Pay?' Logic Explodes This Myth Digest glaucoma Capitation: The Once and Future King Detour Around the Land of Babel: HHS Pushes for Single Info System 10 times as many prostate cancers in 2021? Physician-Owned HMOs Turn Up the Heat in Florida First US patient treated study lithotripsy peripheral artery disease Are We on the Way to a Real ‘Learning Health Care System’? A Conversation With Steve Miller, MD: Come in and Talk With Us, Pharma Basaglar, an Insulin ‘Follow On,’ Prepares To Do Battle With Lantus Medicare Advantage Loses Its Advantage Popular content A Conversation With Regina E. Herzlinger, PhD: A New Individual Market on the Horizon Despite recession, doc outlook remains bright Essential Benefits Guidance Questioned Variant Post-acute Care Needs Measuring To Be Managed Plan-Provider Posturing Draws State Regulators' Ire Insurers offer more coverage to fill Part D gap Inflation could spark higher health care costs fda-expands-label-trokendi-xr-include-migraine-prophylaxis-adults Consumer-Directed Health Plans Continue to Gain Adherents Premiums outstrip medical costs for first time in 6 years Health Care IT Lessons from North of the 49th Parallel Letters to the Editor First targeted treatment metastatic bladder Cancer Managed Care Was Founded by Contrarians Time sexual revolution health care treatment New year old story drug prices are oing America’s Health Care Problems? The Solutions Exist. A Conversation with Mark D. Smith, MD, MBA health plans spending opioid abuse soars Health Plans Embrace Retail Clinics Physician-Assisted Suicide, Managed Care: Unhappy Bedfellows, a Match Made in Hell Blood Banks Could Feel Squeeze From Zika Advisories Florida Leads the Way in Attempting Disease Management for Medicaid Despite What You Hear, State Privacy Statutes No Threat to DM Forget the pills. Healthy food as the prescription Unnecessary emergency department visits come additional 83 billion spending February 2013 Prediabetes: Prevalent and Preventable but Underdiagnosed and Undertreated FDA affirms warning against power morcellator One brain dead five injured french painkiller trial Health care executives most highly compensated Halamka leaving harvard mayo CMS: Health Spending to Rise 5.8% a Year Through 2025 Standard Measures In Works For P4P Push Health Care Efficiency: Measuring the Cost Associated With Quality Ordinary citizens fill gaps health care A Conversation with Allan M. Korn, MD: It’s Time to Get Aggressive On Patient Safety FDA approves xgeva prevention skeletal events multiple myeloma CVS aetna merger would challenge unitedhealth group Eyes on Medicare Program’s House Calls for Comorbid Patients Small-Molecule Chemotherapeutic (VAL-083) Wins Orphan Drug Designation for Ovarian Cancer Mylan nv ceo taken task house committee How Capitation Turned Red Ink to Black at Harris Methodist Health Systems Herpes Zoster Vaccine Brings Relief for the Elderly Reformed UCR Calculations Not Without Problems An Evidence-Based Evaluation of Percutaneous Vertebroplasty Ruling Makes Class-Action Suit More Plausible A Conversation With John W. Kenagy, M.D., M.P.A.: Time To Roll Out ‘Disruptive Innovation' Per-Patient Visits to Behavioral Therapists Drop 63% in Just Two Years, Study Shows ACOs Produce Good Cost and Quality Results Obesity paradox may help women Peer Review of the Inexpert Witness, or… Do You Trust Chickens To Guard the Coop? Quality doesn't have to be costly There's way address skyrocketing health care costs says cigna's ceo Health care executives most highly compensated Health Plans Tackle Biomarker Limitations Tough Negotiations in Store Between Plans and Hospitals Cooking Up Some Value-based Care? Here Are Some of the Ingredients You Will Need CMS Move Threatens To Put Orphan Drugs Out in Cold MANAGED CARE MARCH 2019 Political delays plague proposals medicare and medicaid reform New Tools to Detect Fraud Rely on Discovering Patterns Drug Prices Banks give insurers offer most them cannot refuse Can Arthroplasty’s Costs Be Contained? Where Society Failed, Can Health Plans Succeed? Maine Gets HCFA Waiver for Drug Discount Program Care Coordination: More Keystone Kops Than Coordinated Will Integrity of HEDIS Data Improve with '98 Version? Retirees stop taking drugs when annual benefit runs out Migraine drug erenumab succeeds phase 3 trial Regence, Remedy Launch Bundled Payment Program Financial Stability Of HMOs Called A Mixed Bag A Conversation with Michael J. Dillon, R.Ph. Medical Directors Explain Hows and Whys of Burnout Cost-Sharing Effects on Adherence and Persistence For Second-Generation Antipsychotics In Commercially Insured Patients HMOs' Current IT Investments Promise Exceptional Returns Index of /archives/0004 VBID Improves Adherence And Outcomes Deductibles and blame game high health care costs FDA gives green light sumatriptan nasal powder migraine United HealthCare Expands Presence in Southeast Region Bundled Payment Fails an Early Test Basaglar, an Insulin ‘Follow On,’ Prepares To Do Battle With Lantus MS Drugs: Expensive, Often Lifelong, and Not Cost Effective Senator attacks centene's callous behavior Pharmacy Copayments: A Double-Edged Sword New Stark II Rules on Referrals Will Further Restrict Medical Practices What Drugs Are Covered? Safety, Efficacy Matter Family Docs Outstrip Specialists in Prescribing Mental Health Drugs Reader Questions HMO's Call On Home Tracheostomy Care Retail Gets Some Respect Health Expenditures Ease a Bit; Drugs Lead Cost-of-Care Increase Health Service Vendors Should Work Together as a Team Dealing With Providers Always Takes Balance Primary care physicians' compensation better reflects productivity Gastric cancer incidence rate rise Georgia Weighs HMO Malpractice Liability, Mandates Microhospitals fill some emergency room needs Take as Needed… Big pharma’s struggles might benefit health plans BCBSMA offers cbt app Briefly Noted The Show-me State Shows the Way On ‘Health Homes’ for Mental Health Out of the Frying Pan Onto the Cutting Edge Fewer Part D options for low-income seniors Some primary care salary increases lag behind other health care professionals On the Record: Congress Debates Managed Care Reform FDA approves its first marijuana derived drug Ease navigating system varies condition FDA Approves New Carfilzomib (Kyprolis) Combo Therapy for Multiple Myeloma The History and Future of Personalized Medicine Acute kidney injuries double over 10 years New York Blues To Send Denials To External Review Colorado Physicians, HMO In Spat as PPM Dissolves Poor Transitions of Care Can Be Corrected Now Telehealth Dials Up Discussion About Payment to Providers The Weight Debate, Continued DM Grows, Though Under Fire DAILY BRIEFING New health care organizations will truly manage care A Conversation with Richard ‘Buz’ Cooper, MD: Questioning the Reform Agenda Physician disclosure strengthens patients' trust Who Will Pay for High-Cost Biologics? Cancer Screening Not Meeting Targets Blues Plan's Bold Move Brings Generics Savings Effort Puts Medication Adherence On Geisinger Health Plan’s Radar Health Plans Won’t Sit Out While Docs, Hospitals Dance The Impact of Minimally Invasive Surgery On Complex DRG Assignments How more types cancer are lending themselves Sessions Leaves the ACA Undefended Headlines On Deadline… Just What Can We Expect From New Head of HHS? Rule reporting clinical trial results often violated Opinions on DM Outcomes Can Be Swayed Mean physician income rises 6.7% Managed Care Seeks More from Clinical Laboratories Tracking the coverage divide Deathwatch ahcpr ends funding mandate changes Social media posts put hospitals risk cyber attacks Employers' Stock in Wellness Rises With No End in Sight FDA Gives First-Ever Approval of Drug To Treat Chagas’ Disease Can behavioral interventions reduce need ADHD Medication Part D plans embrace specialty drug tiers State Exchanges to Offer ‘CO-OPs’ From Theory to Practice: Identifying Authentic Opinion Leaders to Improve Care Some Specialist Societies Feel Left Out of AMA-CMS Deal on P4P Don't Let One Bad Apple Spoil Your Medical Bunch Out-of-Pocket Costs Hamper Utilization Health Plans Can Learn From VHA Turnaround Where your Money goes Plan Design Risk Pays Off Under HCFA's New Medicare Scheme Managed Care's West Coast Champion Docs dont exploit electronic prescribing Managed medical care growth rubs off on dentistry Listening to St. John's Wort Nursing homes not turning telemedicine Building a ‘Terribly Smart’ Doc: A Conversation with David Eddy, MD, PhD Multiple Sclerosis Drug Ocrelizumab (Ocrevus) Wins Priority Review Big Plans Turn Profits, Smaller Ones Still Hurt Orphan drugs account 19 sales in 2020 Headlines On Deadline … Who Is at Risk for Influenza? Using Criteria Other Than Age Taking Back the Power? Greater Freedom Through Winning HMOs' Trust Providers gain capitation ground Too Many Books: How To Tell the Best Cooks? Too late or too soon for knee replacement Mail Order Pharmacy — Savings or Added Cost? Individual File Downloads Will New Benefit Design Harm Some Patients? Index of /archiveMC/9808 Federal Report: Theranos Blood-Testing Devices Often Failed Accuracy Requirements Conservative think-tankers in top Trump administration health care positions Medco Health Solutions tops consumer survey CE research often ignores payers’ concerns Experts question effectiveness cortisol blocker depressed patients On Heels of Report Of Medical Errors, Biz Cooperates A Historical Perspective on Where We Are April 1997 HIPAA Affects Docs' Response To Subpoenas for Medical Data Comparative effectiveness studies get big boost health reform Should real estate be part practice buy HCFA Needs To Shine Some Light Through Stark II's Murkiness on ‘Gifts' HIPAA Modifications Ease Burdens, But Don't Take Anything for Granted Pharma sales reps enlisted war opioid addiction Service Often Too Slow When HMOs Use ‘McLabs' Lessons european models universal coverage Pharmacy Carries Health Care Stocks To 1.9% Gain in '98 Is Oxford for Sale? Wall Street Mulls It Over While the HMO Tries To Shape Up Internally Managing Fibromyalgia: Supporting self-management brings many advantages Barriers to Breast Cancer Screening In a Managed Care Population When Should Bad Behavior Become a Covered Disease? Employers look far and wide to reduce expenses E-Prescribing Tools Touted 135 million worldwide expected to get dementia David Kibbe's blog What managed care does to physician income in single-specialty and multispecialty practices Why Workers Choose CDHPs: Matter of Dollars and Sense Prescription benefit costs rise less steeply Prudential Sells Health Care Line To Aetna for $1B Newspaper calls lawmakers end pbm pricing scheme Kratom gets dea reprieve Thursday, August 17, 2000 House Weighs Giving Parity To Mental Health Fake Doctor Roams Boston Hospital New rules direct contracting ACO model Defined Contributions Will Point Employees Toward ‘Health Marts' Private Insurance Plays Huge Role In Veterans Health System Reform Plan Pharmacy benefits level off in Medicare HMOs Mylan misrepresents epipen generic product despite warnings CMS says Anthem’s push to have physicians take on two-sided risk lands at South Bend Clinic More outpatient surgeries taking place Bay State Blues Combine Global Payment With Quality Metrics Confronting The Medicare Cost Shift FDA approves admelog first short acting follow insulin product Kaiser’s EMR Push Pays Off Payers Struggle to Find Approach to Never Events Hurry Up and Wait Maybe the ACA Is Here To Stay, But Employers Wish That Cadillac Tax Would Go Away Florida Warns 40% of State's HMOs It May Force Them Into Receivership Research blame high costcancer drugs Mental Health Diagnoses and Treatment Vary With Race and Ethnicity What the Primary Care Physician Shortage Means for Health Plans When Your Employees Are Your Focus Group Opioid Deaths Among Women Not Getting the Attention They Warrant Getting Doctors To Listen to Patients Whose Right To Die? Assisted Suicide and Managed Care An Evidence-Based Evaluation of Percutaneous Vertebroplasty Plans Look Askance at Me-Too Medications Show Me The Outcomes! Medicare Advantage to remain robust this year Why Medication Adherence Matters To Patients, Payers, Providers Index of /archiveMC/9711 HMO members willing to pay to manage benefits online Health care executives most highly compensated FDA Expands Ibrutinib (Imbruvica) Label to Include Treatment of Small Lymphocytic Lymphoma Physician shortage could hit State legislatures spring ahead with restrictions on drug copay accumulators Biotech Billionaire in Talks To Become Health Care Czar Will the Employer-Based System Collapse? Vol. 13, No. 11 November 2004 Men Overboard! They're Jumping Good Ship PARCA JCAHO's Oryx Initiative Links Outcomes with Accreditation Capitation Is for Specialists, Not for Primary Care Physicians When They Want Your Network But Don't Want All Its Members Medicare Coverage Rules Are Not Always Last Word Drug spending could double by 2004 CMS Takes the Lead In Oncology Payment Reform Increased Pressures Change P&T Committee Makeup health policy MS Drug Going Generic Without Making Waves Administrative Burdens Make Medicare Part D Cumbersome ICD-10 Code Change Is Long Overdue Discrimination and Health Status The Gold Rush: Private Equity Brings Capital, Seeks Profit, in Health Care NCQA-AMA Plan Would Reduce Paper Duplication Study thirty percent pediatric readmissions may be preventable FDA Accepts Applications for Muscular Dystrophy Drug DeflazacortTreatment wins priority review PPOs: A Better Brand of Managed Care? AHIP Ship Sails Rough Seas Aimmune’s peanut allergy drug meets main goal For Kansas, It's All In the (ID) Cards Growth in average FEHBP premium slows Plans Clamp Down on Utilization and Doctors’ Tempers Flare Rural markets have always lacked strong insurer presence The Promise and the Pitfalls of Reference Pricing Hospitals embrace bundled payment systems Program Lets Patients Rate Doctors Online Mail Order Pharmacy — Savings or Added Cost? Managed Care's 1999 Editorial Index Talk About Consumer Plans Rapidly Becoming Reality Index of /archiveMC/9606 Health Plans Will Use New Tools To Help Physicians Practice Better UPS CVS teaming drone delivery Rand Questions Off-label Use Where's the growth? In HMOs and point-of-service plans Liability Concern Balances Medical Tourism’s Cost Appeal Less Pain, Lower Costs: Can Integrative Medicine Do Both? Ten Practical Pointers For Tracking HEDIS Data New Hepatitis C Drugs: Major Killer Disease Comes Under Control As CDHPs Grow More Prevalent, Savings Will Probably Decline New Anti-Asthma Treatment Smooths Muscle in Airways Massachusetts Model Seen as Health Care Reform Guide Million-Dollar Claim Club FDA Approves First Blood Test to Detect Gene Mutation Associated With Non–Small-Cell Lung Cancer Popular content Takeaways about 2018 health care spending AMA: Patients Will Feel Cuts in Medicare NCQA To Put Report Cards On the Web Positive cardiovascular safety trial results investigational type 2 diabetes therapy Insurers Increasingly Direct Members Toward OTC Products HOW SURVEYS ANSWER A KEY QUESTION: Are Consumers Satisfied With Managed Care? Psychiatrists paid well by drugmakers First Medical School, Then Managed Care School United HealthCare And Humana Plan $5.5 Billion Merger Emergency medicine origin story Hospital Closures Rattle Small Towns Medical school phases out lectures while emphasizing importance team work Formularies get stricter Hospitals scramble for cutting-edge personnel Can Self-Management Programs Ease Chronic Conditions? $850 Per Bowel Movement?! Hard To Justify That Cost See it now: The tube attracts members Consumer Power Will Put HMOs, Physicians on Spot Consumer-Directed Health Care Won't Fly Study casts doubt value medicare wellness visits To Dent Soaring Drug Costs, States Turn to ‘Price-Gouging’ Laws Headlines On Deadline… December 2013 Rumble Over Drug Rebates As Pharma, Payers Duke It Out Headlines On Deadline… archives/9809/9809.ncqa_report.html Payment by capitation comes on strong– but so far, mostly in primary care Cost-related underuse of heart meds leads to cardiac complications Aetna’s Latest Move Called Intrusive Medically, Race Means Nothing Should Uncle Sam Insure Us All? A Conversation with Michael Kolodziej, MD: Managing Cancer Care at a Time of ‘Transformational Improvement' You've Got to Believe: The Evidence on Positive Thinking in Cancer Outcomes Third-Party Payers Don't Realize Burdens Placed on Pharmacists Will Pay for Performance Programs Introduce a New Set of Problems? Giving Some Ground to Physicians Helped Turn Health System Around Diabetes Care Management Teams Did Not Reduce Utilization When Compared With Traditional Care: A Randomized Cluster Trial Anthem health plans reduce opioid prescriptions filled pharmacy CDC Report: “Superbugs” Threaten Hospital Patients FDA approves epipen rival Essential Benefits Standards Issued Alabama Picks Workers' Comp Service Manager Formulary Submission Process Catches On … Slowly P4P Could Widen Medical Disparities Despite Decades of Initiatives, Rural Physicians Grow Scarcer No surprise payers providers disagree about best way end surprising billing For drugs, the VA pays far less than Medicare Emerging role for new niche specialists Will Pay for Performance Programs Introduce a New Set of Problems? Bacterium Limits Cardiovascular Risks of 1 in 2 People Money isn't everything Young Docs Not Confident They Have Business Sense Can Health Plans Change Unhealthy Behavior? Polypharmacy interventions result in sustained decreases Vol. 15, No. 9 September 2006 Can Managed Care Programs Rein in Medicaid’s Runaway Budgets? The Cancer Pill Not Taken Costs Insurers in Long Run Will Your State's Privacy Law Be Superseded by HIPAA? Two surveys point to growth for consumer-directed plans Pharmacy directors see healthy increase in pay in 2003 New Gait Stimulation Devices Walk the Coverage Line Tiger in the Fiscal Room: Beware the Increasing Cost And Number of Orphan Drugs Sweeping Changes Urged to Avoid Mass Deaths From “Superbugs” RX Pokemon Go Replace All Those Sample Closets With High-Tech Dispensing Machines What Does Trumpcare Mean for the Future of ACOs? 15th patient assistance and access programs Survey: Enrollees View Docs, HMOs As One and Same JULY 2019 Separating Fact From Fiction: Are ACOs the Answer? Plastic surgeons ask: What recession? Etanercept Biosimilar Approved to Treat Variety of Autoimmune Diseases Health Care Report Cards: Who's Paying Attention? Copayments dominate drug cost sharing choices As Premium Hikes Slow, Some Brace for Famine Management of Moderate to Severe Plaque Psoriasis With Biologic Therapy Next-Generation Sequencing Problematic, If Promising Drugs to Plan For in 2008 Q&A with David M. Lawrence, MD: ‘We Changed The Way Kaiser Makes Decisions, Views Itself' While Gay Couples Say ‘I Do,' Health Care Often Says ‘We Don't' How insurers and hospitals intend to contain costs Immunotherapy for Advanced Prostate Cancer: A Novel Treatment Option to Improve Survival Where Employers, Employees Don't See Eye to Eye Study lethal dangers lurk even after opioid overdose rescue Tomorrow's Technology Is Saving Money Today A Tall Order From a Cautionary Tale Physician Groups In N.Y. and Calif. Changing Hands When Your Employees Are Your Focus Group Biosimilar market in the United States to grow slowly, Milliman says Cracking the patient engagement code at the Next Edge: Health Experience Summit Study Ranks Best and Worst States for Health Care Costs, Access Pfizer Touts Medicaid Data In Arguing That DM Works Plans Confront Specialty Pharmacy’s Escalating Costs in Variety of Ways Two For The Price Of One: Beauty of Pill-Splitting Catches On Florida Medicaid Moves Toward Direct Contracting Therapy for Parkinson's Psychosis Closer to Market New Heart Valve Avoids Sternotomy And Long Hospitalization Wendell Potter: Insurers will be radically different March 2011 AHIP Ship Sails Rough Seas Expensive New Biologic Helps Children Fight Hypophosphatasia Index of /archives/0002 Value-based Care Will Flop Without Clinical Integration Celgene settles case alleging marketing violations 280 million There’s no (treatment) place like home CDC Assembling Task Force To Contain Polio-Like Disease CMS Move Threatens To Put Orphan Drugs Out in Cold The PCMH 2009 costs will continue to outpace inflation Medical Savings Accounts: Movement Toward Individual Health Benefit Accounts National Mental Health Parity Bill Poised To Pass This Time Around New Fee Schedule For Medicare Helps Office Docs Tracking Trends in Plan Design: A Conversation With Blaine J. Bos Physician Financial Incentives: Another UM Tool Bites the Dust When Falling in Love Falls Out of Bounds Yes, DTC Presents Problems, But Pluses Can Surprise You Multifaceted Diabetes Program Pays Off for HealthPartners Written Tests Can Help You Hire the Best Medical Practice Employees Study: $1B Saved If Maine Should Enact Single-Payer Plan Are Insurers’ Prior Authorization Rules Killing Opioid Addicts? Report Reveals Sharp Increases in Alzheimer’s Prevalence, Deaths, and Cost of Care Consumer-Directed and Home-Brewed Finally, Attention Switches To Progressive Multiple Sclerosis ‘Take My Word for It': The Enduring Dispute Over Measuring DM's Economic Value Peter Boland PHD Dwindling supplies critical cancer drug bcg Some primary care salary increases lag behind other health care professionals Safety-Net Hospitals Need More TLC
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