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Managed Care October 2005 MargaretAnn Cross |
Just How Will CDHC Change Your Job? Medical directors are charged with many of the tasks that could help members make the most of consumer-directed health plans.  |
Managed Care October 2005 Bob Carlson |
What Docs Hate Most About Plans Some insurers seem to have a knack for irritating their network physicians. The list is long, but five categories of irritants seem to recur most often.  |
Managed Care October 2005 Sharon Baker |
Cover Dietary Supplements? Some Plans Say Yes As we learn which dietary supplements are truly beneficial, is limited coverage of specific products in the works?  |
Managed Care October 2005 Mason et al. |
Offering 17p as a Benefit to Pregnant Women Enrollees with a History of Preterm Delivery Can Reduce Nicu Days Significantly for a Medicaid Plan. Can offering 17 alpha-hydroxyprogesterone caproate to pregnant women with a history of preterm delivery, decrease NICU days significantly for a Medicaid managed care plan?  |
Managed Care October 2005 Michael S. Victoroff |
What Katrina Teaches Us About Rules & Structures A defining canon of managed care is "Getting the right treatment to the right person at the right time." Katrina demonstrated how fragile this proposition is under conditions of extreme social disorganization.  |
Managed Care October 2005 John Carroll |
Plans Ready To Go All Out For Part D Some of the biggest insurers in the country will do whatever it takes to promote their offerings under Medicare's new prescription drug benefit.  |
Managed Care October 2005 Martin Sipkoff |
Restrictive Formularies May Be Contagious It's the law of unintended consequences: A restrictive drug formulary maintained by a health plan may influence how physicians treat patients unaffiliated with that plan. What does this mean to managed care?  |
Managed Care October 2005 |
Health Plans Pay Less When PBM Owns Mail-Order Pharmacy The ongoing debate on whether health plans pay more for drugs when using a mail-order pharmacy owned by a pharmacy benefits manager (PBM) or when the mail-order pharmacy is not owned by a PBM may be closer to resolution.  |
Managed Care October 2005 MargaretAnn Cross |
Medtronic, Early Adopter of CDHP, More Than Satisfied With Result The medical device manufacturer, Definity Health's first client nearly 5 years ago, has moved a fourth of its employees into the new-style consumer-directed health plan.  |
Managed Care October 2005 |
Rx Trend Moderates While PPO Costs Increase Trends for prescription drug coverage will slow down in 2006 to levels that are closer to those of medical coverage, according to a survey.  |
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