Managed Healthcare Executive - Managed care trends and analysis - benefit strategies for Medicare/Medicaid and commerical populations
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Managed Healthcare Executive Issue
Managed Healthcare Executive
Providing senior-level decision makers the comprehensive analysis, trends and strategies they need to innovate value in a rapidly changing healthcare landscape.

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Insight From Our Columnists
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Engagement technologies provide activation
August 2010
Technology is being thrust to the foreground, to enable preventive care and advance the outcomes of managed care.
Optimize the effectiveness of health and wellness offerings
August 2010
For any savvy health insurer that expects to remain competitive in the increasingly challenging industry, health and wellness programs are no longer novel. Rather, the offerings of a health and wellness program have evolved into an imperative way to engage current and potential customers, as well as positively affect an organization's bottom line.
Disease management changes course to improve its outcomes
August 2010
When disease management began, it just entailed a series of programs with a singular focus. Whether you had asthma, coronary artery disease, heart failure, diabetes or COPD, disease management programs managed only one chronic illness at a time.
Value models require technology changes
July 2010
One approach to aligning cost/quality outcomes is Value-Based Benefit Design which is designed to lower out-of-pocket costs for high-value services while providing greater quality of life for members
Data-driven analytics uncover hidden drains on revenue
April 2010
Recent experience points to specific areas where waste may be embedded inadvertently in routine processes. Once discovered, some have relatively easy fixes.
Payment reform redefines provider performance management
March 2010
A health plan's approach to provider reimbursement is rooted in the need to move from traditional fee-for-service models to a payment model that accounts for providers adhering to best practices.
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Health Management
Complementary therapies simmer in the background of medicine
September 2010
Because members are becoming more cognizant of their out-of-pocket expenses, many are turning to complementary and alternative medicine therapies as a less-expensive alternative
Decreasing neuropathic pain might call for trial and error
September 2010
Neuropathic pain presents a difficult challenge. When the peripheral or central nervous system isn't functioning correctly, it can lead to pain that continues for months or years.
Appropriate prescribing critical to manage pain drugs
August 2010
Stronger opioids such as morphine, hydromorphone, oxymorphone, methadone, levorphanol, fentanyl and oxycodone are generally used for treatment of moderate to severe pain.
Employers not ready to give up on health and wellness programs
August 2010
Employers are expressing frustration at lack of participation in wellness programs. This is in light of the fact that there was an increase in the number of such programs offered from 2008 to 2010.
Research Estimates $1 Trillion in Savings via Prevention
July 2010
Savings could reach more than $1 trillion over a period of 10 years if 25% of individuals participate in risk reduction and prevention programs.
High-touch providers coordinate care for high-cost members
July 2010
Approximately 75 million Americans have two or more chronic conditions, Often the sickest members of a population, they experience a serious disconnect.
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