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Julie Miller Julie Miller is Managed Healthcare Executive's Editor in Chief.
AMCP: Generic availability more important than patent expiration

In yesterday’s pipeline update, Chris Peterson, PharmD, a director in the Emerging Therapeutics department at Express Scripts, reviewed the trend in FDA approvals and noted several of the key therapeutic areas with recent generics.

[SLIDESHOW] Managed Healthcare Executive State of the Industry

Ever since the Patient Protection and Affordable Care Act was signed into law, healthcare observers from all corners of the country have made predictions on everything from the ultimate cost of health reform to the percentage of the uninsured. There’s a mix of both optimism and pessimism. 2014 will provide us an opportunity to compare their predictions to the ultimate reality.Managed Healthcare Executive polled readers on their forecast for 2014 and beyond. Nearly 350 readers responded and their feedback is summarized here in our 2014 State of the Industry slideshow.

Rate reality hard to pin down

Despite grim predictions of rate shock, older and sicker people will experience 'rate joy' in the exchanges

Why slow growth isn't really good news

Workers have their own ideas on who's getting the best deal in health coverage

State limits specialty copays

Delaware's law aims to increase access while plans manage 15% annual trend in specialty drugs

Physicians worry reform reduces fee schedule

A survey of New Jersey physicians reveals concern about reimbursement and changes to practice structures

Unauthorized prescribers bilk Part D out of $5.4 million

A recent OIG study reveals that in 2009, Medicare Part D paid $5.4 million to massage therapists, dieticians, and other individuals who clearly lacked authority to prescribe drugs

Unauthorized prescribers bill Part D $5 million

Estimates of the cost of fraud in the Medicare system range broadly from $17 billion to $90 billion. However, there are no estimates of—or methods to detect—how much of the wasted money is attributable to old-fashioned human error rather than blatant crime.

Iowa CO-OP has reform trends already built in

CoOportunity offers narrow- and tiered-network products, but don't call them HMOs


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