Managed Healthcare Executive, May 1, 2009 - Managed Healthcare Executive
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Managed Healthcare Executive, May 1, 2009
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Executive Profile
Unlocking Primary Care: CareOregon's Medical Home Model
By Julie Miller
Family doctors are exhausted, but the emerging patient-centered medical home model might have the right combination of pay and support
Research Briefs
Research Briefs: May 2009
Summary of findings in healthcare journals
Technology
National Health Information Network test shows positive results
By David Bennett
As HIEs move forward with trials, the Federal Health Architecture links up government agencies
For Your Benefit
For healthcare reform, it's all systems go
By Julie Miller
Cooperation, involvement and action mark the current reform atmosphere, which is a big surprise to me
Hospitals & Providers
Patient experience correlates with clinical quality
By Shelly Reese
Measuring customer satisfaction presents challenges, but hospitals are collecting more data on their own
Drug Class Overview
Bisphosphonates effective in treatment of osteoporosis
By Elaine Zablocki
Vitamin D, calcium and exercise are helpful in preventing falls and injury, while bisphosphonates are first-line drug treatments
Pharmacy Best Practices
MCOs make their mark on value-based design
By Mari Edlin
Reduced copays encourage patient compliance with drug regimens, but broader tagets are needed
Health Management
Targeted programs help curb overtreating back pain
By Stephanie Skernivitz
Costly imaging and back surgeries contribute to the high cost of back pain treatment, but not all are medically necessary
News Analysis
Audit reviews keep costs down
By Tracey Walker
Employers' dependent eligibility audits find 5% don't belong on the plan. Next step is voluntary opt-out followed by removal.
Bills take aim at deceptive practices
By Jill Wechsler
Policy makers focus on consumer protection and health plan conduct
Industry analyzes WellPoint PBM buy
By Tracey Walker
United says it has no plans to follow suit by selling off its pharmacy benefit services. WellPoint will oursource now.
Desktop Resource
Diabetes class propels drug trend
By Tracey Walker
Top 10 drug trend drivers in 2007
State Report
State Report: Florida
Commonwealth Fund State Performance Ranking (2007): 43
Politics and Policy
Senators ask CMS for innovative MA solutions
By Jill Wechsler
Medicare Advantage plans face a 4% reduction in payment for 2010, a major blow to the market
Letter of the Law
New York the model for overpayment recovery
By John Eriksen
Medicaid compliance in other states expected to follow suit after New York recovers twice as much cash as originally expected
Exclusives
Use predictive modeling in Medicare populations
By Jo Ann Hunt
Health plans working with Medicare beneficiaries are being challenged to go beyond traditional utilization, case and disease management services with limited clinical resources.
Occupational therapy has broad application
By Frederick P. Somers
With its roots in psychiatric care, today's occupational therapy practitioners tackle myriad conditions while serving a mix of patients
Special Report
Treading Lightly: Plans go easy on product changes
By Izabella Iizuka
With reform on its way, plans are keeping with wellness and value designs instead of wholesale product re-engineering
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.
2008 Leaders in Disease Managment
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