Managed Healthcare Executive, Aug 1, 2009 - Managed Healthcare Executive
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Managed Healthcare Executive, Aug 1, 2009
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Executive Profile
Dean Health Plan's symbiotic relationships
By Julie Miller
Dean Health Plan and its PBM business seek sure footing for today's changing times in healthcare
Special Report
Community Care
By Elaine Zablocki
If you help patients and members address challenges in their basic life needs, they will better attend to their healthcare and avoid costly events
Technology
EMR update
By David Bennett
Smaller companies might offer innovation with a lower price tag, but they might not be able to achieve proper certification for incentives
For Your Benefit
Cooperatives tough to launch
By Julie Miller
While co-ops do provide good care and the right incentives, they still face market pressures that have historically destroyed them
Hospitals & Providers
Manage medical advances with automated prior authorization
By Douglas Moeller, MD
Standardized medical policies, appropriate technology, centralized authorization tools can render a decision before the patient leaves the clinic
Pharmacy Best Practices
Pharma backs its products in new contracting deals
By Mari Edlin
Outcomes-based contracting enables risk sharing between plans and manufacturers while also allowing better patient adherence to regimens
Research Briefs
August 2009 Research Briefs
Summaries of the latest research in healthcare
News Analysis
Employers uneasy about reform
By Tracey Walker
Sensitive to market pressures, 67% of employers prefer a phased approach to reform and 68% believe the current tax treatment of coverage should not be changed
Reform legislation troubles insurers
By Jill Wechsler
Democrats back insurance market changes, coverage mandates and a public plan option. House leaders generally ignored Republican protests.
State Report
State Report: Delaware
Commonwealth Fund State Performance Ranking (2007): 14
Politics and Policy
Public plan dominates discussion
By Jill Wechsler
The public plan could be a co-op, or it could be placed under a trigger mechanism that would kick in if the private market doesn't live up to expectations
Letter of the Law
Employer-mandated spending requirement challenged
By Barry Senterfitt , Janet Farrer
The Golden Gate Restaurant Association argues that contributions to San Francisco's Health Access Program under a 2006 ordinance are preempted by ERISA
Managed Care Outlook
Information evolves for better decisions
By Mark Cziraky
Collaborative healthcare communities gather clinical and claims data to apply to real-world settings
Exclusives
Provider organizations must prepare for reform
By Kerry Shannon
Proactive organizations will begin a painful transition to emerge as larger, fuller enterprises with concentrated authority designed around very different roles and responsibilities than what they have today
Patient feedback programs lower healthcare costs
By Stanley Wulf, MD
If these programs are executed correctly, they can educate patients about their medications, provide physicians with information about the effectiveness of drugs and facilitate communication
Comparative effectiveness needs reimbursement reform
By Scott Huennekens
Straying from the popular opinion of the industry, a handful of medical device manufactures have aligned with Obama's proposed investment in comparative effectiveness research.
ICD-10 preparation must begin now
By Angela Boynton
The United Kingdom implemented ICD-10 as far back as 1995, making the United States one of the last major global economies to begin the implementation process.
Health Management
Hospice patients could benefit if referred sooner
By Michael McCue
Discussing hospice and palliative care with patients and families lowers healthcare costs and allows patients to realize maximum benefits of care
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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