Managed Care - June 2008 - (Page 2) 24 Henry J. Aaron, PhD Care Vol. 17, No. 6 June 2008 COVER STORY M A N A G E D Plans Chart Course in Rough Waters Health plans have suffered lately at the hands of investors (plummeting stock prices) and employers (fewer enrollees). Some companies are fighting back by finding underserved markets. 24 33 Barbara Starfield, MD A Conversation With Barbara Starfield, MD A Q&A with a physician-turned-academic-researcher who challenges the health system’s focus on specialists. “If you don’t have something that requires a specialist, it’s dangerous to see one.” 33 40 Smoke Signals from Payers Employers have made clear that they really want smoking cessation programs, which suits those insurers that are repositioning themselves as prevention-oriented health services companies. 40 Slow Going for Clinical Decision Support Like a GPS gizmo for a driver, CDS systems for doctors supply patient care roadmaps and alerts. Sadly, they can also be a real pain to work with. 44 Back Pain and Physical Therapy A health plan works with a physical therapy facility to greatly improve pain and function scores. 47 DEPARTMENTS Editor’s Memo 1 Creativity needed in troubled times. Viewpoint 5 Breaking the biotech logjam. Letters 6 What’s on their minds. News and Commentary 14 Wealthy patients flock to HSAs. Legislation & Regulation 19 No applause for Healthy Americans Act. Medication Management 21 Statins overprescribed? Compensation Monitor 23 Medicare might cut doc pay again. Formulary Files 50 Education not always useful. PlanWatch 51 Kaiser’s EMR system pays off. Outlook 53 Pharmacy trend moderates. 44 Lonny Reisman, MD New Electronic Edition This new edition looks just like the physical magazine. Search through it; use hyperlinks; download to your desktop. www.managedcaremag.com/ nxtbook Visit us online at http://www.managedcaremag.com/ http://www.managedcaremag.com/nxtbook http://www.managedcaremag.com/ http://www.managedcaremag.com/nxtbook
Table of Contents Feed for the Digital Edition of Managed Care - June 2008 Managed Care - June 2008 Editor’s Memo Contents Viewpoint Letters News and Commentary Legislation & Regulation Medication Management Compensation Monitor Plans Chart Course in Rough Waters A Conversation With Barbara Starfield, MD Smoke Signals from Payers Slow Going for Clinical Decision Support Back Pain and Physical Therapy Formulary Files PlanWatch Outlook Managed Care - June 2008 Managed Care - June 2008 - Managed Care - June 2008 (Page Cover1) Managed Care - June 2008 - Managed Care - June 2008 (Page Cover2) Managed Care - June 2008 - Managed Care - June 2008 (Page Cover3) Managed Care - June 2008 - Managed Care - June 2008 (Page Cover4) Managed Care - June 2008 - Managed Care - June 2008 (Page A) Managed Care - June 2008 - Managed Care - June 2008 (Page B) Managed Care - June 2008 - Editor’s Memo (Page 1) Managed Care - June 2008 - Contents (Page 2) Managed Care - June 2008 - Contents (Page 3) Managed Care - June 2008 - Contents (Page 4) Managed Care - June 2008 - Viewpoint (Page 5) Managed Care - June 2008 - Letters (Page 6) Managed Care - June 2008 - Letters (Page 7) Managed Care - June 2008 - Letters (Page 8) Managed Care - June 2008 - Letters (Page 9) Managed Care - June 2008 - Letters (Page 10) Managed Care - June 2008 - Letters (Page 11) Managed Care - June 2008 - Letters (Page 12) Managed Care - June 2008 - Letters (Page 13) Managed Care - June 2008 - News and Commentary (Page 14) Managed Care - June 2008 - News and Commentary (Page 15) Managed Care - June 2008 - News and Commentary (Page 16) Managed Care - June 2008 - News and Commentary (Page 17) Managed Care - June 2008 - News and Commentary (Page 18) Managed Care - June 2008 - Legislation & Regulation (Page 19) Managed Care - June 2008 - Legislation & Regulation (Page 20) Managed Care - June 2008 - Medication Management (Page 21) Managed Care - June 2008 - Medication Management (Page 22) Managed Care - June 2008 - Compensation Monitor (Page 23) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 24) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 25) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 26) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 27) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 28) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 29) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 30) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 31) Managed Care - June 2008 - Plans Chart Course in Rough Waters (Page 32) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 33) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 34) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 35) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 36) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 37) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 38) Managed Care - June 2008 - A Conversation With Barbara Starfield, MD (Page 39) Managed Care - June 2008 - Smoke Signals from Payers (Page 40) Managed Care - June 2008 - Smoke Signals from Payers (Page 41) Managed Care - June 2008 - Smoke Signals from Payers (Page 42) Managed Care - June 2008 - Smoke Signals from Payers (Page 43) Managed Care - June 2008 - Slow Going for Clinical Decision Support (Page 44) Managed Care - June 2008 - Slow Going for Clinical Decision Support (Page 45) Managed Care - June 2008 - Slow Going for Clinical Decision Support (Page 46) Managed Care - June 2008 - Back Pain and Physical Therapy (Page 47) Managed Care - June 2008 - Back Pain and Physical Therapy (Page 48) Managed Care - June 2008 - Back Pain and Physical Therapy (Page 49) Managed Care - June 2008 - Formulary Files (Page 50) Managed Care - June 2008 - PlanWatch (Page 51) Managed Care - June 2008 - PlanWatch (Page 52) Managed Care - June 2008 - Outlook (Page 53) Managed Care - June 2008 - Outlook (Page 54)
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