Managed Care - October 2008 - (Page 2) Care Vol. 17, No. 10 October 2008 COVER STORY M A N A G E D Here Come the Regulations 14 14 William Hoagland No matter who wins the race for the White House next month, health plans can expect to deal with somebody’s idea of reform. That means more oversight and restrictions. Obesity Program Good for Bottom Line 24 24 Blue Cross & Blue Shield of North Carolina treads where more and more plans go these days — the realm of public health. This weightcontrol program has paid off. New Blueprint for Utilization Management 27 Hospitals have utilization managers. So do health plans. However, the two groups historically have had little more than cursory interaction. If they worked together everybody wins. Mind the Expanding Medicare Gap Don Bradley MD 33 Three million Medicare beneficiaries reached the coverage gap last year, and that led to patient noncompliance. Health plans need to help members avoid this health and budgetary hazard. 27 Interventions Aimed at Insulin Resistance 38 Insurers should consider changing their approach to diabetes treatment. The authors propose matching the strengths and limitations of particular medicines with specific patient characteristics. DEPARTMENTS Sherrie Dulworth, left, and Tiffanie Lenderman. New Electronic Edition It looks just like the physical magazine. Search through it; use hyperlinks; download to your desktop. www.managedcaremag.com/ nxtbook Editor’s Memo 1 Change is on the way. Legislation & Regulation 5 Docs resist getting wired. News and Commentary 8 Fallout from illiquid assets. Compensation Monitor 13 Hospitals hire more PCPs. Formulary Files 48 Web site provides vaccine prices. Tomorrow’s Medicine 49 Approval boosts platelet production. Ad Index 50 Outlook 51 Medical costs outgun inflation. Visit us online at http://www.managedcaremag.com/ http://www.managedcaremag.com/nxtbook http://www.managedcaremag.com/ http://www.managedcaremag.com/nxtbook
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.