Managed Care - November 2008 - (Page 3)

EDITORIAL ADVISORY BOARD ANAGED CARE publishes original papers and feature articles dealing with diverse elements of the health care system. These include impartial peer-reviewed research and review articles examining clinical and financial aspects of managed care. M LOUIS W. HUTCHISON JR. President HealthTrans Greenwood Village, Colo. GEORGE J. ISHAM, MD Medical Director & Chief Health Officer HealthPartners Minneapolis, Minn. LUCY JOHNS, MPH Independent Consultant Health Care Planning and Policy San Francisco, Calif. ROBERT C. JOHNSON, MS President, R.C. Johnson & Associates Former President, American Pharmaceutical Association Scottsdale, Ariz. THOMAS KAYE, RPH, MBA Senior Pharmacy Director Passport Health Plan Louisville, Ky. PETER KONGSTVEDT, MD President P.R. Kongstvedt Company McLean, Va. GREG L. KORNELUK Chairman International Council for Quality Care Inc. Boca Raton, Fla. JOHN LA PUMA, MD Director, C.H.E.F. Clinic Santa Barbara, Calif. WALTER LANE, MD President, Tampa Bay Doctors Inc. Tampa, Fla. RENEE S. LEARY, MPH President and Chief Operating Officer HSS Inc. Hamden, Conn. THOMAS H. LEE, MD, SM Network President Partners HealthCare System Boston, Mass. SHARAD MANSUKANI, MD, MHS Chief Strategy Officer Nation’s Health Sunrise, Fla. MICHAEL L. MILLENSON Independent Consultant and Author Highland Park, Ill. THOMAS MORROW, MD Director, Value-Based Health Genentech Inc. Alpharetta, Ga. MATT NYE, PHARMD Director, Pharmacy Benefits and Business Development Kaiser Permanente, California Downey, Calif. BURTON I. ORLAND, BS, RPH President BioCare Consultants Westport, Conn. DAVID PARISER, MD Professor, Department of Dermatology Eastern Virginia Medical School Norfolk, Va. UWE E. REINHARDT, PHD James Madison Professor of Political Economy Princeton University Princeton, N.J. EMAD RIZK, MD President McKesson Health Solutions Newton, Mass. JOHN ROGLIERI, MD, MBA Medical Director New York Life Insurance Co. New York, N.Y. TIM SAWYERS, RPH, MBA Director of Clinical Pharmacy Services HealthSpring Nashville, Tenn. JAMES M. SCHIBANOFF, MD Editor-in-Chief, Milliman Care Guidelines Milliman USA San Diego, Calif. STEPHEN W. SCHONDELMEYER, PHARMD, PHD Professor & Director, PRIME Institute University of Minnesota College of Pharmacy Minneapolis, Minn. JAAN SIDOROV, MD, MHSA Independent Consultant Health and Technology Vector Danville, Pa. THOMAS D. SNOOK, FSA Principal & Consulting Actuary Milliman Scottsdale, Ariz. RICHARD G. STEFANACCI, DO, MGH, MBA, AGSF, CMD Founding Executive Director Health Policy Institute University of the Sciences in Philadelphia Philadelphia, Pa. LORETTA TAFURI, RN, MBA President Executive Solutions Healthcare Consulting Madison, Conn. ROBERT J. TAFURI, MD Medical Director Bariatric Associates of New England LLC New Haven, Conn. MICHAEL S. VICTOROFF, MD Chief Medical Officer Lynxcare Inc. Denver, Colo. JONATHAN P. WEINER, DRPH Professor of Health Policy and Management Johns Hopkins University Bloomberg School of Public Health Baltimore, Md. SCOTT WEINGARTEN, MD CEO Zynx Health Inc. Los Angeles, Calif. WILLIAM WINKENWERDER JR., MD, MBA Chairman The Winkenwerder Company LLC Alexandria, Va. RANDALL M. ZUSMAN, MD Associate Professor of Medicine Harvard Medical School Director, Division of Hypertension and Vascular Medicine Massachusetts General Hospital Boston, Mass. ALAN G. ADLER, MD Senior Medical Director Independence Blue Cross Philadephia, Pa. JAN E. BERGER, MD, MJ Senior Vice President, Chief Clinical Officer CVS Caremark Northbrook, Ill. THOMAS BODENHEIMER, MD Family and Community Medicine University of California-San Francisco San Francisco. Calif. PETER BOLAND, PHD, SCD President, Boland Healthcare Berkeley, Calif. J. LYLE BOOTMAN, PHD Former President, American Pharmaceutical Association Executive Director, Center for Health Outcomes and PharmacoEconomic (HOPE) Research Tucson, Ariz. NEIL B. CAESAR, JD President, The Health Law Center Neil B. Caesar Law Associates P.A. Greenville, S.C. H. ERIC CANNON, PHARMD Chief of Pharmacy SelectHealth/Intermountain Healthcare Salt Lake City, Utah HELEN DARLING President National Business Group on Health Washington, D.C. GARY SCOTT DAVIS, JD Partner, Health Law Department McDermott, Will & Emery LLP Miami, Fla. D.S. (PETE) FULLERTON, PHD, RPH Strategic Pharmacy Innovations Seattle, Wash. ALICE G. GOSFIELD, ESQ Principal, Gosfield & Associates, P.C. Philadelphia, Pa. ATTILIO V. GRANATA, MD, MBA Associate Clinical Professor of Medicine Yale University School of Medicine New Haven, Conn. PETER A. GROSS, MD Chairman, Department of Medicine Hackensack University Medical Center Hackensack, N.J. MICHAEL T. HALPERN, MD, PHD Senior Health Scientist Health, Social, and Economics Research Research Triangle Institute Washington, D.C. JAN HIRSCH, PHD Assistant Professor of Clinical Pharmacy Scaggs School of Pharmacy and Pharmaceutical Sciences University of California — San Diego San Diego, Calif. NOVEMBER 2008 / MANAGED CARE 3

Table of Contents Feed for the Digital Edition of Managed Care - November 2008

Managed Care - November 2008 Editor’s Memo Contents News and Commentary Legislation & Regulation Letters Medication Management Compensation Monitor Do It Yourself for Less Biomarkers Promise, but Do They Deliver? Oncologists Complain About Drug Payment Consider Blood Pressure Self-Monitoring Q&A: Keep Industry in the Game Formulary Files Plan Watch Tomorrow’s Medicine Outlook Respiratory Syncytial Virus Managed Care Considerations Contents Continuing Education Objectives RSV Disease in the Pediatric Population In the Trenches RSV Infection in the Adult Population Health Plan Medical Director Health Plan Pharmacy Director RSV Issues and Solutions Assessment/Evaluation/Certificate Request Post-Test

Managed Care - November 2008

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