Managed Care - January 2009 - (Page 2)

EDITOR’S MEMO Care Editor M A N A G E D Disruptive Innovation Won’t Wait Until You’re Ready By John Marcille ou would not be reading this if not for “disruptive innovation” or “disruptive technology,” terms that serve as this issue’s theme. In the magazine business, a disruption called desktop publishing years ago killed jobs, mostly typographers, pressmen, and proofreaders, while reducing costs and allowing many more editorial voices to be heard. As survivors of that revolution, we can see the value of positive disruption. As our lead story on page 12 points out, disruptive innovation “is a new technology that unexpectedly displaces an established technology, but only if it is accompanied by an innovative business model.” The article, by contributing editor Maureen Glabman, looks at five innovations that use lower-cost providers in lower-cost surroundings but preserve or, more likely, improve care. Our popular Q&A feature on page 22 is with the noted Harvard professor Clayton Christensen, who coined both terms and who explains how these concepts can be applied to medicine. He makes the somewhat disquieting case that network-model health plans may be tomorrow’s dinosaurs. But on page 26, two of his associates take a positive view of the future of health plans — if insurers read and follow the signs. If they can adapt, payers will have far more power than fragmented physicians, other providers, employers, and patients. MANAGED CARE, launched in 1992, was purchased by our current owner, MediMedia USA, in 1999. In other words, we’re part of a big company now but in the beginning we were very small. Had it not been for desktop publishing, a disruptive innovation, we would not be around at all. It would be prohibitively expensive to hire all the people who were once needed to put out a publication such as this. We’re much more timely, I like to think we have fewer errors, and we have greater internal coherence because of the smaller staff. So, yes, we understand the challenges and opportunities that disruptive innovation presents. So should you. MC JOHN MARCILLE Managing Editor FRANK DIAMOND Associate Editor Y TONY BERBERABE Consulting Editor MICHAEL DALZELL Senior Contributing Editor MARGARETANN CROSS Contributing Editors LOLA BUTCHER JOHN CARROLL MAUREEN GLABMAN MARTIN SIPKOFF Design Director PHILIP DENLINGER President and Group Publisher TIMOTHY P. SEARCH, RPH President and Group Publisher TIMOTHY J. STEZZI Eastern Sales Manager SCOTT MACDONALD Senior Account Manager KENNETH D. WATKINS, III Director of Production Services CONTACT E-MAIL ADDRESSES: Editors: Editors_mail@ManagedCareMag.com Circulation: Managedcare@icnfull.com Advertising: Advertising_info@ManagedCareMag.com Reprints: Reprints_request@ManagedCareMag.com WANETA PEART Circulation Manager JACQUELYN OTT Clinical judgment must guide each clinician in weighing the benefits of treatment against the risk of toxicity. Dosages, indications, and methods of use for products referred to in this publication may reflect the professional literature or other clinical sources, or may reflect the clinical experience of the authors, and might not be the same as what is on the approved package insert. Please consult the complete prescribing information for any products mentioned in this publication. MediMedia USA Inc. assumes no liability for the information published herein. MANAGED CARE (ISSN 1062-3388) is published monthly by MediMedia USA, Inc. at 780 Township Line Road, Yardley, PA 19067. This is Volume 18, Issue 1. Phone: (267) 685-2788; fax (267) 685-2966. Send letters to the editor to Frank Diamond, MANAGED CARE, 780 Township Line Road, Yardley, PA 19067. Letters may be edited for length and clarity. Copyright 2008 by MediMedia USA, Inc. All rights reserved under the United States, International, and Pan-American copyright conventions. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, mechanical, photocopying, electronic, or otherwise, without the prior written permission of MediMedia USA Inc. The copyright law of the United States governs the making of photocopies or other reproductions of copyrighted material. Subscriptions for individuals or institutions in the U.S.A. are $100 per year, $10 per single copy; elsewhere, $120 per year, $22 per single copy. Inquiries about paid subscriptions: Lisa Gardineer, telephone (267) 685-2789; e-mail: lgardineer@medimedia.com-. Postmaster: Send address changes to MANAGED CARE, PO Box 2019, Langhorne, PA 19067. Periodicals postage paid at Morrisville, PA, and at additional mailing offices. Major articles are reviewed by appropriate members of the editorial advisory board and/or other qualified experts. Opinions are those of the authors and not necessarily those of the institutions that employ the authors, nor of the publisher, editor, or editorial advisory board of MANAGED CARE. 2 MANAGED CARE / JANUARY 2009

Table of Contents Feed for the Digital Edition of Managed Care - January 2009

Managed Care - January 2009 Editor's Memo Contents Legislation & Regulation News and Commentary Medication Management Compensation Monitor Health Care's Disruptive Innovations Q&A With Clayton Christensen 'Disruption' May Be Plans' Best Bet Avoid the PBM Rebate Trap HealthPartners Puts Diabetes on Notice Formulary Files Plan Watch Tomorrow's Medicine Ad Index Outlook Unmet Needs in the Management of Plaque Psoriasis Impact of RSV: Implications for Managed Care

Managed Care - January 2009

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