Managed Care - January 2009 - (Page 4) Care Vol. 18, No. 1 January 2009 COVER STORY M A N A G E D 12 Health Care’s Disruptive Innovations Under this theory, our entire health care delivery system must change radically, adding lower-cost providers and lower-cost locations of care. We describe five areas that have the potential for powerful disruption. 12 Q&A With Clayton Christensen The noted Harvard professor who coined the terms “disruptive technology” and “disruptive innovation” explains how those concepts apply to medicine. 22 ‘Disruption’ May Be Plans’ Best Bet 26 22 Clayton Christensen, DBA Payers are suffering from many of the maladies that afflict other industries. A bright future awaits insurers that can let go of outmoded business models. Avoid the PBM Rebate Trap Most contracts allow pharmacy benefit managers to define “rebate,” often to the detriment of health plans and self-funded employer plans. 31 31 HealthPartners Puts Diabetes on Notice This Minnesota plan’s aggressive multifaceted program deserves the attention it’s getting. 36 DEPARTMENTS Editor’s Memo 2 Disruption won’t wait. Legislation & Regulation 6 Docs attack silent PPOs again. News and Commentary 8 Medicare Advantage enrollment rises. Medication Management 9 Generics doing their job.. Compensation Monitor 11 Specialists getting to like P4P. Formulary Files 43 E-prescribing boosts generics. Plan Watch 44 A diabetes program to watch. Tomorrow’s Medicine 47 Disparate therapies, same cell receptor. Ad Index 49 Outlook 50 Costs to outpace inflation in 2009. Linda Cahn 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/ COVER PHOTOGRAPH BY CHRIS FITZGERALD 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 - 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 Managed Care - January 2009 - Managed Care - January 2009 (Page Cover1) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2a) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2b) Managed Care - January 2009 - Managed Care - January 2009 (Page 1) Managed Care - January 2009 - Editor's Memo (Page 2) Managed Care - January 2009 - Editor's Memo (Page 3) Managed Care - January 2009 - Contents (Page 4) Managed Care - January 2009 - Contents (Page 5) Managed Care - January 2009 - Legislation & Regulation (Page 6) Managed Care - January 2009 - Legislation & Regulation (Page 7) Managed Care - January 2009 - News and Commentary (Page 8) Managed Care - January 2009 - Medication Management (Page 9) Managed Care - January 2009 - Medication Management (Page 10) Managed Care - January 2009 - Compensation Monitor (Page 11) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 12) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 13) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 14) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 15) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 16) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 17) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 18) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 19) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 20) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 21) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 22) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 23) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 24) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 25) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 26) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 27) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 28) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 29) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 30) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 31) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 32) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 33) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 34) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 35) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 36) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 37) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 38) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 39) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 40) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 41) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 42) Managed Care - January 2009 - Formulary Files (Page 43) Managed Care - January 2009 - Plan Watch (Page 44) Managed Care - January 2009 - Plan Watch (Page 45) Managed Care - January 2009 - Plan Watch (Page 46) Managed Care - January 2009 - Tomorrow's Medicine (Page 47) Managed Care - January 2009 - Ad Index (Page 48) Managed Care - January 2009 - Ad Index (Page 49) Managed Care - January 2009 - Outlook (Page 50) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A1) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A2) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A3) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A4) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A5) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A6) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B1) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B2) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B3) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B4) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B5) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B6) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B7) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page Cover4)
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