Managed Care - March 2009 - (Page 5) 14 Charles Crispin Care Vol. 18, No. 3 March 2009 COVER STORY M A N A G E D Attack of the Monster Claims By 2010, there could be 36 million-dollar claims per million members, more than double the current level. Higher reinsurance and aggressive case management are ways of coping. 14 22 Dee W. Edington, PhD Q&A with Dee W. Edington, PhD Well designed wellness programs, he says, may be more effective in the long run than many other suggested insurance reforms. 22 28 32 36 40 The Heart of the Matter Harvard Pilgrim Health Care’s cardiovascular programs are second to none. Here’s why. Web Surf’s Up in Hawaii for Docs, Patients The island state is home to an online “virtual clinic” that offers health plans an opportunity to distinguish themselves. 28 Lydia Bernstein Improve Efficiency From the Inside Out Historically, health plans have focused on controlling providers. Geisinger is exploring ways to enlist them. Cigna’s CDHP Makes Waves The claims history of 440,000 members enrolled in three types of plans shows benefits of consumer-directed coverage. DEPARTMENTS 32 Roy Schoenberg, 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 Editor’s Memo 2 Health plans prove resourceful. Legislation & Regulation 6 Does the stimulus save Medicaid? News and Commentary 8 Tracking regional spending variations. Medication Management 11 Metabolic agents lead the way. Compensation Monitor 13 Doctors seem recession-proof. Formulary Files 43 Part D embraces specialty drug tiers. Plan Watch 44 How to nurture happy docs. Tomorrow’s Medicine 46 These bovids are ideal bioreactors. Ad Index 47 Outlook 48 Future of public, private spending. Visit us online at http://www.ManagedCareMag.com/ http://www.ManagedCareMag.com/nxtbook http://www.ManagedCareMag.com/
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