Managed Care - November 2010 - (Page Cover2)
16 Care Vol. 19, No. 11 November 2010 C OVER S TORY M A N A G E D Andrew Baskin, MD 21 There’s Gold in Them Thar Networks! Employers want to steer their workers to only the highest performing physicians, and they expect clinical executives to find these top docs. An old challenge is met with new tools. 16 You’re Paying Too Much for Generics Linda J. Cahn 21 Writing contract definitions that generate accurate, predictable, and enforceable generic drug classification is the first step that payers must take to maximize generic drug savings and ensure lower costs. 28 Q&A With Aetna’s Randall S. Krakauer, MD The health plan’s chief medical director for Medicare draws on years of experience to chart the opportunities and challenges presented by the health reform law’s focus on innovation. 28 Chart Right Course for Stroke Patients Rehabilitation centers are more focused on ways to help the patient recover than the old not-so-reliable nursing home solution. Still, the best path depends on really knowing the specific patient’s needs. Randall S. Krakauer, MD 32 Keeping Pace With New Cancer Diagnostics Closer collaboration by payers and providers to develop evidence-based clinical pathways that incorporate cancer diagnostics will improve patient outcomes. 35 32 DEPARTMENTS Editor’s Memo ........................................2 Cost control remains top challenge. Formulary Files ...................................43 Exploring costs of Alzheimer’s disease. Letters ........................................................4 Legislation & Regulation ..................5 Richard Zorowitz, MD New Electronic Edition This new edition looks just like the printed magazine. Search through it; use hyperlinks; download to your desktop. www.ManagedCareMag.com/ nxtbook COVER PHOTOGRAPH: PHIL SCHERMEISTER/CORBIS Plan Watch ............................................44 Track patients all the way. Help docs create meaningful-use systems. Tomorrow’s Medicine......................45 Recombinant bone graft available soon. Medication Management .................7 CPOE in hospitals called inconsistent. Ad Index .................................................46 Outlook ...................................................47 Incidence of diabetes to grow sharply. Compensation Monitor...................15 Seven ways to improve P4P. Visit us online at http://www.ManagedCareMag.com/
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