I’ll say it again. The reason we have healthcare reform is that the managed care industry failed to address the problem of the uninsured and failed to consistently provide plan members with the insurance protection they need when they are sick. The way the industry will survive is to solve the puzzle of how to reduce healthcare costs while simultaneously improving quality. It’s called adding value. Judging by the decision of several health plans to stop offering child-only policies in certain markets, I’d say the industry still doesn’t get it. Extended coverage appears in the Sept. 20 issue of Carl Mercurio’s Health Plan Market Trends Letter.