Part D implementation: how did health plans fare? A conversation with Stan Nowak, founder, president, and chief executive officer of Silverlink Communications. Interview by William Atkinson.

Medicare part D is a large-scale example of a true consumer-directed health insurance plan. With Part D, 42 million Americans can select from any one of dozens of Medicare Advantage or stand-alone prescription plans available to them. At the end of each year, beneficiaries will be able to evaluate their satisfaction with their chosen plan, assess other available options and determine whether to re-enroll or choose a new plan. Consumers rule.