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August 2008

Features

Cover Story

Health Plan Foundations: How Well Are They Spending the Money?
Though they’ve generally been good for the public and the companies that spawned them, these organizations often lack direction or fall prey to government raids.
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Q&A

Tracking Trends in Plan Design: A Conversation With Blaine J. Bos
Right now large employers are obsessed with improving health and, not incidentally, productivity, says the chief analyst of a respected survey
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Plans Feel Pressure to Vaccinate More Adults
The cost-effectiveness of prevention is undeniable, yet vaccination rates for everything but influenza decline
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States Increasingly Mandate Special Autism Services
Insurers are being handed some treatment responsibility for this complex disorder, but some say that it is an educational, not medical, task
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Peer-Reviewed

Evaluation of a Continuous Glucose Monitoring System for Home-Use Conditions

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Departments

Editor’s Memo

Keep Health Plan Foundations on Their Original Mission
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Legislation & Regulation

Payers Struggle to Find Approach to Never Events
With physicians balking at CMS’s strategy, some health care plans are taking a less controversial route
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Medication Management

Reducing Therapeutic Duplication Successful at the Dispensing Level
New technology is helping health plans address the problems of polypharmacy
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The Formulary Files

Consumers in CDHPs see costs as real dollars
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Tomorrow’s Medicine

New Gait Stimulation Devices Walk the Coverage Line
As microprocessor-controlled devices are improved to help patients maintain freedom and function, insurers are divided on coverage
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Plan Watch

Exploring New Ways to Encourage Wider Use of Practice Guidelines
A computer alert system and a process that steers patients toward high-performing doctors are part of Aetna’s program
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Managed Care Outlook

Electronic prescribing gains ground slowly
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News