How HMOs Can Downsize America

The U.S. health care system has failed to address obesity in any meaningful way. Health plans could help. New evidence suggests that even minimal weight loss can result in short-term benefits.

DM in Its Own Right

Proponents can comfort themselves with the knowledge that DM is no longer seen as a marketing tool for drug companies.

A Conversation With William F. Jessee, M.D.

In a wide-ranging discussion, the MGMA’s chief decries the lack of consistency in medical-management rules across health plans.

Testing the PBM Waters

A consultant and one-time HMO director of pharmacy services explains how to select and monitor a pharmacy benefit manager.

Treating Osteolytic Lesions

Percutaneous vertebroplasty is a minimally invasive procedure for patients with intractable pain. It could prove cost-effective.


Editor’s Memo

Weight control: Patients need our help.

News and Commentary

JAMA Study Challenges Key HEDIS Diabetes Measure
Aetna Chief Quits Amid Share Price, Quality Concerns
Three-tier drug copayments in; closed formularies on way out? [charts]
Employers Predict Liability Expansion Bad for Coverage
Americans favor reform — but not too much [charts]
NCQA Unveils New PPO Accreditation Program, HEDIS ’01
Headlines on Deadline…

Washington Watch

Is focus on medical errors fleeting?

State Initiatives

Insurance chiefs weigh PBM rules.

Compensation Monitor

Sizing up pieces of capitation pie

Legal Forum

When HMOs influence lifestyle.

Managed Care Outlook

Employer-based coverage makes gains