January 2013

While there has been movement in many states, health plans would first want to make sure that they wouldn’t be breaking any law

Peter Wehrwein

Extra payments of $1,200 per member per year are being eliminated as CMS seeks to increase competition among plans


A new IOM report urges widespread adoption of innovations. The committee’s chair and the California HealthCare Foundation’s CEO, Mark Smith is working to make that happen.

John Marcille

Despite popular usage, these two terms mean different things, especially when coverage decisions need to be made

Ed Silverman

A CMS demonstration program will determine whether Medicare Advantage health plans improve their quality scores by responding to bonuses that correspond with a five-point rating scale

Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD ; Scott Guerin, PhD


Overweight or obese patients who participated in a medical nutrition therapy benefit sponsored through their insurer were compared with individuals who did not participate. Outcomes, including weight change, body mass index, waist circumference, and physical exercise, were collected at baseline and 2 years later.

Donald W. Bradley, MD ; Gwen Murphy RD, PhD ; Linda G. Snetselaar, RD, PhD, LD ; Esther F. Myers, PhD, RD, FADA ; Laura G. Qualls, MHA

Editor’s Memo

John Marcille

Medication Management

Formulary decision makers will probably be disposed favorably toward Xeljanz, the first Janus kinase inhibitor approved for rheumatoid arthritis

Thomas Reinke

Plan Watch

The health plan’s New Hampshire subsidiary rolls out its Compass SmartShopper program to small employers this month

Frank Diamond

Tomorrow’s Medicine

For many affected by vitreous degradation, surgery was the only treatment until the development of ocriplasmin

Thomas Morrow, MD

News & Commentary

Our most popular topics on Managedcaremag.com