August 2005

Insurers may not need to look any further than existing claims data to build useful payer-based health records.
Rochester, N.Y., faces rising health care costs and a growing employer interest in CDHPs. Can a managed care town hold its own?

MargaretAnn Cross

Substantial nondrug costs result from switching prescribed medications in response to changes in insurance coverage, and many nonreimbursed costs shift to providers and patients.
Studies indicate that complementary and alternative medicine may save on drug costs.


Should the National Committee for Quality Assurance take over part of the job of overseeing health plans? It seems to be working in some states.
When a pharmacist — for personal beliefs — refuses to fill a prescription, the health plan should be very concerned.

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