June 2011

With access to large patient populations, health plans are in a position to mine a fresh set of data, but concerns about bias remain
Kaiser Permanente takes on patient safety initiatives in the outpatient setting
For health plans and employer groups, the economics of battling obesity are not always obvious
The disease has risen quickly to become the third-leading cause of death in the world — getting there much faster than anyone expected
A comparison of health care costs in patients with diabetes who do not initially respond to oral therapy suggests that it might be appropriate and clinically beneficial for providers to consider adding another oral agent, rather than up-titrating the current medication, particularly beyond intermediate dose levels

Girishanthy Krishnarajah, MPH, MBA/MS Monali Bhosle, PhD Richard Chapman, PhD

Departments

Legislation & Regulation
The Independent Payment Advisory Board, created by the Affordable Care Act, favors hospitals over health plans
Medication Management
Health plans play a key role in data quality and will benefit from improvements
Plan Watch
Express Scripts’ program manages biologics dispensed under the pharmacy and the medical benefit
Tomorrow’s Medicine
With Zytiga joining the ranks, managed care may have a way to develop an oncology strategy for a common type of cancer

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