{"title":"Reining in Medicare drug costs a challenge.","authors":"April Fulton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 3","pages":"12, 91, 93"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27481929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating oral health and medical benefits for diabetics: the Rx for lower costs and improved health.","authors":"Helena Gail Rubinstein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 3","pages":"56-8, 60, 62"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27484003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing Wellness programs with HIPAA in mind.","authors":"Marilyn Zigmund Luke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Voluntary wellness programs have been shown to effect positive outcomes and can benefit both individuals and employer group health insurance plans. Such programs often offer individuals a specific reward--cash incentives, rebates, discounts, or modified co-payments--if they participate in the program and meet certain health \"targets\" or standards (e.g., obtaining a cholesterol count of less than 200).</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"12, 56-7"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27448973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In defense of data.","authors":"Andy Slavitt, David Ostler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Getting better health care information into the hands of people who need it is our business at Ingenix. Our company has been in the news as a result of the New York attorney general's investigation into the healthcare industry's use of actual physician billed charge data to determine a \"reasonable and customary\" amount to pay a physician when consumers choose doctors outside their health plan's network of care providers. We believe that the issue of how to calculate out-of-network charges and reimbursement is an important one, but we also believe that it is a small part of a larger issue: improving the healthcare system by improving the quality and quantity of information available to its participants.</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27449340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When a snore means more.","authors":"Rochelle Goldberg, Edward Grandi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) was first identified in the early 1960s. It is likely to have been affecting adults for thousands of years, due to an anatomical feature in humans that makes us different from other mammals. The oropharynx, the space between the uvula and the epiglottis, is unique to humans and is responsible in part for our ability to speak. It is the space where the tongue and the uvula meet to obstruct the upper airway.</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"50-1"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27451098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moving toward e-prescribing.","authors":"April Fulton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When Department of Health and Human Services (HHS) Secretary Michael Leavitt called on Medicare, Medicaid, and large private health care payers in November to require physicians to ditch the pen-and-pad route and write their prescriptions electronically, it should have come as no surprise. Leavitt has been preaching the gospel of harnessing health information technology, including e-prescribing, for years now as a way to reduce increasing numbers of medical errors and to ensure that patients receive correct medications and dosages. But what he wrote on his official blog on the HHS Web site caused a flurry of news coverage and renewed interest from Congress.</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"10, 54"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27448972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality care in challenging times.","authors":"Jay Greene","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Every 72 seconds, someone in the United States develops Alzheimer's disease, an incurable affliction that kills at least 66,000 people annually, making it the nation's seventh leading cause of death. Alzheimer's is the most common form of dementia, accounting for 60 percent of cases (5.1 million people), according to the Alzheimer's Association, Chicago. Dementia describes a group of symptoms--loss of memory, judgment, language, and other intellectual skills--caused by damage to neurons, the brain's nerve cells.</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27448974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health care reform: will they or won't they?","authors":"April Fulton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As Congress began its new session in earnest, health care leaders faced a brimming plate of leftover health care bills that were left largely unaddressed before the holiday break. Skittish leaders in both parties have one eye on Congress's legacy as seen through the prism of the upcoming November presidential elections.</p>","PeriodicalId":87045,"journal":{"name":"AHIP Coverage","volume":"49 2","pages":"8, 52"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27448971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}