IN THIS ISSUE

Q&A
John Marcille

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.

Ed Silverman

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

Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD
Scott Guerin, PhD
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
Peer-Reviewed
Donald W. Bradley, MD
Gwen Murphy RD, PhD
Linda G. Snetselaar, RD, PhD, LD
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.
Editor's Memo
John Marcille
Legislation & Regulation
John Carroll

The Affordable Care Act requires insurers to measure up if they want to participate in the new state marketplaces for individual policies

Medication Management
Thomas Reinke
Formulary decision makers will probably be disposed favorably toward Xeljanz, the first Janus kinase inhibitor approved for rheumatoid arthritis
Plan Watch
Frank Diamond
The health plan’s New Hampshire subsidiary rolls out its Compass SmartShopper program to small employers this month
Tomorrow's Medicine
Thomas Morrow, MD

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

News & Commentary