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States To Pursue New Integrated Care Approaches For Dual Eligibles
As the nation debates health reform options, the Center for Health Care Strategies (CHCS) is launching Transforming Care for Dual Eligibles , a state initiative to test innovative care models for people who are dually eligible for Medicare and Medicaid ("dual eligibles"). Colorado, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, and Vermont will implement strategies to improve care and control costs for dual eligibles, a high-need population with health care costs nearly five times those of other Medicare beneficiaries. The program is made possible through support from The Commonwealth Fund.

Winter- And Spring-Onset RA Patients Have Worse 6 Month Outcomes Than Those With Summer Onset
When a patient"s first symptoms of rheumatoid arthritis (RA) occur in winter, the severity of their RA (as measured by the modified Total Sharp Score, mTSS, an assessment of erosion and joint space narrowing) was rated more severe at six months, when compared to patients whose RA first became symptomatic in summer (Odds Ratio (OR) =2.82 [1.14;7], p=0.0255). Furthermore, RA patients with their first symptoms in spring showed poorer radiographic outcome compared to summer-onset patients (OR=2.83 [1.10;7.37], p=0.0322), according to the results of a new study presented today at EULAR 2009, the Annual Congress of the European League Against Rheumatism in Copenhagen, Denmark.
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Suspect In Murder Of Abortion Provider Tiller Sends Antiabortion Mailings From Jail
From his jail cell, Scott Roeder, the man charged in the murder of abortion provider George Tiller, has been sending inflammatory pamphlets calling such killings justifiable and corresponding with radical antiabortion-rights groups, the AP/Boston Globe reports. The pamphlets call Paul Hill, who was convicted of murdering abortion provider John Bayard Britton and his bodyguard in 1994, an "American hero" and quotes some of Hill"s writing about how murdering abortion providers is acceptable. Roeder obtained the pamphlets from the antiabortion-rights group Army of God. Roeder also has been corresponding with the Rev. Donald Spitz, founder of Army of God, and antiabortion-rights advocate Linda Wolfe, who has been jailed about 50 times for antiabortion activities and is a close friend of the woman convicted of shooting Tiller in the arms in 1993. The AP/Globe reports that the FBI and Department of Justice declined to comment on whether they are concerned about Roeder"s mailings. Last month, Roeder in an interview said that there are "many other similar events planned around the country as long as abortion remains legal." Roeder has not been accused of breaking any laws because of the correspondence (AP/Boston Globe, 7/4).
Endocrinology

CIGNA Launches New Dental Plans; Continues Emphasis On Prevention

A little toothache can pretty quickly turn into a big headache - not just for your mouth but for your wallet too. That"s why CIGNA"s new series of dental HMO plans places an even greater emphasis on affordability and promoting wellness by covering more preventive dental care services. For example, under the new plans, up to four routine cleanings a year - two at no cost and two for a minimal copay -- are covered when recommended by the dentist. Children are covered for two fluoride treatments a year to help prevent tooth decay, one of the most common chronic infectious diseases among U.S. children1. "If you have dental insurance, you might pay nothing or very little out of your pocket for a routine dental visit (cleaning, x-rays and exam), compared with an average of $150 or more if you don"t have coverage," said Dr. Miles Hall, chief dental clinical director for CIGNA*. "If you need to have a cavity filled, on average the cost would be $115 or more without insurance compared to low or no cost with our dental HMO plan. Waiting too long to treat a small cavity could mean you"d pay many times more for more costly dental procedures, such as a root canal, and spend more time away from work and personal life to recover. The key message we"re sending with the new plan designs is "prevention matters, so don"t wait."" Hall said CIGNA is also changing some aspects of plan rules to make it easier for people to schedule their preventive dental care. Under the new plans, which are available now, the company is doing away with the requirement that cleanings be done at least six months apart. In addition, the new plans cover teeth whitening - the kind of gel bleaching with take-home trays that many dentists offer. The plans continue to include important preventive features such as no age limitation on sealants, no referrals needed for orthodontic care, no referrals needed for care by a network pediatric dentist for children under 7, and coverage for procedures to help detect oral cancer early. According to Bebe Shuler-Mure, assistant vice president of product for CIGNA"s dental products, CIGNA has been working to broaden the network of dentists who participate in the dental HMO plan and now has over 13,600 unique dentists who practice among over 43,500 office locations in the network, one of the largest dental HMO networks in the country. Individuals can locate an in-network dentist using the dental directory on http://www.cigna.com. At a time when the affordability of coverage is a concern for both employees and employers, the new plans are offered with a range of benefit and copay options. "CIGNA"s new dental HMO plans have more options available than many other carriers, including standard plans, plans with and without orthodontia coverage, specialty dental care discount, and split copay plans where copays are lower for using a general dentist and higher for dental specialty care," said Shuler-Mure. "This array of options gives employers flexibility to continue to provide a dental plan, even if their benefits budgets are under strain due to the economic downturn. The plans are also available on what is known as a voluntary (employee-paid) basis, where employees can get the advantage of obtaining insurance at lower, group rates." CIGNA is also using its diverse product capabilities to provide value-added services for people in its dental plans. CIGNA will offer identity theft resolution services free of charge for individuals covered under the new series of dental HMO plans. Someone who falls victim to identify theft can be guided through the steps to recovery by an identify theft expert, 24 hours a day, 7 days a week, at no charge. *Estimated costs without dental coverage may vary based on location and dentists" actual charges. These estimated costs are based on charges submitted to CIGNA as of February, 2009. CIGNA


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