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The shift in employers' attitudes toward wellness and healthcare cost management has brought workplace health clinics back into vogue, mostly among large self-insured businesses, but also among some fully-insured employers.

Michigan's Medicare enrollees will have fewer and less-generous choices for their Medicare coverage in 2009, as plans trim benefits or hike prices in order to keep margins.

Michigan's most recent attempt to allow more flexible HMO designs appears to have fallen flat, with few companies offering the revised designs, and few customers signing up for them.

HAP has been the biggest winner in its use of the WeightWatchers program, documenting significant clinical improvements for those in the motivational weight loss program.

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