Presented in this article are aggregate utilization and financial data from the four social health maintenance organization (S/HMO) demonstrations that were collected and analyzed as a part of the national evaluation of the S/HMO demonstration project conducted for the Health Care Financing Administration. The S/HMOs, in offering a $6,500 to $12,000 chronic care benefit in addition to the basic HMO benefit package, had higher start up costs and financial losses over the first 5 years than expected, and controlling costs continues to be a challenge to the sites and their sponsors.

This article focuses on the sale and purchase of TV programs and formats at international trade fairs and its implications for our understanding of global television audiences, fans, and texts. Through analytic engagement with the core concept of flow, the authors explore three related issues: (a) how viewers and fans are positioned in distribution practices, (b) the ease through which various televisual elements travel through the distribution process, and (c) the limitations of a conceptual reliance on "traveling" discourses to our understanding of global TV trade.

This article provides State-level data on the Medicaid 1915(c) home and community-based services (HCBS) waivers program. Medicaid 1915(c) waiver participants were 32 percent of the Medicaid participants in institutional care in 1997. These data document wide interstate variation in organizational oversight and program policies for the waivers. Many structural barriers to HCBS waiver growth existed. Case management services, in some form, were normative for most HCBS waiver participants, but formal mechanisms to assess client satisfaction and service quality were less common. Substantial new growth in this program may require fundamental changes in HCBS waiver policies.

In this article we explore a life course perspective on fandom, with particular emphasis on fandom and adult development. While there is growing interest in issues of age and aging within fan studies and within media studies more broadly, there is a tendency in this literature to discuss aging and the life course atheoretically, ignoring a rich body of scholarship in gerontology, sociology, psychology and human development that examines how lives unfold over time. Our goal in this manuscript is to make explicit what is typically rendered implicit in fan studies by drawing directly on life course perspectives to enrich our understanding of long-term and later-life fandom, and to suggest ways that fan studies might more fully account for fandom over time. This article thus synthesizes two bodies of literature that rarely inform one another: fan studies and life course scholarship. © The Author(s), 2010.