The range of article topics in the December PM seems to go far and wide, but the mixture ends the year on a good note.

Rising costs over the last decade have prompted many local governments to make changes to their health plans and strategies.

Many are called, but few are well-trained.

The Cadillac Tax is an excise tax scheduled to take effect in 2018 to reduce health care usage and costs by encouraging employers

A decision tool to assist local governments with collaborative service delivery

A summary of the research behind the decision matrix tool.

This document highlights many of the recent studies of these alternative service delivery arrangements.