Research published in the American Journal of Managed Care looks at how workers with chronic conditions were affected when their Mid-Western employer adopted a consumer-directed health plan (CDHP) with a health savings account (HSA) for all workers. During the first year after implementation, enrollees with hypertension, dyslipidemia, and diabetes had significantly less medication utilization and lower adherence rates. These reductions abated, yet remained, after two years among hypertension and dyslipidemia patients. Adherence was significantly lower in patients with depression after two years. There were no statistically significant effects on enrollees with asthma/chronic obstructive pulmonary disease. For more information, visit http://www.ajmc.com.