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November 28, 2007
Finding a Solution
Brad Cain, Senior Editor-Managed Care

Congressional leaders return to Washington next week to resume negotiations on a number of important issues, but one that should be elevated to the top of every representative's list is finding a solution that keeps the State Children's Health Insurance Program functioning. Set to expire earlier this fall, short-term extensions have kept the program on life-support while President Bush and Congressional Democrats have faced off over a formal reauthorization. The parties have been at loggerheads over how much latitude states should have in using in the program to expand coverage beyond its core focus--low-income, uninsured children. [Read More]

 
Editor's Picks
Cigna Buying Great-West Health for $1.5 billion
Health insurer Cigna Corp. announced it has agreed to buy Colorado-based Great-West Healthcare for $1.5 billion. The transaction will broaden Cigna's distribution reach and provider network in key geographic areas of the country, particularly the Western regions of the United States, said Cigna CEO Edward Hanway. [Read More]
California insurer fined for lack of candor
Woodland Hills-based, CA-based insurer Health Net Inc. has been fined $1-million for misleading the state about bonuses tied to policy cancellations. The company's cancellation practices remained under investigation. [Read More]
Medicare chief checks insurers' pitches
To get a better feel for the marketing practices of private insurers, senior staff at the Centers for Medicare and Medicaid Services have been attending insurance agents' presentations to seniors and the disabled. The agency calls it the "secret shopper program." [Read More]
Massachusetts faces a test on healthcare
A year after Massachusetts became the only state to require that individuals have health coverage, those managing the enrollment effort say it has exceeded expectations. But the effort has raised questions about whether even a mandate can guarantee truly universal coverage. [Read More]
Opting for private insurance
For years, workers generally took health insurance if it was offered by their employer. Now some workers are opting for private health insurance because they are finding it is cheaper to get spouses and children covered by private policies than under their employers' plans. [Read More]
Managed Care Headlines
California public health officials wary of bill to cover uninsured
San Francisco Chronicle, November 28, 2007
Top New York lawmakers to back doctor-ranking model
AP/Yahoo News, November 28, 2007
For those 50 and older, health insurance can be hard to come by
San Francisco Chronicle, November 28, 2007
Wisconsin health system drops HMO
Milwaukee Journal-Sentinel, November 28, 2007
Employers' health insurance costs soar in Boston
Boston Globe, November 28, 2007
Fewer small firms offer health insurance
USA Today, November 28, 2007
Upcoming Events
Developments in DM

DM, Wellness Gaining Ground: Preliminary results of a market survey of disease management and wellness vendors, purchasers, and payers show widespread adoption of DM and wellness, but also indicate room to grow on the wellness side and continued skepticism on the part of purchasers that programs really help save money and improve outcomes. [Read More]
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Resources From HCPro

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