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October 31, 2007
Your Healthcare Dollars at Work
Brad Cain, Senior Editor-Managed Care

Presidential campaigns are in full swing and healthcare is again a hot-button issue among the candidates. . .and their key fundraisers. In an analysis for the New York Times, the Center for Responsive Politics found that spending patterns have shifted as several contenders for the Democratic nomination have made healthcare reform a central plank in their platform. The newspaper reported that hospitals, health plans, doctors and drug-makers contributed more than $11 million to candidates from both parties through the first nine months of the year. [Read More]

 
Editor's Picks
FBI raids WellCare Health Plans
FBI agents along with various other federal law enforcement personnel raided the offices of WellCare Health Plans, Florida's largest provider of managed healthcare for the poor. Authorities would not divulge what prompted the raid, but said it will not affect the 350,000 Floridians who receive Medicaid through the company. [Read More]
Wider health coverage plan proposed for Maryland
Maryland Gov. Martin O'Malley has joined Democratic legislative leaders in the state to propose providing health insurance to 100,000 uninsured residents, and subsidizing small businesses that offer coverage to employees. [Read More]
California regulators aim to curb healthcare rescissions
California regulators have moved to limit insurers' ability to cancel medical coverage after patients get sick, and instead are proposing that companies be required to check up on an applicant's health before issuing a policy. [Read More]
Execs tout universal coverage
The Committee for Economic Development, which includes executives from some of the country's largest corporations, has concluded that the system of providing health insurance through employers is failing and must be replaced with one that would provide universal coverage. [Read More]
WellPoint doctors to get Zagat ratings
Insurer WellPoint is teaming with Zagat Survey to let patients rate their doctors. Instead of the four categories used for restaurants, the ratings guide will consider trust, communication, availability and office environment when rating the doctors. [Read More]
Managed Care Headlines
Fight over child healthcare persists
AP/Yahoo News, October 31, 2007
California insurer allowed to drop Realtors' health coverage
Los Angeles Times, October 31, 2007
Biden unveils healthcare plan
AP/Yahoo News, October 31, 2007
Seniors' healthcare choices expand in Massachusetts
Boston Globe, October 31, 2007
Decision on health insurance merger at least a year away in PA
Pittsburgh Business Times, October 31, 2007
Humana, Republic team up on health credit card
Louisville Courier-Journal, October 31, 2007
Lawmakers target shift of costs for kidney patients
AP/Chicago Tribune, October 31, 2007
Upcoming Events
Consumer Corner

The Power of Plastic: Even though American Express abandoned the HSA card market and mass adoption of an inventory information approval system is still years away, experts say the trend continues toward the use of cards with account-based plans. Growth, however, will depend on a variety of factors, including the rate of HSA adoption and how soon and how extensively IIAS systems are deployed. [Read More]
Listen Up
Learning the System
Studies have shown that Americans simply do not understand the healthcare system. In this audio interview, Kara Trott, founder and CEO of Quantum Health, speaks about the subject of educating and empowering consumers. She was interviewed by Les Masterson, managing editor for HCPro's Disease Management Advisor. [Listen Now]
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Resources From HCPro

Prove the ROI on your disease management program.
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Compare your capitation rates against national averages and help craft workable capitation contracts.
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