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Three Health Reform Ideas That Will Stay, Three That Will Go
Les Masterson, Senior Editor-Managed Care

With the House of Representatives' narrow approval of its health reform bill Saturday, the next stop for the health reform train is the Senate, which will soon begin debating its own plan that was approved by the Senate Finance Committee. If the Senate's bill is approved—which is probable, but not a slam dunk—the two houses on Capitol Hill will come together to create the final health reform law. Here is my prediction for three health reform ideas that will stay and three that will go. [Read More]
  November 11, 2009

 
Editor's Picks
Seven Health Leaders React to House's Health Reform Legislation
With its approval of HR 3962, the House of Representatives cleared a major hurdle, but there are still plenty of barriers in place before health reform becomes a reality. Healthcare leaders' opinions on health reform are as diverse as those on Capitol Hill. Seven health leaders told us what they think of the House's reform plan. [Read More]
Wider oversight looms for insurers
The House healthcare bill would repeal an exemption from federal antitrust oversight that the health insurance industry has enjoyed for decades, but the move alone might not make local insurance markets more competitive. The repeal is necessary to inject competition into regional insurance markets, according to Rep. Diana DeGette (D-CO), one of several members of Congress behind a push to repeal the exemption. She cited American Medical Association figures showing that 94% of markets are highly concentrated. America's Health Insurance Plans, on the other hand, said insurance is heavily regulated by the states already. AHIP is also concerned about how taking away the anti-trust exemption would affect projects, such as the one in Ohio involving eight insurers and physician groups. [Read More]
Politics aside, doctors universally fed up with insurers
Physicians are torn over what the government should do to make healthcare more available and affordable, but they're like-minded about one perceived scourge?the insurance industry. Not surprisingly, two common complaints are that physicians feel they spend too much time dealing with paperwork and arguing with insurers about coverage and reimbursement issues. [Read More]
Healthcare Reform in the Senate: Three Areas that Will Need to Be Addressed
With the House's passage of HR 3962, many predictions abounded if healthcare reform was on its way to passage or dead on arrival. While the compromise bill has yet to emerge from the Senate, there are three areas that will need to be addressed if healthcare reform can move forward in the Senate: the public insurance option, how to pay for healthcare, and Medicaid expansion. [Read More]
 
Managed Care Headlines
Senate Leaders Try to Pass Reform Bill This Year
Janice Simmons, for HealthLeaders Media, November 11, 2009
Congress Takes Aim at Insurer Profits
Janice Simmons, for HealthLeaders Media, November 6, 2009
Opt-out proposal puts state leaders to the test
New York Times, November 11, 2009
Ingenix Buys CareMedic Services
John Commins, for HealthLeaders Media, November 10, 2009
MetroWest wants new deal with Blue Cross Blue Shield of Massachusetts
Boston Globe, November 9, 2009
Minnesota's poor being shifted to different medical plan
Minneapolis Star Tribune, November 10, 2009
New Jersey Pilot Program Insures Newborns Without Coverage
Ben Cole, for HealthLeaders Media, November 5, 2009
Immigrants face hurdles with new Massachusetts care coverage
Boston Globe, November 5, 2009

Webcasts/Audio conferences
December 17: Women's Health: Building a More Profitable Service Line With Existing Assets
November 17: Service Lines Strategies Workshop 2009: Stroke Care
November 12: Finding and Keeping Physicians During a Shortage
 
Listen Up
Reform and Nonprofit Healthcare

Bruce McPherson, president and CEO at the Alliance for Advancing Nonprofit Health Care, speaks about how health reform legislation could affect nonprofit healthcare. [Sponsored by Emdeon] [Listen Now]
 
From HealthLeaders Media
What If All Your Reimbursement Was Medicare?

If healthcare reform passes, and even if the public option pays you as much as 99% of costs, much higher than Medicare, hospitals still come out way behind over time. [Read More]
 
From HealthLeaders Magazine
Disease Management's Struggle to Remain Relevant

Disease management, once trumpeted as a way to control costs and improve patient outcomes, has been the subject of a number of recent reports questioning whether it actually reduces health costs. There are four ways disease management can reclaim a vital role in healthcare. [Read More]
 
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