HealthLeaders Media Health Plan Insider - March 9, 2011 | HIEs: Still More Questions than Answers View as a Webpage | Subscribe for Free
HIEs: Still More Questions than Answers
Jeff Elliott, for HealthLeaders Media

Health insurance exchanges will guide how consumers purchase health insurance that's not supplied as part of an employer benefits package. But states are largely on their own to determine what the final product will look like. And that's where things get fuzzy.[Read More]
  March 9, 2011

 
Editor's Picks
OIG Audit Raises Concerns About Medicare Part D Plans
House Democrats want a formal review of Medicare Part D after a federal audit found the program's "sponsors" may have overcharged policyholders by underestimating by billions of dollars the value of drug manufacturers' rebates in nearly 70% of their bids for plan year 2008. [Read More]
Ex-Blues CEO's $11M Severance Package Slaps Policyholders
Public furor over a multi-million dollar payout for Blue Cross Blue Shield of Massachusetts' former CEO is part of a continuing and troubling trend in healthcare. [Read More]
ACOs: From Volume to Value
Potential cost savings from accountable care organizations are in pharmaceuticals, hospital admissions, ED usage, procedures, and high-end ancillary services, which creates a significant business model conflict. These forward-focused leaders offer insights on flipping the business model to succeed as an ACO. [Read More]
Webcast: Boost Market Share with Your Oncology Services
Given the growing trend toward all-inclusive cancer centers, do you know how to differentiate your own oncology services to protect and grow your market share? Your oncology care is distinct. Its marketing should be, too. Join HealthLeaders Media on March 31 for this 90-minute Webcast, including Q&A and a case study, for valuable lessons from marketing leaders. [Read More]
Rounds: Orthopedic Leadership Strategies: Engage, Measure, and Perform
Forward-thinking orthopedic leaders are ensuring high performance and coordination among a carefully constructed caregiver team. Those leaders are also exploring the right metrics to know whether the outcomes they are tracking are the most meaningful to patients. Join the executive and clinical leadership team from nationally renowned MemorialCare Health System and orthopedic innovator Marshall Steele, MD, on March 99 for a three-hour dive into essential orthopedic leadership strategy. [Read More]
Healthcare Leaders Reveal Uncertainties About Industry Direction
Dedication to mission is strong and getting stronger, but just how to accomplish that mission is less certain, according to the just-released results of the 2011 HealthLeaders Media Industry Survey. [Read More]

Health Plan Forum
Don't Fear the Future of Healthcare – It's Working
Shrinking budgets, rising costs, an inadequate supply of clinicians, and swirling changes brought about by health reform are all legitimates causes for concern. But as care delivery becomes more complex, there is an opportunity to take another major step forward. [Read More]


Managed Care Headlines
BCBSMA halts payments to directors
The Boston Globe, March 9, 2011

HCA stock sale could fund health startups
The Tennessean, March 9, 2011

Georgia health plan in $250M hole
The Atlanta Journal-Constitution, March 9, 2011

Rising calls to replace Berwick at Medicare
The New York Times, March 8, 2011

To cap Medicaid, FL looks to managed care
NPR, March 8, 2011

TN Legislature rejects health law mandate
Knoxville News Sentinel, March 8, 2011

OH healthcare coverage erodes as economy sputters
The Plain Dealer, March 8, 2011


Sponsored Headlines
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From HealthLeaders Magazine
Does E-Health Stand a Remote Chance?

As technology advances and costs fall, the use of telemedicine expands, but obstacles to achieving e-health success remain. [Read More]
 
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Resources From HCPro

Learn how increased collaboration between providers and managed care payers has the potential to reduce costs, improve processes, and enhance patient care.
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Read about practical strategies for maximizing the effectiveness of health and disease management programs.
Learn how to educate and engage members.

Audio Feature
Will DOJ Quash Insurers' Most Favored Nation Clauses?

A recent Department of Justice lawsuit threatens the "most favored nation" clauses common to many insurer contracts with healthcare providers. Attorney Dale Grimes of Bass, Berry & Sims discusses the potential upheaval associated with this contracting mainstay. [Sponsored by Emdeon] [Listen Now]
 
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