HealthLeaders Media Health Plan Insider - May 18, 2011 | 5 Ways Basic Health Programs Benefit States View as a Webpage | Subscribe for Free
5 Ways Basic Health Programs Benefit States
Margaret Dick Tocknell, Senior Editor

Families with incomes above the poverty line that have special coverage needs and are vulnerable to economic shifts might benefit from health insurance exchanges, but basic health programs might be an even better option for their home states.[Read More]
  May 18, 2011

 
Editor's Picks
ACO Concerns Elicit Enticements from CMS' Berwick
In response to widespread objections from doctors and hospitals to proposed federal rules on accountable care organizations, CMS director Don Berwick, MD, Tuesday introduced three programs designed to woo providers to apply for the new payment model. The effort strives to "help early comers get started sooner, help novices learn faster, and help those who need a little bit of assistance to capitalize their effort," Berwick said in a news briefing. [Read More]
Health insurers making record profits as many postpone care
The nation's major health insurers are barreling into a third year of record profits, enriched in recent months by a lingering recessionary mind-set among Americans who are postponing or forgoing medical care. UnitedHealth Group, one of the largest commercial insurers, told analysts that so far this year, insured hospital stays actually decreased in some instances. In reporting its earnings last week, Cigna talked about the "low level" of medical use. Yet insurers continue to press for higher premiums, even though their reserves are flush with profits and shareholders have been rewarded with new dividends. [Read More]
Milliman: Annual Healthcare Costs Doubled in Under Nine Years
It has taken less than nine years for healthcare costs to double for the average family of four covered by a preferred provider organization, the 2100 Milliman Medical Index shows.And there's more bad news, employers are passing more of the costs onto their employees. [Read More]
Commentary: A Modest Proposal for Controlling Healthcare Costs
Jim Koepke, for HealthLeaders Media, May 13, 2011
Americans are concerned about how the federal government can keep paying the crushing cost of healthcare for people who cannot afford medical insurance. While the government has long taken on the burden of paying medical providers for providing healthcare to the uninsured, it is now accepted that the country cannot continue down the path of funding healthcare entitlements unless major changes are made in the system.
[Read More]
Webcast: Beyond Medicare Shared Savings: Effective ACO & Clinical Integration Strategies
Go beyond the ACO regs furor to uncover commercial and Medicare alternatives for your ACO strategy. Join HealthLeaders Media for this 90-minute Webcast, including Q&A, for a deep dive with leading experts savvy on the legal and business operation of ACOs in commercial markets and CMS programs other than Medicare Shared Savings. [Read More]
Rounds: Coordinating Systems of Care
Whether your hospital system is pursuing an accountable care organization or a broader program of clinical integration, the real work of creating high-value, cost-effective healthcare is in transforming the systems of care. But the solutions may not be as big and unmanageable as you think. Join us live or via live webcast from Gundersen Lutheran Health System with Gundersen's clinical and executive leadership team and invited guest Fairview Health Services, two of the nation's health system pioneers in high-quality, lower-cost healthcare.. [Read More]

Health Plan Forum
13 Hot ACO Buzzwords
Just in time to accompany the proposed accountable care organization guidelines from the Centers for Medicare & Medicaid Services, comes a handy glossary of federal healthcare policy lingo. [Read More]
 

Managed Care Headlines
WakeMed’s bid for Rex pits money, care
The Cary News, May 18, 2011

Only 13 RHIOs Meet Meaningful Use Criteria
Margaret Dick Tocknell, for HealthLeaders Media, May 17, 2011

Malpractice Bill Ready for Full House
Margaret Dick Tocknell, for HealthLeaders Media, May 13, 2011

In VT, healthcare for all nears reality
The Burlington Free Press/Associated Press, May 13, 2011

UPMC deals to give patients more options
Pittsburgh Tribune-Review, May 12, 2011
 
Webcasts/Rounds

May 24: Webcast: Blueprint for an Integrated and Alignment-Driven Physician Compensation Plan

June 7: Webcast: Beyond Medicare Shared Savings: Effective ACO & Clinical Integration Strategies

June 9: Rounds: Coordinating Systems of Care

SEE ALL WEBCASTS


 
   
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The New ED: Keep Patients Out (but Happy)

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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]