HealthLeaders Media Health Plan Insider - June 15, 2011 | Behind BSCA's 2% Solution View as a Webpage | Subscribe for Free
Behind BSCA's 2% Solution
Margaret Dick Tocknell, Senior Editor

Healthcare economist Uwe E. Reinhardt disambiguates the motive behind Blue Shield of California's announcement that it will limit its income to 2% of revenue and hand back about $180 million to policyholders, physicians, hospitals. [Read More]
  June 15, 2011

 
Editor's Picks
Scripps Announces ACO-like Integrated Delivery Network
San Diego-based Scripps Health has entered a partnership with North American Medical Management to build an integrated care network with 14 physician groups. It is expected to function much like an accountable care organization. [Read More]
BSCA Revenue Cap Draws Mixed Reactions
The announcement by Blue Shield of California that it will voluntarily limit its earnings to 2% of its revenue is garnering mixed reviews from industry analysts and consumer advocates. Whether other insurers will follow Blue Shield of California and voluntarily issue refunds to policyholders and providers remains to be seen. [Read More]
Senators Urge OIG to Review PODs
Physician-owned distributorships have come under the scrutiny of the Senate Finance Committee and prompted a bipartisan group of senators to urge the Office of Inspector General to determine "how these arrangements square with federal law." [Read More]
Webcast: Cultivating Physician-Hospital Alignment in the ACO Era
Date: July 20, 2011
About: Integration will be the key to success in the accountable care era, whether your organization develops an official ACO or not. Organizations must develop strong relationships with employed and affiliated physicians. Join us to get alignment strategies to thrive in an increasingly integrated industry.
[Read More]
Webcast: Transform Your ED into a Profit Center
Date: June 23, 2011
What: Get in-the-trenches management tools and techniques to grow your ED's bottom line. Learn how Heartland Health revamped processes and increased revenue from $15 million to $33.5 million and turned its ED into a profit center with a 40% margin.
[Read More]

Health Plan Forum
ACO or Not, Fairview Builds Shared Savings into All Payer Contracts
Minneapolis-based Fairview Health Services has taken a model for shared savings and quality improvements and gradually embedded the concepts into all of its commercial insurance contracts. [Read More]


Managed Care Headlines
Trident Health lays off 35: Medicaid cuts cited
The Post and Courier (SC), June 15, 2011

3 in 4 Young Adults Go to Doctor's Office for Routine Care
Margaret Dick Tocknell, for HealthLeaders Media, June 15, 2011

Pronovost: Surveillance Bias Threatens Quality Payment Fairness
Cheryl Clark, for HealthLeaders Media, June 15, 2011

Healthcare Partnership Targets KY's Medically Underserved
John Commins, for HealthLeaders Media, June 15, 2011

Democrats revive Medicare as political weapon
NPR, June 14, 2011

NQF Adds 4 Serious Reportable Events, Updates 25
HealthLeaders Media, June 15, 2011

Toll of caring for elderly increases
The Wall Street Journal, June 14, 2011

Webcasts/Rounds

June 23: Webcast: Transform Your ED into a Profit Center

July 20: Webcast: Cultivating Physician-Hospital Alignment in the ACO Era

August 16: Rounds: The Real Value of ACOs

SEE ALL WEBCASTS


 
 
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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]
 
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