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  June 13, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Insurers' Coverage Commitments a No-Brainer

Margaret Dick Tocknell

UnitedHealthcare and other healthcare payers have announced which provisions of the ACA they will continue to offer, even if the law is ruled unconstitutional. But before we get carried away with the accolades, let's be clear: They've simply identified coverage options that are popular and have agreed to continue selling them. >>>

 

Editor's Picks

Romney Advisor Offers Views on Healthcare Policy

Michael Leavitt, the former Utah governor and federal government official tapped by Mitt Romney to head his healthcare transition team, says "global economic dispassion" is the primary engine that is driving healthcare reform. >>>

Lab's Non-Coverage Notice Deters Medicare Patients

A national lab's use of a form intended to warn diabetic patients about Medicare's limits on coverage for a vital blood test is provoking some patients to reject testing. A Medicare official says the form does not comply with the standards for valid notices of noncoverage. >>>

How Hospitals Can Shape Sustainable Cost Control

The CFO of a physician organization sums up the cost control problem: "We can't get beyond the idea stage. Then, we get absorbed into the next crisis and forget all about cost reduction." A look at several healthcare systems reveals many different approaches to getting a handle on costs. >>>

Process Improvements Vital to Cost Containment

Healthcare leaders place cost control as a high priority, but labor, government laws and mandates, and information technology are driving up costs. Which line items present the best opportunities for significant, sustainable spending cuts? >>>

HHS Takes Another Step Toward Defining Essential Health Benefits

In a proposed rule, The Department of Health and Human Services reveals that it wants to use the small group market plan as a reference for the scope of healthcare services to be offered, but only if a state doesn't select its own benchmark. >>>

 



FRIDAY Webcast

Medical Home—Prime Your Organization for Launch

Date: June 15, 2012 1:00-2:30 p.m. ET
Is establishing a medical home the right fit for your organization? Learn from experts at leading physician practices about the realities of assessing readiness and preparing for medical homes, including physician buy-in and reimbursement structure. Get the strategies you need in a customized webcast with a Q&A, an online forum, a takeaway presentation, and 60-day post-event on-demand access. >>>



News Headlines

The secret world of healthcare pricing

Marketplace, June 13, 2012

Medicare Advantage enrollment rises 10 percent on lower premiums

Bloomberg BusinessWeek, June 13, 2012

Centralizing healthcare big data in the cloud

ComputerWorld, June 13, 2012

CT children's hospital, insurer settle lengthy contract dispute

Hartford Courant, June 13, 2012

Insurer's 30-day prescription limit aims to cut painkiller abuse

The Washington Post, June 12, 2012

States quietly get ready for healthcare law

The Columbus Dispatch / The Washington Post, June 11, 2012

Healthcare law's fate aside, hospitals evolve

The New York Times, June 11, 2012

Company with fraud record lines up for FL Medicaid contract

Miami Herald, June 11, 2012

CareFirst to pay doctors $23M under primary care program

Baltimore Business Journal, June 8, 2012

4 Keys to a Better Emergency Department

HealthLeaders Media, June 8, 2012



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Multimedia/Events

Rounds: Excellence in Cardiac Care—Elements of Success from The Mount Sinai Medical Center

Date: July 18, 12:00–3:00 p.m. ET
How do you balance the latest in advanced cardiovascular treatment with market growth? Join HealthLeaders Media and the cardiovascular team at The Mount Sinai Medical Center to learn how Sinai has reinvented one of the top cardiovascular enterprises in the country. >>>



From HealthLeaders Magazine

 

ACO Blueprints: Options in Accountability

As the healthcare industry moves away from a transaction-based system, leading organizations are exploring accountable care models of various types. >>>

 

Aetna Building National ACO Network

 

Emphasis on Support in Decision Support



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