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  November 28, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Insurers Must Guide Individual Market in 2014

Jacqueline Fellows

Consumers say they're willing to participate in the new individual insurance market in 2014, yet don't want to take personal responsibility for driving down healthcare costs. How can they be made to connect the dots? Part of the answer lies in how insurers approach consumers. >>>

 

Editor's Picks

Medicaid Expansion Report Calculates Modest State Costs

States that expand their Medicaid rolls under the Patient Protection and Affordable Care Act would see only modest increases in their share of the costs when compared with the windfall in federal funding that would come with it, according to a new report from the Kaiser Family Foundation. >>>

HHS Issues 2014 Rules for Health Plans, Exchanges

Regulation of the health insurance industry for 2014 became clearer yesterday, as the Obama Administration issued a raft of proposed rules that would bar discrimination against those with pre-existing conditions, incentivize wellness with rate reductions, and set standards for state insurance exchanges. >>>

Two Dartmouth Studies Report Unnecessary Testing

Two reports newly issued by the Dartmouth Institute for Health Policy and Clinical Practice raise new questions about whether physicians order too many medical tests, and whether some tests might be motivated by economic reasons. >>>

How Hospitals Prevent VTE

It's been four years since the U.S. Surgeon General stunned healthcare providers with rates of preventable death and harm from venous thromboembolism. Yet hospital-associated VTE remains a major health problem. Here's how hospitals and health systems have responded. >>>

PPACA Rules on Wellness Programs Could Push Participation

New proposed rules for wellness programs released last week under the Patient Protection and Affordable Care Act don't break much new ground, but they will likely provide the framework and clarity to encourage more employers to participate. >>>

SLIDESHOW: Medicaid Expansion Report Details Impact on State Budgets

A new report released Monday by the Kaiser Family Foundation suggests that some states could net budget savings under the Medicaid expansion detailed by the Patient Protection and Affordable Care Act, as millions gain coverage. >>>



LIVE Webcast

Decoding Payer Contracting in a New Era of Population Health

Date: December 5, 2012, 1:00-2:30 p.m. ET

For providers, population health management is the next step in healthcare reform, but to make that move providers must place greater emphasis on commercial payer contracts. Innovative healthcare organizations such as Iowa Health System and Bellin Health System are already getting these programs off the ground. Join these leading organizations as they share best practices and lessons learned when establishing population health programs and commercial payer contracts.

Register Today



News Headlines

How hospitals bill Medicare for preventable complications

Forbes, November 28, 2012

Baylor Health Care System to pay claims settlement

KWTX.com, November 28, 2012

Hospitals face pressure to avert readmissions

The New York Times, November 27, 2012

UnitedHealth forecasts profit below analyst estimates

Bloomberg, November 27, 2012

AIG fined for misrepresenting insurance policies

Minneapolis/St. Paul Business Journal, November 27, 2012

Laws don't curb pricey prostate cancer treatments

Fox News / Reuters, November 27, 2012

Healthcare system to benefit from recent HIE progress

iHealthBeat, November 27, 2012

Healthcare reform: Clock ticking on states to set up exchanges or bow to feds

United Press International, November 26, 2012

Is Obamacare on table for 'fiscal cliff' talks?

The Christian Science Monitor, November 26, 2012

CO health insurance exchange expects nearly 1M customers

Colorado Public News, November 26, 2012



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Multimedia/Events

Webcast: Future of Service Line Marketing—New Tactics, New Tools

Date: Nov. 29, 2012, 1:00-2:30 p.m. ET

When it comes to service lines, healthcare marketers are challenged to balance the needs of the organization and individual physicians with limited marketing dollars. Join WellStar Health System, Cooper University Hospital, and Jennings Co. as they explore how to use data to prioritize service line marketing dollars and gain physician buy-in.

Register Today



From HealthLeaders Magazine

 

Volume, Value, and Compensation Metrics

Although executive compensation is largely linked to financial metrics, there is a shift in healthcare as leaders are increasingly being measured on factors of quality outcomes and patient satisfaction. >>>

 

Senior Leadership Pay Continues to Rise

 

The Paths to Price Transparency



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