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March 19, 2013America's Health Insurance Plans

  Top Stories 
  • ABI's screening benefits unclear, USPSTF says
    It remains unclear whether patients would benefit from use of ankle brachial index to predict heart disease risk and screen for peripheral artery disease, according to a draft statement from the U.S. Preventive Services Task Force. "The Task Force calls on the research community to prioritize studies that examine whether using the ABI to screen for PAD and assess the risk of cardiovascular disease leads to better health," said USPSTF co-vice chairman Dr. Albert Siu. News (3/18) LinkedInFacebookTwitterEmail this Story
Health Care Reform, ICD-10 and MLR, are your operations and systems ready? Do you need to modernize your technology platform, or seek transition services to meet these challenges? Your future depends on the strategic choices you make today. RAM offers creative options for your organization to stay ahead of the curve. For more info / demo click here!
  Providers & Suppliers 
  • Survey shows growing physician turnover
    Data from the yearly Physician Retention Survey revealed mean physician turnover in 2012 was 6.8%, up from 6.5% in 2011 and 5.9% in 2009. Thirty-six percent of responding medical groups said they expected to see an increase in physician retirement this year. (3/18) LinkedInFacebookTwitterEmail this Story
  • EHR payments reach $12.3B, CMS reports
    CMS has issued about $12.3 billion in Medicare and Medicaid incentive payments to 219,000 health care providers from the start of the program through last month. "We expect that February number will continue to grow as we process them through the month. We're already seeing some providers come in for 2013," said Robert Anthony of CMS' Office of E-Health Standards and Services. Government Health IT online (3/15) LinkedInFacebookTwitterEmail this Story

Improve Adherence and your Stars rating. A better Medicare Advantage Plan Adherence STARS rating starts with services from an industry leader. Learn more about Adherence Services here.
  Medical Update 
  • Preemies may not be at greater risk of metabolic syndrome
    Researchers reviewed 27 studies involving 17,030 preterm babies and 295,261 full-term babies and found that those who had been born prematurely were no more likely to suffer most symptoms of metabolic syndrome in adulthood than term babies. However, they noted that preterm-born adults were more prone to higher diastolic and systolic blood pressure and slightly increased levels of low-density lipoprotein. The findings appear in the journal Pediatrics. (3/17) LinkedInFacebookTwitterEmail this Story
  • Menu info on walking off a meal may curb food intake
    A study in the journal Appetite showed that people who saw menus with data on walking distances required to burn the calories in each item ordered meals that averaged 826 calories, compared with 1,020 calories by those who viewed menus that did not include such information. Participants whose menus featured calorie content only and calorie content plus walking minutes also had orders with fewer calories, researchers said. (3/18) LinkedInFacebookTwitterEmail this Story
  Emerging Trends 
  • Siemens debuts 2 ultrasound devices at cardiology meeting
    Siemens released two ultrasound devices at the 2013 American College of Cardiology meeting. The Acuson SC2000 version 3.0 is designed to quickly produce an accurate biplane estimate of ejection fraction based on apical 2- and 4-chamber images, while the Acuson Freestyle features a portable flat-panel display and a transducer that interacts wirelessly with the monitor. (3/15) LinkedInFacebookTwitterEmail this Story
  • Device to preserve livers for transplant is used successfully in U.K.
    Two British patients became the first to receive donated livers preserved using an automated perfusion system. The device, being developed by Oxford University researchers, keeps the organ functioning outside the body for longer than 24 hours, maintaining it at body temperature and supplying it with oxygenated red blood cells. Reuters (3/15) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • Mylan gets FDA nod for generic Xopenex
    Mylan received federal approval for its levalbuterol inhalation solution in three strengths: 0.31 mg/3 mL, 0.63 mg/3 mL and 1.25 mg/3 mL. The drug, used to treat bronchospasm, is the generic formulation of Xopenex from Sunovion. Drug Store News (3/18) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • CMS notifies some providers about MU incentive pre-payment audits
    CMS is notifying some providers who were chosen at random that the agency will audit their Medicare and Medicaid billing activities to be sure EHR incentives have been given to the right people. "EPs, eligible hospitals, and critical access hospitals should retain all relevant supporting documentation in either paper or electronic format, [including] documentation to support attestation data for meaningful use objectives and quality measures for six years post-attestation," according to CMS. EHR Intelligence (3/15) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • The Future of Payer IT
    As part of AHIP's new educational IT Series, a four-hour workshop, “The Future of Payer IT,” will be held in conjunction with Institute 2013 on Wednesday, June 12, in Las Vegas, NV. From 1:30 p.m. to 5:30 p.m., speakers will discuss the acceleration of IT innovation, how IT is driving change within the industry, aligning IT with your business and more. Learn more. LinkedInFacebookTwitterEmail this Story
  • Accepting applications: Disparities Leadership Program
    The Disparities Solutions Center is accepting ongoing applications through March for the 2013-2014 Disparities Leadership Program (DLP). This year-long executive education program is designed for leaders from health plans, hospitals and other health care organizations who wish to implement practical strategies to identify and address racial and ethnic disparities in health care, particularly through quality improvement. Scholarships may be available for Medicaid health plans. Apply today. LinkedInFacebookTwitterEmail this Story
  • Leveraging Mobile Solutions to Enhance the Health Insurance Experience
    As your organization invests in ways to differentiate yourself and provide members a unique brand experience, mobile solutions are even more important. Join us from 2 p.m. to 3:30 p.m. ET on March 21 to learn strategies and best practices to demonstrate value and offerings with mobile technology. Register now. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
VP of Network Contracting Oscar Health Insurance New York , NY
Configuration Associate Oscar Health Insurance New York , NY
VP of Legal and Compliance Oscar Health Insurance New York , NY
Director of Quality & Utilization Oscar Health Insurance New York , NY
Comptroller & VP of Finance Oscar Health Insurance New York , NY
Utilization Reviewer/Medical Director - Part TimeTufts Health PlanWatertown, MA
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
Health Plan and Payor CounselKaiser PermanenteMultiple Locations, United States
Manager, Financial Controls and Commission Administration Geisinger Health PlanDanville, PA
Chief Operating OfficerHealth Alliance Medical PlansUrbana, IL
Contract Review and Compliance AttorneyAmerica's Health Insurance Plans (AHIP)Washington, DC
Director, Enterprise Data GroupThe Centers for Medicare and MedicaidWoodlawn, MD, MD
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Vice President- Quality Management and PerformanceUnited Health GroupNationwide, United States
Senior Director, Product Innovation and Development Cleveland Clinic Lyndhurst CampusCleveland, OH
Medicare Product ManagerRegence Portland, OR
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Associate Medical DirectorUCareMinneapolis, MN
Chief Executive OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Clinical Care IntegrationLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative Inc. (LAHC)Metarie, LA
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
CAQH Managing Director, Finance and AdministrationCouncil for Affordable Quality HealthcareWashington, DC
Director of Product Management, UPDCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
CAQH CORE Manager, Education, Outreach and Participant RelationsCouncil for Affordable Quality HealthcareWashington, DC
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You may have to fight a battle more than once to win it."
--Margaret Thatcher,
British prime minister

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