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November 20, 2012America's Health Insurance Plans

  Top Stories 
  • Job loss may increase heart attack risk
    Adults who were unemployed were at a greater risk of developing acute myocardial infarction, according to a study in the Archives of Internal Medicine. "Although the risks for AMI were most significant in the first year after job loss, unemployment status, cumulative number of job losses and cumulative time unemployed were each independently associated with increased risk for AMI," the researchers wrote. (11/19) LinkedInFacebookTwitterEmail this Story
Inovalon is a healthcare technology company that combines advanced data analytics with highly targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape. To see healthcare empowered, visit
  Providers & Suppliers 
  • Physicians weigh in on ethical dilemmas
    A Medscape survey sheds light on doctors' views on ethical issues including prescribing a placebo to patients who do not need but are determined to receive treatment: 34% of responding physicians said that practice is acceptable. Forty-eight percent disagreed and 18% said "it depends." Researchers also found 32% of physicians said they would dismiss a nonadherent patient or one who overuses resources, while 33% said they would not. Modern Physician (free registration) (11/19) LinkedInFacebookTwitterEmail this Story
  • Hospitals have until Nov. 30 to attest to MU for FY 2012
    Hospitals that aim to receive payments from the Medicare Electronic Health Record Incentive Program for fiscal year 2012 have until the end of the month to register and attest to meaningful use. All facilities are encouraged to enroll prior to the Nov. 30 deadline, particularly those planning to attest for FY 2012. (11/19) LinkedInFacebookTwitterEmail this Story

OutcomesMTM contracts with more than 40 U.S. health plans to provide Medication Therapy Management (MTM) coverage to 5 million patients. The company links contracted plans with more than 60,000 chain, independent, consultant and health-system pharmacy providers. National network, local relationships. Learn more at
  Medical Update 
  Emerging Trends 
  • IPhone-based body thermometer scores 510(k) clearance
    The FDA has given Raiing 510(k) clearance to market a reusable thermometer sensor worn under the armpit that can contain as much as 72 hours worth of body temperature readings. The Raiing Wireless Thermometer uses Bluetooth to send real-time temperature data continuously to the Vitals Monitor software, a companion application accessible via the iPhone. (11/16) LinkedInFacebookTwitterEmail this Story
  • Epocrates unveils iPad drug data app
    Epocrates recently unveiled an iPad version of its iPhone drug data application that enables doctors to effectively search the firm's drug database, examine drug interactions and compare different drugs at the same time. Future versions of the app might be capable of backing customized dashboards for users in various health specialties, said Epocrates CEO Andy Hurd. (11/15) LinkedInFacebookTwitterEmail this Story
MedfusionRx Ascend is now BriovaRx™
Catamaran™ takes a hands-on approach to personalized care with new specialty pharmacy: BriovaRx™. We transcend patient care and take care of people, so every patient achieves not only successful treatment, but a healthy, vibrant life. Learn about our services for providers, payers and manufacturers at
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • FDA widens approval for Glaxo's Promacta drug
    GlaxoSmithKline received expanded FDA approval for its Promacta drug as a supportive therapy to address low platelet counts in hepatitis C patients, which will enable them to undergo standard treatment for liver disease. Reuters (11/19) LinkedInFacebookTwitterEmail this Story
  • Shortages remain despite regulatory, industry actions
    Drug shortages have prompted a presidential order, congressional hearings and promises of improved communication from makers of generic drugs. About 150 new shortages have been prevented, according to the FDA. "We're seeing real change in the number of shortages that we're able to recognize early," FDA Commissioner Dr. Margaret Hamburg said. However, the shortages are not going away because a drug tends to remain scarce once it becomes scarce, said Erin Fox, who tracks drug supplies at the University of Utah. The New York Times (tiered subscription model) (11/16) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • State health agencies to update IT systems, survey finds
    Many state health departments are implementing best practices and technological advancements to modernize the IT platforms they use, according to the results of a survey published by Microsoft and the American Public Human Services Association. The report found 57% of agencies surveyed have not upgraded their IT systems, but the majority of them will pursue modernization within the next three to five years. The findings also show good program management practices, due diligence and proper leadership could help agencies get gradual benefits from IT modernization despite challenges. Healthcare IT News (11/16) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • The year is ending, the learning is not
    Take advantage of special year-end pricing on AHIP conferences, including the National Policy Forum, Institute 2013, Medicare/Medicaid Conferences and Fall Forum. You'll learn from world-class business, health care and political speakers, and have the opportunity to network with health care professionals from throughout the country. Register by 12 p.m. ET on Dec. 31 to save. Learn more and register. LinkedInFacebookTwitterEmail this Story
  • Save 30% on AHIP courses and publications
    Now is a great time to enhance your health insurance education and work toward a professional designation. You’ll learn more while spending less: Save 30% between now and Dec. 31, 12:00 p.m. ET, on nearly 40 courses, many online, and publications crafted by top business and health care experts. Visit the website for details. LinkedInFacebookTwitterEmail this Story
  • DM Direct -- Expanding your DM program is just a click away
    To help health insurance plans expand their DM programs, AHIP has created DM Direct which identifies leading companies that provide innovative solutions. ActiveHealth Management, a DM Direct member, is a technology-driven health management and data analytics company designed to help improve care for those most in need, prevent medical errors and reduce medical costs. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Pharmacy Customer Service ManagerHealthPartnersBloomington, MN
Sr Data AnalystCVS CaremarkNorthbrook, IL
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Associate DirectorCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Internal Audit DirectorUCareMinneapolis, MN
Senior Director Claims AdministrationKaiser PermanenteDenver, CO
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
Medical DirectorVirginia Premier Health PlanRichmond, VA
Provider Network Management DirectorBlue Cross Blue Shiled of Georgia (WellPoint)Statewide, GA
Chief Financial OfficerNeighborhood Health PlanBoston, MA
Vice President Member GroupLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Clinical Care IntegrationLouisiana Health Cooperative, Inc.New Orleans, LA
Regional Director Payor ContractsAmeritoxNationwide, United States
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Chief Executive OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Executive Vice President of Health InsuranceWisconsin Physicians Service Health InsuranceMadison, WI
Click here to view more job listings.

A good man with a good conscience doesn't walk so fast."
--Georg Büchner,
German writer

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