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February 14, 2013America's Health Insurance Plans

  Top Stories 
  • Using AI models may boost patient outcomes, curb costs
    The use of artificial intelligence algorithms in health care resulted in significantly better patient outcomes at a lower cost, researchers at Indiana University found. "The framework here easily outperforms the current treatment-as-usual, case-rate/fee-for-service models of health care," said researcher Casey C. Bennett. Computerworld (2/12) LinkedInFacebookTwitterEmail this Story
  Providers & Suppliers 
  • Official urges doctors to be leaders in creating new pay models
    Physicians should not sit on the sidelines as private and public payers decide new payment models, such as accountable care organizations, Center for Medicare & Medicaid Innovations senior adviser Nancy Nielsen, M.D., told an American Medical Association conference. "I think this is a tremendous opportunity for physicians to take leadership roles," she said. MedPage Today (free registration) (2/12) LinkedInFacebookTwitterEmail this Story
  • Drugmakers, hospitals at odds over 340B discounts
    The pharmaceutical industry and hospitals are fighting over the federally mandated 340B drug discount program. Some hospitals use the program as a revenue source instead of to help poor patients, drug industry groups say in a report. Hospitals argue that 340B was designed to stretch resources and support hospitals that serve the poor. Congressional Republicans are looking into the program. The New York Times (tiered subscription model) (2/12) LinkedInFacebookTwitterEmail this Story
  Medical Update 
  • Higher death risk seen in TAVR patients with A-fib
    The risk of cardiovascular and all-cause mortality at one year was more than doubled in transcatheter aortic valve replacement patients who had atrial fibrillation than those without the condition, a study found. The results were published in the journal Circulation: Cardiovascular Interventions. Healio/Cardiology Today (2/13) LinkedInFacebookTwitterEmail this Story
  • High BP during pregnancy may mean higher risk later in life
    High blood pressure during pregnancy means a greater risk of heart disease, kidney problems and diabetes later in life, even with only one or two high blood pressure readings, according to a study in the journal Circulation. Women whose blood pressure returned to normal after pregnancy were still 1.6 to 2.5 times more likely to develop subsequent high blood pressure requiring hospitalization or treatment. HealthDay News (2/11) LinkedInFacebookTwitterEmail this Story
  Emerging Trends 
  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  • IOM: Tracking system needed to curb sales of fake drugs
    The Institute of Medicine has called for a national drug-tracking system following an FDA warning on counterfeit Avastin. Such a system might utilize barcodes or electronic tags to confirm the authenticity of a medication and the ingredients used during its production, an expert said. FDA Commissioner Dr. Margaret Hamburg lauded the report. CBS News/The Associated Press (2/13) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Federal officials make the case for EHR usability
    EHRs need to be usable, benefit doctors and work within the health care facility's systems so as not to waste the investment made on these technologies, officials with the ONC and National Institute of Standards and Technology said at a recent conference. Meaningful use certification and keeping the provider end-user in mind when designing EHRs are some ways to achieve EHR usability, they said. Healthcare IT News (2/12) LinkedInFacebookTwitterEmail this Story
  • HHS encourages e-patients with new effort
    HHS announced plans to create a broad shift to a less hierarchical health care system and give patients and families a greater role in their own care. A new initiative aims to expand patients' access to EHRs, mobile health applications and devices, and secure electronic messaging between patients and providers, according to an article published in the journal Health Affairs. "Engaged patients ... are more likely than others to participate in preventive and healthy practices, self-manage their conditions and achieve better outcomes," said National Health IT Coordinator Dr. Farzad Mostashari. Politico (Washington, D.C.) (2/11) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Navigating health system changes
    Institute 2013 will convene the very best industry experts and thought leaders to help you make sense of our changing environment, highlight emerging challenges and opportunities, and facilitate the industry networking that is so critical to professional growth and development. With all the changes taking place in health care, demand for AHIP’s educational programming has never been higher. Register today. LinkedInFacebookTwitterEmail this Story
  • Asthma Care Advances compendia highlights health plan strategies
    One in 12 Americans have asthma, disproportionately affecting children, racial and ethnic groups, and low-income individuals. Learn how health plans improve the lives of individuals with asthma by adopting culturally sensitive asthma management strategies. AHIP’s newly launched online compendia, Asthma Care Advances, and infographic highlights plan's efforts to increase access to timely and quality care, resulting in better outcomes. LinkedInFacebookTwitterEmail this Story
  • Healthcare Digital Enterprises in a Big Data World
    Join us from 12 p.m. to 1:30 p.m. ET on March 5 to learn how a strong digital enterprise strategy can maximize the value of big data and analytics for health organizations. Attendees will hear discussions addressing risk management in the new world of growing individual markets, health insurance exchanges and accountable care organizations. Register now. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Integrated Market Medical ExecutiveKindred HealthcareLas Vegas, NV
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
Vice President, Health Plan OperationsSatellite Health Plan, Inc.San Jose, CA
Vice President Member GroupLouisiana Health Cooperative, Inc.New Orleans, LA
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Government Relations and Compliance OfficerLouisiana Health Cooperative, Inc.Metarie, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative Inc. (LAHC)Metarie, LA
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
CAQH Managing Director, Finance and AdministrationCouncil for Affordable Quality HealthcareWashington, DC
Asst Director, Medicare Prod. Analytics/Rev. Mgmt CambiaPortland, OR
Marketing/Communications Data Analyst America's Health Insurance PlansWashington, DC
Media Relations Coordinator America's Health Insurance PlansWashington, DC
Click here to view more job listings.

  SmartQuote 
Mistakes are part of the dues that one pays for a full life."
--Sophia Loren,
Italian actress


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