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November 19, 2012America's Health Insurance Plans

  Top Stories 
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 
  • Partnership to speed up EHR adoption through loan program
    The American Health Information Management Association will collaborate with the Delta Regional Authority on a micro-loan program to help eligible providers purchase EHR systems. Loans of $5,000 or $7,500 will be provided by DRA to serve as a down payment for a system, and AHIMA will provide education. Healthcare IT News (11/15) LinkedInFacebookTwitterEmail this Story
  • Report: Care coordination important in Medicare bundled pay project
    The amount hospitals spend on post-acute care varies, but those that coordinate efforts with primary care physicians and other partners stand to do the best in Medicare's Bundled Payments for Care Improvement initiative, according to a study in the New England Journal of Medicine. The authors say readmissions are a big part of the variations and highlight the opportunity for post-discharge patient outreach that ensures people schedule timely primary care visits, take their medications and follow plans to address problems. MedPage Today (free registration) (11/15) LinkedInFacebookTwitterEmail this Story
 PAC Delivers More Predictable GER than AWP — Click here to see example
New drug price type, Predictive Acquisition Cost (PAC), delivers more predictable and stable generic effective rate (GER) than Average Wholesale Price (AWP). Click here to see a scenario illustrating how PAC compares to AWP for GER variability across drug groups. See example now.

  Medical Update 
  • CDC: Breast cancer more fatal in black women than white women
    Black women had a 40% higher risk of dying from breast cancer compared with white women, despite having lower incidence of the disease, CDC researchers wrote in the Morbidity and Mortality Weekly Report. They said that more work is needed to raise awareness about prevention and screening and that black women often don't receive the same quality treatment as white women. "Although we are making progress reducing deaths from breast cancer, we have much work to do to reduce preventable deaths, particularly among African-American women," CDC Director Thomas R. Frieden said. (11/14) LinkedInFacebookTwitterEmail this Story
  Emerging Trends 
  • Cook gets FDA OK for device to treat peripheral artery disease
    The FDA has granted Cook Medical approval for its Zilver PTX drug-eluting peripheral stent, the first such device to be approved in the U.S. The self-expanding metal stent, which is coated with the paclitaxel drug, is used to reopen blocked or narrowed femoropopliteal arteries in patients with peripheral artery disease. (11/15) LinkedInFacebookTwitterEmail this Story
  • Teleflex's vascular access catheter scores 510(k) clearance
    The FDA has cleared Teleflex to market its Nylus catheter, which is delivered peripherally to the central venous system. The device was first cleared in Europe in July and is intended to help minimize the risk of blood clot-related complications during infusions, among other applications. (11/15) LinkedInFacebookTwitterEmail this Story
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  Health Insurance Plan Company News 
  Vendor Company News 
  Hot Topics 

Top five news stories selected by AHIP Solutions SmartBrief readers in the past week.

  • Results based on number of times each story was clicked by readers.
  Pharma News 
  • FDA panel: More data needed on effects of hep B vaccine
    The FDA's Vaccines and Related Biologics Advisory Committee voted 13 to 1 in support of the efficacy of Dynavax's hepatitis B vaccine Heplisav, but questioned its safety and the insufficient information on its effects among some minorities, including Hispanics, blacks and Asians. MedPage Today (free registration) (11/15) LinkedInFacebookTwitterEmail this Story
  • Strontium ranelate may slow progression of osteoarthritis
    Researchers have found patients who took 1 to 2 grams of strontium ranelate daily showed lower cartilage loss measures at one year compared with those in the placebo group. Improved physical function and less pain were also seen in strontium ranelate-treated patients, suggesting that the drug may help delay the progression of knee osteoarthritis. Healio/Orthopedics Today (11/16) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Agency asks for public comment on proposed stage 3 MU measures
    CMS seeks public input on potential stage 3 meaningful use measures developed by Mathematica Policy Research and the National Committee for Quality Assurance to be used by health care professionals participating in the EHR Incentive Programs. The proposed measures will evaluate key parts of the yearly wellness visit benefit for Medicare beneficiaries. (11/16) LinkedInFacebookTwitterEmail this Story
  • Utah health privacy bill advances
    Legislation that would require Utah health care providers to inform patients when their personal data has been or might be shared with government programs has cleared a committee hearing. The bill would also require the Utah Department of Health to develop model language and to ensure compliance. The Salt Lake Tribune (Utah) (11/14) LinkedInFacebookTwitterEmail this Story
Reach health plans as an Affiliate Organization
Health plans are looking for innovative products and services as they focus on high-quality, affordable care for their members. Becoming an AHIP Affiliate Organization Member is an ideal way to reach these plans. Contact AHIP's Business Development Team at to learn more.
  AHIP News 
  • Streamline your operational and administrative processes
    How can you leverage data, information and analytics to streamline processes within your organization as you continue to focus on high quality and affordable care for your members? Find out when you attend AHIP’s Fall Forum, Dec. 3 to 5 in Chicago. Register, and watch a video overview of Fall Forum.  LinkedInFacebookTwitterEmail this Story
  • Tweets to learn by—follow @AHIPEducation on Twitter
    Follow @AHIPEducaton on Twitter for daily tweets about AHIP’s educational opportunities, including conferences, online courses and webinars. View our profile. LinkedInFacebookTwitterEmail this Story
  • Improving Workforce Productivity
    Join us from 2:00 p.m. to 3:30 p.m. ET on Nov. 29 to learn how to improve employee work processes and application flow through actively engaging your staff. The speakers will discuss what metrics can be used to improve workforce productivity and member service, all while lowering administrative costs. Register now. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
AHIP Select  |  AHIP Coverage Blog

Position TitleCompany NameLocation
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Pharmacy Customer Service ManagerHealthPartnersBloomington, MN
Executive Vice President of Health InsuranceWisconsin Physicians Service Health InsuranceMadison, WI
Sr Data AnalystCVS CaremarkNorthbrook, IL
Associate DirectorCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Internal Audit DirectorUCareMinneapolis, MN
Senior Director Claims AdministrationKaiser PermanenteDenver, CO
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
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
Click here to view more job listings.

Nothing is too small to know, and nothing is too big to attempt."
--William Cornelius Van Horne,
Canadian railway executive

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