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March 14, 2013America's Health Insurance Plans

  Top Stories 
  • Breast cancer radiotherapy raises heart risks, study suggests
    Female patients whose breast cancer was treated with radiotherapy were at an increased odds of developing heart disease, with higher radiation doses linked to greater risk, according to a study in the New England Journal of Medicine. Researchers found patients who received radiation to the left breast were more likely to experience heart trouble than those who had radiation to the right breast. "The implication of this finding is that there is no dose to the heart that can be considered completely 'safe.' However, it should be emphasized that the absolute excess risk of cardiac events is generally small," said Dr. Benjamin Smith of the University of Texas MD Anderson Cancer Center. (3/13) LinkedInFacebookTwitterEmail this Story
State Exchange Open Enrollment Countdown webinar
HBE Open Enrollment is only months away and health plans are facing critical challenges that impact pricing, product design, market positioning, member acquisition strategies and market entry decisions. Learn critical 'must haves' and varied approaches to meet requirements that reduce costs, resources and implementation times and how to create a competitive differentiation. > Register Now
  Providers & Suppliers 
Don't Miss Out: Free Webinar, Tuesday, April 2nd @ 1pm EST
What if you could reduce your risk & time to deployment of HIE/ACO/PCMH & P4P? Join our webinar as John Stanley, Principal at Impact Advisors, shares future healthcare trends. Also discover a breakthrough technology that can enable you to deliver better care & increase revenue in today's shared risk outcomes-focused environment. Register Now.
  Medical Update 
  • Apnea treatment outcomes good for trained nonspecialists
    Sleep apnea patients treated by primary care nurses and doctors with appropriate training had outcomes comparable to those treated by specialists, researchers in Australia found. "With the right training and motivation (sleep apnea) can be taken care of at the primary care level with the help of specialists," the study's lead author said. The findings were published in the Journal of the American Medical Association. Reuters (3/12), HealthDay News (3/12) LinkedInFacebookTwitterEmail this Story
Are you ready for machine learning?
With the advent of big data, the amount of data and our ability to process it has increased exponentially. It's an environment perfectly suited for machine learning. So how can you make it part of your analytic infrastructure? This e-book highlights the capabilities of machine learning, and best practices you can implement to take full advantage of it. Download Here.
  Emerging Trends 
  • IPhone-based ECG device gets FDA OK for nonprescription use
    The FDA has granted Cardiac Designs over-the-counter clearance for its ECG Check system. The device, designed to work with the iPhone 4S, records and transmits ECG readings to the mobile phone using Bluetooth connectivity. The information can then be sent to the ECG Check web center for evaluation by health care professionals. (3/12) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • Antipsychotic drugs may not benefit depressed patients, study says
    Researchers analyzed data from 14 studies and found that antipsychotic drugs provide only a small benefit in improving depression symptoms and little or no benefit in enhancing the quality of life of depressed patients for whom antidepressants weren't enough. Patients who received antipsychotic medications also experienced side effects such as sleepiness and restlessness, researchers found. The study appeared online in the journal PLoS Medicine. HealthDay News (3/12) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Calif. bills aim to alleviate doctor shortage
    A set of bills introduced in California would allow nurse practitioners, optometrists and pharmacists to provide a broader range of services to help address the looming physician shortage in the state. Under the measures, nurse practitioners would be allowed to see Medicaid and Medicare patients regardless of whether the doctors they work with do so, optometrists would be able to monitor hypertension, and pharmacists would be permitted to order screening to detect diabetes. Modern Healthcare (free registration)/The Associated Press (3/13) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Privacy regulation: Significant changes ahead. Learn more.
    HHS issued a "Mega Reg" that addresses numerous aspects of patient privacy. The new rule will strengthen the privacy and security protection for individuals' health information in an ever expanding digital age. Join us from 2 p.m. to 3:30 p.m. ET on March 21 for a webinar when legal experts will dissect the changes, provide analyses, and present experienced commentary. For details, click here. 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 yearlong 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
  • Join leading organizations at Institute 2013
    AHIP's Institute 2013, June 12 to 14 in Las Vegas, features an exhibit hall filled with hundreds of product and service solutions, and a lineup of foremost health influencers and business experts. It's easy to see why leading organizations are eager to align themselves with this successful meeting. Won't you join them? Click here or contact to learn how.  LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
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Position TitleCompany NameLocation
Utilization Reviewer/Medical Director - Part TimeTufts Health PlanWatertown, MA
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
Senior Director, Product Innovation and Development Cleveland Clinic Lyndhurst CampusCleveland, OH
Medicare Product ManagerRegence Portland, OR
Vice President- Quality Management and PerformanceUnited Health GroupNationwide, United States
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Contract Review and Compliance AttorneyAmerica's Health Insurance Plans (AHIP)Washington, DC
Director, Enterprise Data GroupThe Centers for Medicare and MedicaidWoodlawn, MD, MD
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Associate Medical DirectorUCareMinneapolis, MN
Integrated Market Medical ExecutiveKindred HealthcareLas Vegas, NV
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
Vice President, Health Plan OperationsSatellite Health Plan, Inc.San Jose, CA
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
Click here to view more job listings.

Success is a lousy teacher. It seduces smart people into thinking they can't lose."
--Bill Gates,
American businessman

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