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Inovalon's CCS Advantage®: A Chronic Care Solution for your Medicare Advantage Members
November 21, 2012America's Health Insurance Plans

  Top Stories 
  • Aspirin resistance may raise risk of severe stroke
    Aspirin-resistant patients were at an increased risk of having a score on the NIH Stroke Scale of 16 or higher upon admission compared with those who respond to aspirin, according to a study in the Archives of Neurology. Researchers also found patients who were resistant to aspirin were more likely to have an Alberta Stroke Program Early CT Score lower than seven, which signals a significant area of infarction. MedPage Today (free registration) (11/20) 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 
  • Enlisting nonphysician staff helps doctors boost patient load
    A study in the Annals of Family Medicine showed doctors who assigned 77% of preventive care and 47% of chronic care to nonphysician staff could handle a panel of 1,947 patients, compared with only 1,387 patients for doctors who delegated only 50% of preventive care and 25% of chronic care. "We need to figure out how we're going to provide primary care to the population that needs it, and this means figuring out how to share the care with other people in the practice," lead author Dr. Thomas Bodenheimer said. American Medical News (free content) (11/19) LinkedInFacebookTwitterEmail this Story
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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
  Medical Update 
  • Many post-op complications occur within 30 days of discharge
    An analysis of data on more than 550,000 U.S. surgery patients revealed that 41.5% of all postoperative complications happened within 30 days after hospital discharge. Stanford University researchers reported in the Archives of Surgery that reoperation and mortality rates were higher among patients with post-discharge problems than those without such complications. HealthDay News (11/19) LinkedInFacebookTwitterEmail this Story
  • Study links EHR portal access to higher health care use
    Patients who used Web-based portals for EHR systems visited physician's offices more often and made more phone calls to providers than nonusers, according to a study in the Journal of the American Medical Association. Increased after-hours clinic visits, emergency department utilization and hospitalizations were also associated with EHR portal use among patients, researchers said. They speculated that the portals might help uncover health issues or patients more likely to utilize health care were more inclined to sign up for the portal. Modern Healthcare (subscription required) (11/20)
  Emerging Trends 
  • Compact microchip uses minimal power to capture ECG, EEG signals
    U.S. engineers have created a microchip about the size of a postage stamp that uses minimal external power to capture ECG and EEG signals. The technology, which produces its electric current from radio waves captured from nearby devices, could provide a cheaper and more compact alternative to similar tools used in monitoring vital signs continuously. (11/16) LinkedInFacebookTwitterEmail this Story
  • Smartphone diagnostic for diabetes, cancer is in the offing
    QUICK is working on a smartphone-based diagnostic platform that uses saliva or urine to aid in disease monitoring. The mobile health startup intends to initially use the device for monitoring ketone levels in patients with diabetes, with plans to develop the system for measuring chemotherapy levels in patients who have cancer, among other applications. (11/16) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • FDA OKs first seasonal flu vaccine made using animal cell cultures
    The FDA has approved the use of Novartis' seasonal influenza vaccine for people ages 18 and older. The vaccine, which will be marketed under the brand name Flucelvax, is the first seasonal flu vaccine produced using animal cell cultures instead of the traditional chicken egg method, which allows for a faster production process. Reuters (11/20) LinkedInFacebookTwitterEmail this Story
  • Sleep drug may increase risk of falls, study finds
    Mayo Clinic researchers examined data on more than 16,000 hospitalized patients in the U.S., and found that those who received the sleeping pill Ambien, or zolpidem, fell at a rate four times greater than those who didn't receive the treatment. Due to the research, Mayo is transitioning to other sleep-enhancement treatments, said Dr. Timothy Morgenthaler, Mayo's chief patient safety officer. U.S. News & World Report/HealthDay News (11/19) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Lawmakers seek probe into group purchasing and drug shortages
    Six Democratic members of Congress asked the Government Accountability Office to look into whether hospital group purchasing organizations have had an effect on drug shortages and a greater use of drug compounding. "Increased hospital reliance on compounded drugs should be a result of increased need, not unfair pricing," Rep. Ed Markey, D-Mass., said. The letter suggests "anticompetitive, exclusionary contracts" between the organizations and makers of generic drugs should be examined. Blog (11/19) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Exchange preparation: AHIP’s Exchange Conference provides the help
    As the focus on Exchange implementation intensifies, what are the immediate steps required, and the mid- to longer-term decisions necessary to successfully participate in Exchanges? Find out at AHIP’s Exchange Conference, Dec. 5 and 6 in Chicago, in sessions such as “Enabling and Empowering Consumer Decision-making” and “Are you Ready for 2014? Considerations for Health Plans.” Register onlineLinkedInFacebookTwitterEmail this Story
  • Affiliate Organization Membership—your connection to health plans
    Health plans are looking for companies with innovative products and services as they focus on high-quality, cost-effective care for their members. Becoming an AHIP Affiliate Organization Member is an ideal way to connect with these plans. Find details, and contact a member of AHIP’s Business Development Team at to learn more. LinkedInFacebookTwitterEmail this Story
  • Get Smart: Know When Antibiotics Work
    Infections with antibiotic-resistant bacteria have become increasingly common. Patients, health care providers, hospital administrators and policymakers must work together to employ safe and effective strategies for improving antibiotic use. CDC's Get Smart: Know When Antibiotics Work and Get Smart for Healthcare programs are specifically designed to educate consumers and health care providers about appropriate use of antibiotics. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
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  Editor's Note 
  • SmartBrief will not publish Thursday and Friday
    In observance of Thanksgiving in the U.S., SmartBrief will not be published Thursday and Friday. Publication will resume Monday. Enjoy the holiday! LinkedInFacebookTwitterEmail this Story
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Associate DirectorCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Medical DirectorVirginia Premier Health PlanRichmond, VA
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Chief Financial OfficerNeighborhood Health PlanBoston, MA
Provider Network Management DirectorBlue Cross Blue Shiled of Georgia (WellPoint)Statewide, GA
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.

If the only prayer you said in your whole life was 'thank you,' that would suffice."
--Meister Eckhart,
German theologian and philosopher

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