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March 18, 2013America's Health Insurance Plans

  Top Stories 
 
Lake Nona — A Watershed Moment for Studying
Community Health

Wellness & Prevention, Inc., a Johnson & Johnson company, is launching the Lake Nona Life Project, a massive, first-of-its-kind research initiative to examine and improve community health and wellness. Watch a Short Video about the Lake Nona Institute.
  Providers & Suppliers 
 
  • ACOs prioritize data analytics, study says
    Accountable care organizations prioritize investments in advanced analytics, according to a study by IDC Health Insights. The study also indicated the plans of ACOs to invest in redeploying or recruiting employees into informatics and analytics positions. Health Data Management (3/14) LinkedInFacebookTwitterEmail this Story
New series: "Marketplaces—What You Need to Know, NOW!"
Discover what steps your organization can take immediately to help ensure Health Insurance Marketplace success! Register now: "The Five Things You Can Do Today to Prepare for HIMs" — March 20th at 12:00pm EST, hosted by Tom Scully, Senior Counsel, Alston & Bird, LLP & Stephanie Leftwich, DSTHS.
  Medical Update 
  • Study: H1N1 flu shot slightly upped risk of Guillain-Barre syndrome
    People who received the H1N1 influenza vaccine in 2009 had a slightly higher risk than the general population of developing Guillain-Barre syndrome, according to a study published in The Lancet. Researchers looked at data from 23 million people in the U.S. who received the H1N1 flu shot during the 2009 outbreak and found that 77 developed Guillain-Barre syndrome within 91 days of receiving the vaccine. The vaccine prevented up to 1.5 million cases of flu and as many as 500 deaths, lead researcher Dr. Daniel Salmon said. HealthDay News (3/13) LinkedInFacebookTwitterEmail this Story
  • Graveyard shift linked to higher ovarian cancer risk in study
    Women who worked night shifts were 49% and 24% more likely than day-shift workers to develop early-stage ovarian cancer and advanced ovarian cancer, respectively, according to a study in the journal Occupational and Environmental Medicine. Higher risk for the cancer was seen among women aged 50 and older if they had a history of working night shifts, researchers said. DailyRx.com (3/14) LinkedInFacebookTwitterEmail this Story
Want big bucks for your company?
You want to sell your business, and you want to ensure that you get the best possible price. By taking 7 simple steps, you can dramatically improve your chances of attracting buyers and getting big bucks for your business. Read the article and learn the 7 steps.

  Emerging Trends 
 
  • Novartis unveils 2 apps for patients with cancer
    Novartis Oncology introduced the My NET Manager app to help patients with neuroendocrine tumors gain better knowledge about the condition and be reminded about doctor visits and medication refills. The firm also unveiled the Clinical Trial Seek app to aid patients and doctors in seeking clinical studies on cancer. MobiHealthNews.com (3/14) LinkedInFacebookTwitterEmail this Story
Transformational Journeys: Modern Business Planning
Harvard Business Review explores why CFO's and their finance organizations must adapt to the changing landscape of their markets and how big data, organizational collaboration, and new cloud-based planning and analysis technologies are driving successful change.
Click here to access the report.

  Health Insurance Plan Company News 
 
How episodes of care help cut costs and improve quality.
Health care costs are unsustainably high and health outcomes are suboptimal. To curb these trends, the incentive and movement toward value-based care is gaining momentum. This paper describes the advanced analytics that can assist health care organizations balance cost reduction and quality improvement through analysis of episodes of care.

  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 
  • 4 FDA drug decisions on the horizon
    The FDA is poised to decide on Biogen Idec's multiple sclerosis drug BG-12 by March 28, while United Therapeutics is set to receive a verdict by March 31 for the lung drug Remodulin. Johnson & Johnson's diabetes drug Invokana and Map Pharmaceuticals' migraine drug Levadex are also set to receive federal decisions by March 31 and April 15, respectively. Investor's Business Daily (3/15) LinkedInFacebookTwitterEmail this Story
  • GSK CEO: Efficiencies will drive down drug prices
    Advances in research and development efficiencies should lead to lower prices for new drugs, GlaxoSmithKline CEO Andrew Witty said. Drugmakers are seeing greater success, with 39 new drugs approved last year, and some companies are seeing lower average per-drug development costs. Global demand for drugs is also rising, which should drive down per-unit costs, Witty said. Reuters (3/14) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • ONC reaches out to rural facilities with launch of HIE toolkit
    A new health information exchange toolkit for rural health care facilities was released by the Office of the National Coordinator for Health IT. The toolkit features a guide that details the fundamental steps in joining or establishing an HIE and a spreadsheet that looks at possible costs and savings of adopting an HIE and an EHR system. Healthcare IT News (3/13) LinkedInFacebookTwitterEmail this Story
Innovations in Medicaid managed care report released
You'll be inspired by programs from 16 health plans that are improving the health and well-being of Medicaid beneficiaries. The initiatives focus on working with community partners, addressing obesity, and caring for people with complex needs are boosting health care quality and outcomes and helping beneficiaries live healthier lives. Details here.
  AHIP News 
  • Where technology, genomics and consumerism can take health care
    Named the 2012 most influential physician executive in health care by Modern Healthcare, Dr. Eric Topol is known for taking a fresh approach to patient care and is a leader helping to shape the future of our health care system. At Institute 2013, June 12 to 14 in Las Vegas, Dr. Topol will share why personalizing medicine through the use of data analytics and genome technology is a game-changing approach that will solve many of the challenges facing our health care system. Register now. LinkedInFacebookTwitterEmail this Story
  • The “Who’s Who” of health plans
    Available in print or CD, “AIS’s Directory of Health Plans: 2013” allows you to make smart decisions based on solid data. Use the directory to identify market trends, gain insight into health plan models, determine which networks may best serve for your organization, develop benchmarks and more. Visit the AHIP Store to get your copy today. LinkedInFacebookTwitterEmail this Story
  • 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 analysis, and present experienced commentary. Find more details here. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
VP of Network Contracting Oscar Health Insurance New York , NY
Configuration Associate Oscar Health Insurance New York , NY
VP of Legal and Compliance Oscar Health Insurance New York , NY
Director of Quality & Utilization Oscar Health Insurance New York , NY
Comptroller & VP of Finance Oscar Health Insurance New York , NY
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
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
Contract Review and Compliance AttorneyAmerica's Health Insurance Plans (AHIP)Washington, DC
Director, Enterprise Data GroupThe Centers for Medicare and MedicaidWoodlawn, MD, MD
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Vice President- Quality Management and PerformanceUnited Health GroupNationwide, United States
Senior Director, Product Innovation and Development Cleveland Clinic Lyndhurst CampusCleveland, OH
Medicare Product ManagerRegence Portland, OR
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Associate Medical DirectorUCareMinneapolis, MN
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.

  SmartQuote 
What men value in this world is not rights but privileges."
--H.L. Mencken,
American journalist and essayist


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