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Inovalon's CCS Advantage®: A Chronic Care Solution for your Medicare Advantage Members
November 16, 2012America's Health Insurance Plans

  Top Stories 
  • CDC data show sharp increase in U.S. diabetes rates
    Diabetes cases increased by at least 50% in 42 states and by at least 100% in 18 states between 1995 and 2010, a study in the CDC's Morbidity and Mortality Weekly Report indicated. Southern and Appalachian states showed the highest increases. Ann Albright of the CDC said rates will keep rising "until effective interventions and policies are implemented to prevent both diabetes and obesity." Reuters (11/15) LinkedInFacebookTwitterEmail this Story
Medicare-Medicaid Dual Eligible Demonstration is here! CMS and States will be integrating healthcare delivery and payment coordination for individuals qualifying for both Medicare and Medicaid. HEALTHsuite® from RAM Technologies provides unmatched capabilities for the administration of benefits and coordination of payment for these Dual Eligible beneficiaries. (For info Click Here).
  Providers & Suppliers 
  • Poll finds 50% increase in EMR use among U.S. physicians
    A Health Affairs survey showed a 50% increase in EMR use among primary care physicians in the U.S., although use is outpaced by that of some other countries where EMR use is nearly universal. Researchers also found the capability for electronic sharing of patient data is mostly concentrated in bigger practices and those that are part of integrated health systems. (11/15) LinkedInFacebookTwitterEmail this Story
MedfusionRx Ascend is now BriovaRx™
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 
  • Study explores obesity among immigrants
    Grandchildren of Mexican immigrants in the U.S. had triple the risk of being obese in adulthood, compared with similar people living in Mexico, researchers reported in the Archives of Internal Medicine. Data on 3,244 participants showed 32% of men and 36% of women with immigrant grandparents were obese, compared with only 17% and 14%, respectively, among their Mexican counterparts who did not have ties with the U.S. Reuters (11/15) LinkedInFacebookTwitterEmail this Story
  • Medication adherence lowers death risk in schizophrenia patients
    Researchers looking at data on more than 2,100 adult patients with schizophrenia found that those who were at least 90% compliant with their antipsychotic treatment regimen were 25% less likely to die than those with compliance lower than 10%. Among patients on high daily doses of first-generation antipsychotics, however, risk of death was 88% greater. The study appeared online in the journal Schizophrenia Bulletin. U.S. News & World Report/HealthDay News (11/14) 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 
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • Study: Lubiprostone boosts outcomes in OBD patients
    Lubiprostone treatment was associated with few and mild side effects in patients with opioid-induced bowel dysfunction who suffer from chronic, noncancer pain, researchers reported at the American College of Gastroenterology meeting. Improved stool consistency, abdominal bloating and irregularity were also seen in patients. Healio (11/14) LinkedInFacebookTwitterEmail this Story
  • Tocilizumab can boost catch-up growth in systemic JIA
    Tocilizumab, an interleukin-6 receptor inhibitor marketed as Actemra, significantly increased the height velocities of most patients with systemic juvenile idiopathic arthritis, according to a study presented at the American College of Rheumatology meeting. Higher insulinlike growth factor-1 levels and osteocalcin/C-telopeptide of type 1 collagen ratios linked to the use of the drug suggests the treatment can benefit growth hormone axis and bone metabolism, researchers said. Family Practice News (11/14) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • FDA proposes classifying compounding into 2 types
    Traditional and nontraditional compounding need different levels of oversight, according to the FDA. Traditional compounding of ingredients for specific patients on an as-needed basis needs less oversight than nontraditional compounding that is more akin to manufacturing, poses greater risks and needs more regulation, according to FDA Commissioner Dr. Margaret Hamburg's prepared remarks for her testimony Wednesday. Blog (11/14) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Enjoy Institute’s videos and presentations through Dec. 31
    The Institute 2012 Media Portal gives you access to various recorded sessions and PowerPoint presentations through December 31. Don't miss out on sessions such as “Strategies for Helping Consumers Make Prudent Health Decisions” and “Leveraging the Power of Health Plan Big Data to Contain Costs and Improve Health Care Outcomes.” Learn more and purchase access. LinkedInFacebookTwitterEmail this Story
  • Learn about compliance issues resulting from industry changes
    This year’s Fall Forum features a Compliance Track that addresses issues resulting from changes in health care, such as detecting and preventing health care fraud on a national scale; complying with wellness program regulations; communicating with consumers via social media; and understanding compliance considerations inside Exchanges. Join us in Chicago Dec. 3 to 5 at Fall Forum for these sessions and more.   LinkedInFacebookTwitterEmail this Story
  • Save 30% on AHIP courses and publications
    Now is a great time to enhance your health insurance education and work toward a professional designation. You’ll learn more while spending less: Save 30% between now and Dec. 31, 12:00 p.m. ET, on nearly 40 courses, many online, and publications crafted by top business and health care experts. Visit the website for details. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Project Associate, Sponsored ProjectsAmerica's Health Insurance Plans (AHIP)Washington, DC
Associate DirectorCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Sr Data AnalystCVS CaremarkNorthbrook, IL
Internal Audit DirectorUCareMinneapolis, MN
Senior Director Claims AdministrationKaiser PermanenteDenver, CO
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Medical DirectorVirginia Premier Health PlanRichmond, VA
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
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
Senior Vice President, Product Innovation and DevelopmentHarvard Pilgrim Health CareWellesley, MA
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
Provider Network Management DirectorBlue Cross Blue Shiled of Georgia (WellPoint)Statewide, GA
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Click here to view more job listings.

One thing I am convinced more and more is true and that is this: The only way to be truly happy is to make others happy. When you realize that and take advantage of the fact, everything is made perfect."
--William Carlos Williams,
American poet and physician

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