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February 1, 2013America's Health Insurance Plans

  Top Stories 
  • Study: Out-of-network billing is out of control
    Some health care providers charge exorbitant fees for out-of-network care, sometimes close to 100 times the Medicare rate, a study by AHIP found. "When you're out of network, it's a blank check," said AHIP president and CEO Karen Ignagni. "Unless we deal with cost, we won't have affordability, and unless we have affordability, we won't have people participating" in the Affordable Care Act, she said. The New York Times (tiered subscription model) (1/31) LinkedInFacebookTwitterEmail this Story
  Providers & Suppliers 
  • Group calls for policies to support primary care
    The American Academy of Family Physicians called for public and private sector policies that support primary care medicine and increase the number of family physicians. The AAFP said medical schools should better support primary care physicians through all levels of their training. BeckersHospitalReview.com (1/31) LinkedInFacebookTwitterEmail this Story
  Medical Update 
  • Abdominal fat tied to death risk in heart disease
    Data on more than 15,000 heart disease patients showed those who were of normal weight overall but had relatively large waistlines were 27% more likely to die than people who were obese but whose fat was distributed in other areas of their bodies rather than around their waistlines. The findings in the Journal of the American College of Cardiology indicate physicians should consider distribution of weight in evaluating risk, the researchers said. HealthDay News (1/31) LinkedInFacebookTwitterEmail this Story
  • Postpartum hemorrhage doesn't pose greater pregnancy risks
    Women who experienced heavy bleeding during their first childbirth were no more likely to suffer from a miscarriage and other pregnancy complications in the future, a study in the journal BJOG found. About 18% of those who had a history of postpartum hemorrhage bled heavily during their second childbirth, compared with 7% of women who didn't have heavy bleeding during their first childbirth. Reuters (1/29) LinkedInFacebookTwitterEmail this Story
  • Premature birth rate in U.S. continues to drop
    The rate of premature births declined for the fifth consecutive year in 2011 to 11.7%, the lowest rate in the past 10 years, according to a report released by the March of Dimes. Overall, the country was given a "C" rating on premature birth rates, and four states received an "A" for achieving the 9.6% preterm birth rate goal. PhysiciansBriefing.com/HealthDay News (1/31) LinkedInFacebookTwitterEmail this Story
  Emerging Trends 
  • Mobile app aims to help patients find quality docs
    BetterDoctor recently unveiled a mobile application to help patients look for quality dentists, pediatricians, general practitioners, OB/GYNs and optometrists in their area. The free app, which works on the iPhone, searches by location and insurance and gives users a list of doctors based on their education, affiliations, referral data and patient reviews. GigaOm (1/31) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  • Drugs show efficacy in patients with type 2 diabetes, ESRD
    Sitagliptin therapy led to a 0.72% reduction in mean A1C levels at 54 weeks, while glipizide treatment resulted in an 0.87% decrease in type 2 diabetes patients with end-stage renal disease who require dialysis, according to a study in the American Journal of Kidney Diseases. Researchers also found the incidence rates of symptomatic hypoglycemia were 6.3% in the sitagliptin group and 10.8% in the glipizide group. Renal and Urology News (1/30) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  AHIP News 
  • Learn about AHIP’s Advocacy Coalition for Medigap
    The Partnership to Protect Medigap is a coalition advocating for the preservation of Medicare Supplement (Medigap) insurance options. In addition to sharing the latest developments on issues that impact Medigap, the Partnership provides opportunities to get involved in protecting this valuable coverage option for seniors. Find out more. LinkedInFacebookTwitterEmail this Story
  • Improved business operations for better care
    TPA Direct is comprised of AHIP member companies—the industry’s leading third party administrators—and offers guidance to health insurance plans and administrators interested in outsourcing. Royal Health Care, a TPA Direct member, is a leading provider of innovative managed care applications and back office service solutions for a health plan’s key administrative functions. Royal offers clients choices. With more than 10 years’ experience, Royal’s ASP and BPO clients include startups, Medicaid plans, Medicare Advantage plans, SNPs and commercial payers. LinkedInFacebookTwitterEmail this Story
  • Limited sponsorship opportunities at AHIP's National Policy Forum
    AHIP’s 2013 National Policy Forum, March 13 and 14 in Washington, D.C., is the perfect venue for you to connect with health plan decision makers. With only eight weeks until the conference, time is running out for you to secure your sponsorship. View the prospectus, and contact AHIP's Business Development Team at BusinessDevelopment@ahip.org or 866-707-AHIP (2447) for details. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
AHIP Select  |  AHIP Coverage Blog

 
Position TitleCompany NameLocation
Sales ManagerRxAllyLeesburg, VA
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Government Relations and Compliance OfficerLouisiana Health Cooperative, Inc.Metarie, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative Inc. (LAHC)Metarie, LA
Director Organizational Determinations and Appeals and GrievancesJackson Health SystemMiami, FL
CEO CarePoint Health PlanCarePoint Health PlanBayonne, NJ
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
CAQH Managing Director, Finance and AdministrationCouncil for Affordable Quality HealthcareWashington, DC
Vice President, Medical Affairs and Senior Medical DirectorConfidential Not-for-Profit Health PlanNationwide, United States
Director of Sales & MarketingHometown HealthReno, NV
Asst Director, Medicare Prod. Analytics/Rev. Mgmt CambiaPortland, OR
Product Development Specialist Geisinger Health Plan Danville, PA
Marketing/Communications Data Analyst America's Health Insurance PlansWashington, DC
Media Relations Coordinator America's Health Insurance PlansWashington, DC
Click here to view more job listings.

  SmartQuote 
Never confuse a single defeat with a final defeat."
--F. Scott Fitzgerald,
American writer


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