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December 11, 2012America's Health Insurance Plans

  Top Stories 
 
  • USPSTF draft guidelines urge physicians to discuss smoking with young patients
    The U.S. Preventive Services Task Force released draft guidelines urging physicians to counsel teens and school-aged children about the consequences of cigarette smoking and ways to handle peer pressure. The guidelines are modified from the agency's 2003 recommendations. "Smoking or nicotine addiction really is a pediatric disease that carries over into adulthood," said tobacco researcher Dr. Joseph DiFranza, who was not involved in developing the document. Reuters (12/10) 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 
 
  • Strong growth of ACOs expected in 2013
    Experts predict a rapid increase in the number of accountable care organizations in 2013. "This is becoming a more pervasive phenomenon," said Dr. Norman Chenven of the Austin Regional Clinic. As many as 31 million patients are involved in some way with the ACO model, according to consulting organization Oliver Wyman. American Medical News (free content) (12/10) LinkedInFacebookTwitterEmail this Story
  • Cleveland Clinic keeps focus on costs, quality
    Doctors at Cleveland Clinic are salaried and on one-year contracts, and they undergo professional reviews each year in an effort to reward quality over quantity, says CEO Delos Cosgrove, whose contract is also renewed annually. The hospital reorganized into institutes focused on disease area instead of separate departments for surgery, medicine and pediatrics. Outcomes and costs are measured and reported, and doctors are aware of how much supplies cost. Business Insider (12/5) 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 www.inovalon.com.
  Medical Update 
 
  • Men with UTI may not benefit from longer antibiotic treatment
    Antibiotic treatment for a longer duration did not cut the recurrence of urinary tract infection in men, and was associated with higher risk of Clostridium difficile infection compared with treatment of a shorter duration, a study revealed. Another study found preoperative bacteriuria therapy did not demonstrate clinical benefits. The findings were published in the Archives of Internal Medicine. PhysiciansBriefing.com/HealthDay News (12/10) LinkedInFacebookTwitterEmail this Story
  • Better outcomes seen with primary care-based diabetes program
    Obese patients with metabolic syndrome, prediabetes or both who underwent diabetes prevention initiatives delivered in a primary care setting attained significant reductions in body weight compared with those who had usual care, a study showed. Improvements in waist circumference and fasting plasma glucose were also noted in the intervention groups, researchers wrote in the Archives of Internal Medicine. InternalMedicineNews.com (12/10) LinkedInFacebookTwitterEmail this Story

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  Emerging Trends 
  • Breast analysis software from Siemens makes debut
    Siemens Healthcare has announced the launch of its syngo.Ultrasound Breast Analysis tool, which allows offline evaluation of medical images, clips and volumes generated by the firm's Acuson S2000 ultrasound device and Acuson S2000 breast scanner. The software includes image reporting and processing tools for improved imaging quality and workflows. AuntMinnie.com (free registration) (12/7) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  • FDA expands approval for J&J's Zytiga drug
    Johnson & Johnson received expanded FDA approval for its Zytiga drug to be used prior to chemotherapy treatment in patients with advanced prostate cancer. Zytiga was first approved in 2011. The therapy is used to reduce testosterone production. Reuters (12/10) LinkedInFacebookTwitterEmail this Story
  • Aspirin may boost survival among older colon cancer patients
    Colon cancer patients aged 70 and older who took low-dose aspirin regularly had a better chance of surviving than non-aspirin users, according to a Dutch study in the Journal of the American Geriatrics Society. The impact of aspirin on survival was more pronounced among those with more advanced cancer as well as those who didn't get chemotherapy, researchers said. Reuters (12/7) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Data on compounding group's role sought by House panel
    The House Energy and Commerce Committee requested information from the International Academy of Compounding Pharmacists on its role in helping pharmacies interact with federal and state regulators. The committee continues to probe a meningitis outbreak tied to tainted compounded treatments. Ten lawmakers mentioned a media report that the group told pharmacists how to "sidestep" FDA requests for samples. Reuters (12/7) LinkedInFacebookTwitterEmail this Story
  • HIT committee seeks public feedback on stage 3 MU security criteria
    Public comment is being sought by the HIT Standards Committee on security and privacy criteria for the third stage of EHR meaningful use. Dixie Baker, head of the committee's privacy and security workgroup, also warned providers about three risks associated with the use of integrated EHR modules, such as a single module's failure to offer the security needed to comply with HIPAA. Health Data Management (12/6) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Special Year-End Pricing on AHIP’s National Policy Forum
    Register for AHIP’s National Policy Forum, March 13 and 14 in Washington, D.C., by noon ET on Dec. 31, 2012 and take advantage of special year-end pricing. Learn from health insurance plan leaders as well as business, health policy and political speakers as they focus on the political and regulatory issues affecting our changing health care system. LinkedInFacebookTwitterEmail this Story
  • Providing Personalized Care with Advanced Decision Management
    Analytics and decision software are now being used by health care organizations to optimize health outcomes and maximize customer value. Join us from 3:00 p.m. to 4:30 p.m. ET on Dec. 12 to learn about predictive and adaptive analytics and see where it has been applied to improve health care operations, including service and care management. Learn more. LinkedInFacebookTwitterEmail this Story
  • Tweets to learn by—follow @AHIPEducation on Twitter
    Follow @AHIPEducaton on Twitter for daily tweets about AHIP’s educational opportunities, including conferences, online courses and webinars. View our profile. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
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Position TitleCompany NameLocation
Project AssociateAmerica's Health Insurance Plans (AHIP)Washington, DC
Chief Executive OfficerNeighborhood Health Plan of Rhode IslandProvidence, RI
Director of QI & AccreditationDenver Health & Hospital AuthorityDenver, CO
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Program Manager - Medicare Advantage & Part D ProductsAARP Services, IncWashington, DC
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Program Manager, Medicare Supplemental ProductsAARP Services, IncWashington, DC
Pharmacy Customer Service ManagerHealthPartnersBloomington, MN
Director of Claims AdministrationHealthSCOPE Benefits, Inc.Little Rock, AR
Sr Data AnalystCVS CaremarkNorthbrook, IL
Associate General CounselBMC HealthNet PlanBoston, MA
Associate Director, CORECouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Vice President - Exchange BusinessMVP Health CareSchenectady or Rochester, NY
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Executive Vice President of Health InsuranceWisconsin Physicians Service Health InsuranceMadison, WI
Medical DirectorHarvard Pilgrim Health CareQuincy, MA
CAQH CORE Manager, Education, Outreach and Participant RelationsCouncil for Affordable Quality HealthcareWashington, DC
Analytics AdvisorConfidentialScottsdale, AZ
EID Program Manager Minnesota Management & BudgetSt. Paul, MN
Chief Executive OfficerHealth Plan of San JoaquinFrench Camp, CA
Click here to view more job listings.

  SmartQuote 
Put a grain of boldness into everything you do."
--Baltasar Gracián,
Spanish writer


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