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E-news for the health care industry | June 6, 2013

AHIP Solutions SmartBrief Special Report:
A preview of AHIP's Institute 2013
Just a week away, AHIP's Institute 2013 comes at a time of great change in health care as health plans and policymakers look to new payment models, new ways of engaging consumers and new ways of doing business. At the core of this transformation is the shared goal of improving health and access to care. Institute tackles all these issues with hands-on workshops, concrete solutions and big-picture discussions that will prepare attendees for the challenges and opportunities ahead. This special report helps lay the groundwork for Institute by exploring the topics on tap for the conference. Look for on-the-ground coverage of Institute in the AHIP Solutions SmartBrief and the SmartBrief SmartBlog on Leadership as well as a follow-up report recapping all the highlights on June 19. Make the most of your Institute experience with the AHIP Conferences App, and if you haven't registered yet, there's still time.
  The Health Care Landscape 
  • Federal exchanges begin to take shape
    Nine out of 10 Americans will have five or more carriers to choose from when shopping public health insurance exchanges next year, according to data from the 19 federally run exchanges and some state-based marketplaces. The Wall Street Journal (5/30) LinkedInFacebookTwitterEmail this Story
  • Health plans move toward value-based payment models
    An Availity study finds that almost 60% of surveyed health plans expect to transition to value-based payment models over the next five years, with 60% of those respondents saying they are about halfway through adoption. The study also notes that 90% of health plans believe that automating the way new data that is required under such payment models is exchanged is crucial to success. Healthcare IT News (5/13) LinkedInFacebookTwitterEmail this Story
  • Other News

PaySpan's virtual credit card reimbursement solution is a cost effective electronic payment alternative to paper based methods. PaySpan's virtual card solution enables payers and providers to better manage the complex and evolving reimbursement process, and it ensures compliance with the CAQH operating rules for electronic payments. Learn more.
  The Health Care Consumer 
  • State spending on outreach to uninsured varies
    Outreach is considered a key component of bringing uninsured consumers into exchanges, but planned spending on the effort varies from state to state. Those that opted for federally run exchanges will receive less to spend on education and outreach than states that are setting up their own marketplaces, regardless of the number of uninsured, something experts say could influence the number of new beneficiaries who buy policies. Kaiser Health News/The Washington Post (5/5) LinkedInFacebookTwitterEmail this Story
  • Will provider price transparency fulfill its promise?
    Many proponents argue price transparency, along with quality reporting, will force a needed shift toward efficiency and improved outcomes by allowing consumers to understand just what they are getting and what they are paying for it. However, some experts say consumers who are covered by insurance don't have sufficient incentive to shop around, and others note that data need to be presented with multiple levels of consumer sophistication in mind. Healthcare Finance News (5/23) LinkedInFacebookTwitterEmail this Story
 Visit PaySpan at Institute Booth #445.
Patient Center Financial Home (PCFH) moves reimbursement beyond transactions to a strategy promoting awareness of the financial value of care coordination. PCFH provides transparency in the utilization of benefits to all constituents and allows health plans to engage members, improve outcomes and drive value. Learn more.

  Improving Health 
  • New diagnostics, targeted meds let some skip chemo
    Genetic tests, precision medicine and the results from long-term clinical studies are changing the way cancer is treated and allowing more patients to forgo chemotherapy. Doctors are becoming more comfortable with a watchful waiting approach for some patients after long-term studies showed some types of cancer are not not likely to recur, and genetic testing helps doctors determine which patients will benefit from targeted treatments with fewer side effects than conventional chemotherapy drugs. "We are right-sizing treatment," said Dr. James Mohler, urology department chairman at Roswell Park Cancer Institute. Reuters (5/15) LinkedInFacebookTwitterEmail this Story
  • Health care analytics: Better care, greater savings
    The spectrum of stakeholders in health care including payers, patients and providers can all benefit from a business intelligence approach to population health management, according to this article. Data collected from medical and pharmacy claims, lab values, risk assessments, and more are combined with medical best practices and patient information to shed light on gaps in care, contraindicated care and potential cost savings. "Health care analytics applies an additional level of science to the art of medicine," said Yvonne Wasilewski of SciMetrika. Employee Benefit News (5/24) LinkedInFacebookTwitterEmail this Story
  • Other News
  Spotlight on AHIP 
  • AHIP Conferences App -- New this year
    Plan your Institute schedule ahead of the conference, network with fellow attendees, connect with sponsors and more using the AHIP Conferences App on your mobile device or the Institute 2013 Web portal app on your computer. Download the appor search for "AHIP Conferences" in the App Storeā„  or Google Play™ Store.

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  • New at Institute -- The Social Hub in the Exhibit Hall
    The Social Hub features expanded learning opportunities at the Knowledge Bar, Presentation Stage and AHIP Lounge. Each venue offers a different opportunity to enable you to talk one-on-one with experts on various topics or to hear about innovations in the marketplace in a smaller group forum. This agenda provides the topics and speakers featured at the various Social Hub stops. LinkedInFacebookTwitterEmail this Story

Product announcements appearing in SmartBrief are paid advertisements and do not reflect actual AHIP endorsements. The news reported in SmartBrief does not necessarily reflect the official position of AHIP.

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Product announcements appearing in SmartBrief are paid advertisements and do not reflect actual AHIP endorsements. The news reported in SmartBrief does not necessarily reflect the official position of AHIP.