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February 12, 2013America's Health Insurance Plans

  Top Stories 
 
  • Reducing sodium intake could save 500,000-plus lives, study finds
    Cutting back on salt intake from current levels to 2,300 milligrams a day -- the upper end of the federal guideline -- could save 500,000 to 850,000 lives over the next 10 years, according to research published in the journal Hypertension. Even a more gradual reduction in salt content among restaurant and processed foods could save 280,000 to 500,000 lives in 10 years, largely by reducing the risks of heart attack and stroke. U.S. News & World Report/HealthDay News (2/11) LinkedInFacebookTwitterEmail this Story
 Save on Rx after Brand-Generic Maxed — Download Savings Calculator
Health care payers attempting to reduce Rx spending may have exhausted their potential to switch members from brand to generic. One solution is to move members from their current brand drugs to less expensive alternative brands with equivalent therapeutic intent. Calculate potential savings here.
 

  Providers & Suppliers 
  • U.S. readmission rates show little improvement, report finds
    A Robert Wood Johnson Foundation report found readmission rates in the U.S. did not show significant progress between 2008 and 2010. Researchers also noted regional variation in 30-day readmissions, with readmission rates following postsurgical discharge as low as 7.6% in Bend, Ore., and as high as 18.3% in Bronx, N.Y. BeckersHospitalReview.com (2/11) LinkedInFacebookTwitterEmail this Story
  • Group releases recommendation for better post-discharge care
    The American Medical Association has released five patient safety principles for transitioning patients from inpatient to outpatient care. "Patients leaving the hospital too often return to ambulatory care settings that are not well connected to the hospital team and this can result in inefficient, confusing and sometimes unsafe conditions," the report's authors wrote. Evaluating patient heath, supporting self-management and medication management, as well as goal-setting were among the responsibilities outlined in the report. HealthLeaders Media (2/11) 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.

  Medical Update 
 
  • Endovascular therapy doesn't improve outcomes for stroke survivors
    Endovascular therapy plus intravenous tissue plasminogen activator treatment showed little advantage over IV tPA alone in terms of promoting independent living 90 days after a stroke, a study found. However, endovascular therapy was more effective than tPA alone in removing clots and re-establishing blood flow. The findings appear in the New England Journal of Medicine. Nurse.com (2/10) LinkedInFacebookTwitterEmail this Story
  • Physician perceptions affect obesity counseling, study finds
    Physicians who believe that overeating is the main driver of obesity were more likely to tell patients to cut back on portion sizes and calorie consumption, while those who believe sugary drinks are the primary culprit were more likely to urge patients to reduce intake, a study found. The results in Preventive Medicine suggest that doctors' perception of obesity causes may influence their weight-loss advice, and that education for physicians may help improve the nutritional counseling they provide. HealthDay News (2/8) 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.

  Emerging Trends 
 
  • Optovue scores 510(k) clearance for OCT system database
    Optovue has been cleared by the FDA to incorporate a normative database into the firm's iVue spectral-domain optical coherence tomography device. The iVue SD-OCT technology can use the database to enable the quantitative comparisons of the optic disc and other areas of the eye, as well as tailor OCT scans according to a patient's age, optic disc size and other factors. Healio (2/8) LinkedInFacebookTwitterEmail this Story
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.

  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  • Aspirin plus clopidogrel lowers risk of stroke recurrence
    Data on 5,170 minor stroke or transient ischemic attack survivors showed those who received aspirin and clopidogrel were 32% less likely to suffer a second stroke in 90 days than those who took aspirin alone. The two groups both had comparably low rates of intracerebral bleeding, death and myocardial infarction, researchers reported at the International Stroke Conference. MedPage Today (free registration) (2/10) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • Biosimilars bills fail in Miss.
    Bills that would have restricted pharmacists' ability to substitute biosimilar drugs for brand-name therapies failed to advance out of committees in the Mississippi House and Senate. Proponents say that pharmacists should be allowed to substitute only a biosimilar FDA-approved as "interchangeable" with the brand-name biologic drug for the specific indication and that doctors' orders to dispense as written should override payer policies. Opponents say the federal Public Health Service Act allows automatic substitution and the Mississippi legislation and other bills like it are simply an effort to protect drugmaker profits. Pharmalot.com/Pharma Blog (2/8) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Strengthening services and support for dually eligible beneficiaries
    As your organization joins stakeholders working to best serve the needs of dual eligibles, attending AHIP's Dual Eligibles Summit: Improving Care, Coverage, and Cost, March 12 in Washington, D.C., can help inform your approach. You’ll enjoy learning from experts, including Melanie Bella, Director, Medicare-Medicaid Coordination Office, Centers for Medicare & Medicaid Service. Learn more and registerLinkedInFacebookTwitterEmail this Story
  • Keep up with AHIP news—follow @AHIPEducation on Twitter
    Follow @AHIPEducation on Twitter for updates related to AHIP’s various educational offerings, including conference news, upcoming webinars and the latest online health insurance courses. View our profile. LinkedInFacebookTwitterEmail this Story
  • Webinar: Practical Advice for Automating Value-Based Reimbursement
    Join us from 2 p.m. to 3:30 p.m. on Feb. 28 to learn about the latest solutions to the concern of moving to innovative care without being hindered by claims processing systems limitations. While each plan will set its own claims processing policies and structures, moving to integrated approaches to innovative care will require thinking on both a policy and a systems level. Register now. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Vice President Member GroupLouisiana Health Cooperative, Inc.New Orleans, LA
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 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
Asst Director, Medicare Prod. Analytics/Rev. Mgmt CambiaPortland, OR
Director of Sales & MarketingHometown HealthReno, NV
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 
We spend our time searching for security and hate it when we get it."
--John Steinbeck,
American author


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