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December 12, 2012America's Health Insurance Plans

  Top Stories 
 
  • Even light smoking raises sudden cardiac death risk among women
    Light-to-moderate cigarette smoking was associated with nearly double the risk of sudden cardiac death among women, with long-term smokers at greater risk, data from the Nurses' Health Study revealed. However, smoking cessation helped women with heart disease lower their risk of sudden cardiac death to mirror that of a nonsmoker within 20 years, researchers reported in Circulation: Arrhythmia and Electrophysiology. Nurse.com (12/11), WebMD (12/11) 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.
  Providers & Suppliers 
 
  • Study supports shorter clinical rotations in hospitals
    Two-week and four-week clinical rotations led to similar rates of patient revisits after hospital discharge, but the shorter rotations could reduce stress and burnout for attending physicians who teach medical students, Chicago researchers reported in the Journal of the American Medical Association. Dr. Brian Lucas said education leaders find short rotations are disruptive and "truncate student-teacher relationships," but if they lower stress for attending physicians, they could improve care quality and relationships with patients. Medscape (free registration) (12/5) LinkedInFacebookTwitterEmail this Story

Your opportunity to do more for patients? Be a Personal Pharmacistâ„¢ with OutcomesMTM, which contracts with more than 40 U.S. health plans to provide Medication Therapy Management (MTM) to 5 million patients, linking these plans to over 60,000 chain, independent, consultant and health-system pharmacy providers. Learn more: www.outcomesmtm.com.
  Medical Update 
 
  • U.S. life expectancy improves, but with chronic illnesses
    Data from the United Health Foundation's 2012 America's Health Rankings showed that Americans' life expectancy increased by about 1.7 years between 2000 and 2009, while the number of premature deaths and deaths from cardiovascular disease and cancer declined since 1990. However, researchers found that the country has an adult obesity rate of 28%, a diabetes rate of almost 10% and a hypertension rate higher than 30%. Reuters (12/11), USA Today (12/11) LinkedInFacebookTwitterEmail this Story
  • Long-term management of sickle cell disease needs improvement
    Young sickle cell disease patients become more dependent on emergency care services for acute conditions linked to the disease as they enter adulthood, researchers found. Hospitalization rates were higher among sickle cell patients than the general population, and they faced substantially greater overall costs. The findings were presented at the American Society of Hematology annual meeting. U.S. News & World Report/HealthDay News (12/10) LinkedInFacebookTwitterEmail this Story

Improve Adherence and your Stars rating. A better Medicare Advantage Plan Adherence STARS rating starts with services from an industry leader. Learn more about Adherence Services here.
  Emerging Trends 
  • Orthopedic trauma device scores 510(k) clearance
    The FDA has cleared aap to market the first six units of its LOQTEQ plating technology, which is used to treat patients suffering from orthopedic trauma. The device, which already is being marketed in Europe, allows single-hole locking and compression to improve efficiency in the operating room. BeckersOrthopedicAndSpine.com (12/10) LinkedInFacebookTwitterEmail this Story
  • AT&T's VOC sensor could help patients with asthma
    AT&T has designed a sensor, dubbed Asthma Triggers, that could assess risk for asthma patients in a particular geographic area by measuring the levels of volatile organic compounds in the air. The tool links to a tablet, computer or smartphone through ZigBee and sends information to AT&T's Healthcare Community Online health information exchange tool. MobiHealthNews.com (12/10) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  Policy Watch 
Expand your learning. Not your budgets.
Are you trying to do more with less? Are you working with smaller budgets but higher expectations that you stay ahead of health care reform implementation? If so, take advantage of AHIP's year-end sale. When you register for various 2013 conferences by 12:00 p.m. ET on Dec. 31, you'll enjoy deeply discounted pricing. Click here for details.
  AHIP News 
  • Webinar: Preparing for an OCR Security Audit
    The HHS Office of Civil Rights has been focusing intense scrutiny on security practices and privacy protections relating to personal health information. Industry leaders will tell you why it’s important to prepare, share information about key issues the OCR will review, and discuss common corrective actions in a webinar from 2:00 p.m. to 3:30 p.m. ET on Jan. 10, 2013. Find details and register now. LinkedInFacebookTwitterEmail this Story
  • Health plans featured at 2012 Health Disparities Summit
    The 2012 Science of Eliminating Health Disparities Summit, rescheduled for Dec. 17 to 19, 2012 in Washington, D.C., will provide health care leaders with evidence-based strategies, practical steps and innovations to inform policies and interventions that address health disparities. AHIP member plans will present data collection efforts and initiatives currently in place to reduce health disparities and promote health equity. LinkedInFacebookTwitterEmail this Story
  • Improved business operations for better care? TPA Direct
    The TPA Direct program is comprised of AHIP member companies--the industry’s leading third party administrators--and offers guidance to health insurance plans and other potential payers and administrators interested in outsourcing. TPA Direct partners such as MVP Health Care offer administrative services (ASO) and third party administration (TPA) services to companies that self-insure their employees' health benefits.  LinkedInFacebookTwitterEmail this Story
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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
Sr Data AnalystCVS CaremarkNorthbrook, IL
Associate Director, CORECouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Associate General CounselBMC HealthNet PlanBoston, MA
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Director of Claims AdministrationHealthSCOPE Benefits, Inc.Little Rock, AR
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
Vice President - Exchange BusinessMVP Health CareSchenectady or Rochester, NY
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
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 
Thinking is like loving and dying. Each of us must do it for himself."
--Josiah Royce,
American philosopher


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