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November 8, 2012America's Health Insurance Plans

  Top Stories 
 
  • Miscarriages are associated with risk of heart problems
    Women who experienced one or more miscarriages had a greater likelihood of suffering a heart attack, stroke, atherosclerosis and renovascular hypertension than those who had no miscarriages, a Danish study found. The findings, based on data from more than 1 million women, were presented at the American Heart Association meeting. HealthDay News (11/6) 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 
 
  • Commentary: ACOs should focus on specific patient populations
    A commentary in the journal Health Affairs stated that accountable care organizations should reach out to specific patient populations such as those with chronic diseases, while policymakers should continue to reassess the success of the model. While it may not be a one-size-fits-all approach, the ACO model may serve as part of a broader effort to reach such goals as improving care and reducing costs, the opinion piece said. Modern Healthcare (subscription required) (11/5) LinkedInFacebookTwitterEmail this Story
  • Study links values exercise to better patient-physician communication
    Undergoing a values affirmation exercise helped bolster communication between physicians and patients of a different race, according to a study in the Archives of Internal Medicine. Researchers said helping patients focus on their values and positive qualities may help them feel that physicians will not stereotype them. Experts said fears of stereotyping may prevent patients from asking questions. Reuters (11/7) LinkedInFacebookTwitterEmail this Story
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  Medical Update 
 
  • Model suggests some people may need a single colonoscopy
    A mathematical model suggests some patients who have a negative colonoscopy at age 50 might not need another one and could use less invasive colorectal screenings, such as fecal blood tests. The model, created by researchers at Massachusetts General Hospital, showed life expectancy differed by only a few days between people who got colonoscopies every 10 years and those who used other test options. Dr. David Weinberg of Fox Chase Cancer Center in Philadelphia said colonoscopy has an advantage because it detects pre-cancerous polyps, which can be removed immediately. Reuters (11/5) LinkedInFacebookTwitterEmail this Story
  • Low-dose aspirin may help prevent blood-clot recurrence, study says
    Low-dose aspirin helps reduce the risk of recurrence of deep vein thrombosis and pulmonary embolism, according to an Australian study reported in the New England Journal of Medicine. "For every 1,000 patients treated for one year, aspirin can be expected to prevent about 20 to 30 episodes of recurrent major thrombotic events at the cost of about three significant bleeding episodes," said Dr. John Simes of the University of Sydney. The Times of India/Indo-Asian News Service (11/5) LinkedInFacebookTwitterEmail this Story
Simplifying Health Plan Administration
RAM Technologies is leading the charge in the creation of advanced software to reduce the cost of healthcare administration. HEALTHsuite and eHealthsuite comprise a fully integrated enterprise solution suite providing health plans with the tools needed to automate operations and reduce administrative expense. Click here to learn more.
  Emerging Trends 
  • IPad optical scanner helps measure blood loss during surgery
    Researchers at Stanford University School of Medicine have developed an optical scanner for Apple's iPad tablet computer that can help accurately measure blood loss during surgery. Researchers said that based on confirmation tests using spectrophotometry, the algorithm reduced variability in measuring blood loss compared with standard human visual estimates and performed well with high blood volumes. A startup company called Gauss Surgical is working to further develop the test, with the aim of putting it in the clinical setting late this year or early next year. Anesthesiology News (free registration) (11/2012) LinkedInFacebookTwitterEmail this Story
How Much Do You Really Need to Make? The Answer May Shock You
Rather than focus on what you can afford to pull out of the business to cover your living expenses, you need to focus on how much you need to earn at your business in order to afford the lifestyle you want to have. This is where the Personal Earnings Goal, or PEG, comes into play. Learn how to calculate your PEG and find out how much you really need to make.

  Health Insurance Plan Company News 
 
SHRM Exec Study: Impact of Absence
Read the compelling results of this 2014 survey conducted by SHRM and Kronos® that demonstrate how a clearly defined strategy to monitor and manage absence, with proper training and automation, can help control costs associated with absences and improve your bottom line. Click here to learn more.

  Vendor Company News 
 
  Pharma News 
  • Pfizer's arthritis drug Xeljanz wins FDA approval
    The FDA approved Pfizer's Xeljanz, or tofacitinib, to treat patients with moderate to severe rheumatoid arthritis who can't tolerate methotrexate or for whom it is ineffective. The approval makes Xeljanz the first rheumatoid arthritis drug from a new class of pain treatments known as JAK inhibitors. Yahoo/The Associated Press (11/6) LinkedInFacebookTwitterEmail this Story
  • Cardiovascular polypill could boost adherence, lower costs
    A pill that combines aspirin with a generic statin and two generic antihypertensive drugs increased adherence in a study of more than 2,000 people at risk for heart disease and already taking some type of medication. The patients given the polypill had greater reductions in blood pressure and cholesterol levels than those who bought the four drugs separately. The polypill was free to patients in the study group. Bloomberg (11/5) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • 10 behavioral health standards receive NQF endorsement
    The National Quality Forum board of directors has approved 10 quality standards related to behavioral health, which cover problems such as substance abuse and mental illness. "These endorsed measures will be integral to this effort, giving providers new tools to ensure patients receive appropriate, compassionate and high-quality care," NQF official Dr. Helen Burstin said. Healthcare Informatics online (11/5) LinkedInFacebookTwitterEmail this Story
The Buzz(CORPORATE ANNOUNCEMENTS)

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  AHIP News 
  • Educational tracks at Fall Forum deliver answers
    Whether you choose to focus on one educational track or mix and match sessions, you’ll leave AHIP’s Fall Forum with smart answers. Choose from educational tracks including: Consumer Engagement and Behavior Change; Leveraging Data; Technologies and Innovation; Care and Payment Alternatives; Compliance; and New Plan Models and Products. Round out the agenda with general sessions and networking events. Register now. LinkedInFacebookTwitterEmail this Story
  • From Theory to Practice: Implementing Shared Decision Making
    Join us from 1 p.m. to 2:30 p.m. ET on Nov. 15 to learn what type of impact Shared Decision Making can have on quality, satisfaction, cost and utilization of care. Speakers will discuss critical success factors and best practices for implementing Shared Decision Making. Register now. LinkedInFacebookTwitterEmail this Story
  • Latest news and the health plan perspective
    AHIP Coverage highlights breaking news and developments in the health care system, and provides insight on how these issues impact consumers, businesses and the economy. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
AHIP Select  |  AHIP Coverage Blog

 
Position TitleCompany NameLocation
Project Associate, Sponsored ProjectsAmerica's Health Insurance Plans (AHIP)Washington, DC
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Medical DirectorVirginia Premier Health PlanRichmond, VA
PROV RELATIONS REPRESENTATIVEGeisinger HealthHarrisburg, PA
Executive DirectorMaryland Health Insurance PlanBaltimore, MD
Chief Financial OfficerNeighborhood Health PlanBoston, MA
Provider Network Management DirectorBlue Cross Blue Shiled of Georgia (WellPoint)Statewide, GA
Quality Improvement CoordinatorGeisinger Health PlanDanville, PA
Vice President Member GroupLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Clinical Care IntegrationLouisiana Health Cooperative, Inc.New Orleans, LA
Regional Director Payor ContractsAmeritoxNationwide, United States
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Chief Executive OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Director - Corporate CounselDelta Dental of CaliforniaSan Francisco, CA
CounselDelta Dental of CaliforniaSan Francisco, CA
Clinical Compliance ManagerRegencePortland, OR
Senior Vice President, Product Innovation and DevelopmentHarvard Pilgrim Health CareWellesley, MA
CAQH CORE Manager, Education, Outreach and Participant RelationsCouncil for Affordable Quality HealthcareWashington, DC
Executive Director of the WMC Physician Hospital OrganizationWyoming Medical CenterCasper, WY
Click here to view more job listings.

  SmartQuote 
Leave other people's mistakes where they lie."
--Marcus Aurelius,
Roman emperor


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