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McKesson Reimbursement Manager is an advanced pricer helps you identify the correct provider reimbursement amount.
December 13, 2012America's Health Insurance Plans

  Top Stories 
Optum Perspectives: The New Basics ebook
The ACA, an uncertain economy, and changing consumer expectations have redefined the basics required for success. Download The New Basics ebook to learn best practices and strategies for serving dual eligibles, improving population health in diverse populations, consumerism, and payment integrity.
  Providers & Suppliers 
Impact Star Ratings, Gain Competitive Advantage
Healthways Well-Being Improvement Solution for Seniors is designed to attract and engage plan members, positively influence star ratings, and reduce health risks and future costs. Gain a competitive advantage with our comprehensive seniors strategy that goes beyond physical health to improve overall well-being. Learn more>
  Medical Update 
  • Concussions in children may have lingering effects
    Children who suffered concussions showed changes in their cognitive functioning and brain structure two weeks after their injuries, according to a study in the Journal of Neuroscience. Although other concussion-related symptoms waned after three months, brain scans revealed that children with concussions still had structural changes in the white matter. (12/11) LinkedInFacebookTwitterEmail this Story
  • Vision impairment cases increase as diabetes rates rise
    A study published in the Journal of the American Medical Association found a 20% increase in the number of vision loss cases in the U.S. in less than a decade, coinciding with an increase in the number of people who had diabetes for at least 10 years. While the study didn't show a causal relationship, other risk factors for nonrefractive vision loss became less prevalent over the study period. Reuters (12/12) 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
  Emerging Trends 
  • Merit's single-loop endovascular snare device gets FDA OK
    The FDA has given Merit Medical Systems 510(k) clearance to market ONE Snare, a single-loop snare device used to manipulate and retrieve foreign objects during endovascular procedures. The South Jordan, Utah-based company plans to release the device next month. (12/11) LinkedInFacebookTwitterEmail this Story
  • Game lets users connect neural dots
    Online game EyeWire asks players to map neural connections through the retina in an effort to understand the workings of junctional adhesion molecule B retinal cells. Co-developer and MIT researcher Sebastian Seung hopes the results will lead to a better understanding of some forms of blindness as well as autism. Nature/News Blog (12/11) LinkedInFacebookTwitterEmail this Story
New Whitepaper: The Most Important Question in Identity Management for Health Care. Health care reform and heightened regulatory scrutiny have made identity management a top priority within health care organizations. In this whitepaper from LexisNexis®, explore the various types of identity management solutions and how to apply these technologies to the processes within your organization.
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  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • Reminders boost statin adherence
    Patients prescribed cholesterol-lowering statins were more likely to pick up their initial prescription when they received reminders via telephone or mail, according to a study published in the Archives of Internal Medicine. PharmaTimes (U.K.) (12/11) LinkedInFacebookTwitterEmail this Story
  • FDA review warns of possible cardiovascular risk with Chantix
    An updated FDA review found that the smoking-cessation drug Chantix was associated with higher risk of myocardial infarction, stroke and death compared with placebo, although the difference in risk was not statistically significant. In 2009, the FDA ordered the Chantix label be changed to reflect evidence of a possible link to depression and suicidal tendencies, although follow-up research suggested the drug did not raise the risk of psychiatric events, depression or suicidality. MedPage Today (free registration) (12/12) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • ATA collaborates with legislative groups to promote telehealth
    Three minority legislative groups have collaborated with the American Telemedicine Association in an effort to inform lawmakers about telemedicine and move a model for state-level telehealth legislation forward. "We're using the outcomes evidence and lessons learned from these cases to show all state governments how telemedicine can improve the quality of healthcare, increase access, and reduce costs," ATA CEO Jonathan Linkous said. Healthcare Informatics online (12/11) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • U.S. health care spending 101 iPad App
    AHIP has released a new iPad app that consolidates 50 years of data from the Congressional Budget Office, the Centers for Medicare and Medicaid Services, and the Office of Management and Budget into a series of simple, interactive charts. LinkedInFacebookTwitterEmail this Story
  • Learn more -- spend less
    Make 2013 the year to advance your career with additional health insurance knowledge and a professional designation. What better time to plan than now? Take advantage of special year-end pricing from AHIP—save 30%* on nearly 40 self-study courses, many online, and educational publications crafted by top business and health care experts. Visit the website for details. LinkedInFacebookTwitterEmail this Story
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Executive Vice President of Health InsuranceWisconsin Physicians Service Health InsuranceMadison, WI
Vice President - Exchange BusinessMVP Health CareSchenectady or Rochester, NY
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Director of Claims AdministrationHealthSCOPE Benefits, Inc.Little Rock, AR
Medical DirectorHarvard Pilgrim Health CareQuincy, MA
CAQH CORE Manager, Education, Outreach and Participant RelationsCouncil for Affordable Quality HealthcareWashington, DC
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Chief Executive OfficerHealth Plan of San JoaquinFrench Camp, CA
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