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December 3, 2012America's Health Insurance Plans

  Top Stories 
  • Study links smoking, drug and alcohol abuse to early stroke
    Researchers looked at the medical records of nearly 1,200 stroke patients ages 54 and younger in the U.S. and found that in 2005, the most recent year covered, more than half of were smokers, while 1 in 5 used illicit drugs. Researchers also found that 13% of them had used alcohol or drugs or alcohol within a day of their stroke. The study appeared in the journal Stroke. Reuters (11/29) 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
  Providers & Suppliers 
  • Fewer health care workers looking for jobs, report suggests
    Data from the third-quarter Randstad Healthcare Employment Report showed 68% of health care workers in the U.S. reported feeling confident about their employers' futures, and fewer said they were likely to seek a new job in the coming year than in the second-quarter survey. The respondents' views about the strength of the economy were unchanged. (11/30) LinkedInFacebookTwitterEmail this Story

OutcomesMTM contracts with more than 40 U.S. health plans to provide Medication Therapy Management (MTM) coverage to 5 million patients. The company links contracted plans with more than 60,000 chain, independent, consultant and health-system pharmacy providers. National network, local relationships. Learn more at
  Medical Update 
  • Americans fall short on USDA's nutritional recommendations
    Children and elderly people appeared to have healthier diets compared with younger and middle-aged adults, while Hispanics were more likely than blacks and whites to eat healthy food items, according to a study in the Journal of the Academy of Nutrition and Dietetics. However, none of the groups was close to a perfect score based on the Department of Agriculture's recommended food intake, researchers said. Reuters (11/29) 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 
  • Software aids in management of radiation doses
    Unfors RaySafe has launched cloud-based software called RaySafe S1, designed to improve management of patient radiation doses. The software can capture patient dose during radiology procedures, thus allowing for better handling of tests, reduction of unneeded exams, cutting of radiation doses and other functions. (free registration) (11/29) LinkedInFacebookTwitterEmail this Story
  • Brain model can perceive, react to visual information
    Researchers at the University of Waterloo in Canada have developed a new computer model of the brain called Spaun that can simulate about 2.5 million brain cells, enabling it to sense, process and react to visual stimuli. However, researchers said Spaun does not have the capability to learn a new task. Los Angeles Times/Science Now blog (tiered subscription model) (11/29) LinkedInFacebookTwitterEmail this Story
MedfusionRx Ascend is now BriovaRx™
Catamaran™ takes a hands-on approach to personalized care with new specialty pharmacy: BriovaRx™. We transcend patient care and take care of people, so every patient achieves not only successful treatment, but a healthy, vibrant life. Learn about our services for providers, payers and manufacturers at
  Health Insurance Plan Company News 
Are you ready for machine learning?
With the advent of big data, the amount of data and our ability to process it has increased exponentially. It's an environment perfectly suited for machine learning. So how can you make it part of your analytic infrastructure? This e-book highlights the capabilities of machine learning, and best practices you can implement to take full advantage of it. Download Here.
  Vendor Company News 
  Hot Topics 

Top five news stories selected by AHIP Solutions SmartBrief readers in the past week.

  • Results based on number of times each story was clicked by readers.
  Pharma News 
  • Study: Tdap vaccine as safe and effective as Td vaccine in seniors
    The tetanus-diphtheria-acellular pertussis vaccine was comparable in safety and efficacy with tetanus and diphtheria vaccine in patients ages 65 and older, according to a study published online in the journal Clinical Infectious Diseases. Tdap vaccine users showed no increased risk of adverse reactions including meningitis and encephalitis compared with Td users. Seniors who received the Tdap vaccine, however, were nearly four times more likely to develop generalized reaction and anaphylaxis and were more likely to need medical attention for allergic or inflammatory reactions within six days of vaccination. MedPage Today (free registration) (11/29) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • House panel probes CMS anti-fraud efforts
    CMS has had some success in rooting out fraud and abuse but has not made use of all available tools, House Energy and Commerce Health Subcommittee members said this week. During a hearing, Kathleen King of the Government Accountability Office cited numerous recommendations that the office has been made but has not implemented, including improving the standards and process for enrolling providers in Medicare. MedPage Today (free registration) (11/29) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • 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 p.m. ET on Dec. 31, you’ll enjoy deeply discounted pricing. Get details here. LinkedInFacebookTwitterEmail this Story
  • New influenza vaccination resources for health professionals
    National Influenza Vaccination Week (NIVW) is Dec. 2 to 8. The single, best way to prevent the flu is to get a flu vaccine each season. To observe NIVW, the CDC has released new print materials, social media tools and additional resources for health care professionals. Resources can be downloaded online and used to develop targeted messaging around influenza vaccination. LinkedInFacebookTwitterEmail this Story
  • Fraud, Waste & Abuse: The Next Generation of Detection
    Join us from 1 p.m. to 2 p.m. ET on Dec. 7 to learn how health plans can maximize available resources to ensure members are receiving the right care in the right setting from the highest quality providers. Speakers will discuss inter-dependencies between various business units and the need to meet competing priorities within an organization. Register now. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Project AssociateAmerica's Health Insurance Plans (AHIP)Washington, DC
Associate General CounselBMC HealthNet PlanBoston, MA
Vice President - Exchange BusinessMVP Health CareSchenectady or Rochester, NY
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Pharmacy Customer Service ManagerHealthPartnersBloomington, MN
Sr Data AnalystCVS CaremarkNorthbrook, IL
Associate Director, CORECouncil for Affordable Quality Healthcare (CAQH)Washington, DC
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Internal Audit DirectorUCareMinneapolis, MN
Senior Director Claims AdministrationKaiser PermanenteDenver, CO
Sr. Director, Healthcare Quality AssuranceEvolent HealthArlington, DC
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
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Director Compliance, Medicare Part DDirector Compliance, Medicare Part DScottsdale, AZ
Provider Network Management DirectorBlue Cross Blue Shiled of Georgia (WellPoint)Statewide, GA
Click here to view more job listings.

Silent gratitude isn't much use to anyone."
--Gladys Bronwyn Stern,
British writer

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