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February 5, 2013America's Health Insurance Plans

  Top Stories 
 
Medicare-Medicaid Dual Eligible Demonstration is here! CMS and States will be integrating healthcare delivery and payment coordination for individuals qualifying for both Medicare and Medicaid. HEALTHsuite® from RAM Technologies provides unmatched capabilities for the administration of benefits and coordination of payment for these Dual Eligible beneficiaries. (For info Click Here).
  Providers & Suppliers 
 
  • Study uncovers challenges in shared decision-making
    Inadequate clinical information systems, insufficient provider training and heavy workload are among the biggest hurdles primary care practices face when implementing shared decision-making, a study published in Health Affairs found. "To meet this challenge, we recommend that such [accountable care] organizations carefully plan their implementation of shared decision making and make substantial long-term investments in information systems, provider training and process reengineering," researchers wrote. Modern Healthcare (subscription required) (2/4)
Provider Network Innovation: On the Straight and “Narrow” Toward Value-Based Care
Providers looking to take shortcuts in moving toward a new value-based care model may encounter obstacles. L.E.K. has identified areas where they can focus their efforts to find success. We highlight nine key success factors that should be considered while transitioning to a VBC model in our Executive Insights white paper. Download White Paper Now

  Medical Update 
Let Them Go! Shed the Business Fears Holding You Back
If your business growth has stalled, it could be because you haven't let go of the worries holding you back. It's time to let them go and move on. Read the featured article to learn more.

  Emerging Trends 
 
6 Best Practices to Continuous Planning Success
Whether you call it 'forecasting' or 'planning', the key is to enable a continuous process that delivers real-time, up-to-date information to drive effective business decisions. Download this whitepaper to learn how you can bring everyone in your organization into your planning process.

  Health Insurance Plan Company News 
 
Complex Compliance Regulations Raise the Stakes for Organizations
Wage and hour lawsuits are steadily rising thanks to increasingly complex compliance regulations. Insulate your organization from FLSA issues and reduce costs with automated workforce management solutions.
Read the White Paper >>

  Vendor Company News 
 
  Pharma News 
  • Study finds disparity in how doctors prescribe heart drugs
    Americans without health coverage are 6% to 12% less likely than those who have insurance to be prescribed drugs for heart disease, according to a study published in the Journal of the American College of Cardiology. Patients treated at clinics where many uninsured patients receive care were the least likely to be prescribed heart drugs. Reuters (2/1) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • HIT committee seeks members for ACO unit
    The Office of the National Coordinator for Health IT's HIT Policy Committee is looking for participants to join its new Accountable Care Workgroup. The team will be asked to come up with ideas for programs and policies to boost the use and effectiveness of health IT so it can help health care organizations meet the goals of accountable care. Those interested in applying can do so until Feb. 15. Government Health IT online (2/1) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Early registrations ends tomorrow -– register now and save
    Don’t miss out on the savings. Register now for AHIP’s 2013 National Policy Forum. This meeting is one-stop shopping for those seeking insights on the latest policy developments and trends shaping health care. We encourage you to join us for this intense program that will help you prepare to meet the challenges and opportunities of this year and beyond. Register now. LinkedInFacebookTwitterEmail this Story
  • DM Direct -– helping health plans advance their DM programs
    To help health insurance plans expand their DM programs, AHIP has created DM Direct which identifies leading companies that provide innovative DM solutions. Nurtur, a member of AHIP’s DM Direct program, offers an inclusive people-centered approach designed to help people at all life stages address the life issues that get in the way of health as well as the health issues that complicate living. LinkedInFacebookTwitterEmail this Story
  • Are you ready for Exchanges?
    Join us from 2:30 p.m. to 4:00 p.m. ET on Feb. 27 to learn a comprehensive strategy for meeting the needs of new Exchange members through service and technology support for consumer engagement, as well as advice to simplify the Exchange onboarding process. Register now. LinkedInFacebookTwitterEmail this Story
Learn more about AHIP ->About AHIP  |  Join AHIP  |  Educational Opportunities
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Position TitleCompany NameLocation
Sales ManagerRxAllyLeesburg, VA
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
CEO CarePoint Health PlanCarePoint Health PlanBayonne, NJ
Asst Director, Medicare Prod. Analytics/Rev. Mgmt CambiaPortland, OR
Director of Sales & MarketingHometown HealthReno, NV
Vice President, Medical Affairs and Senior Medical DirectorConfidential Not-for-Profit Health PlanNationwide, United States
Product Development Specialist Geisinger Health Plan Danville, PA
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 
Failure changes for the better, success for the worse."
--Seneca the Younger,
Roman philosopher, statesman and playwright


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