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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)
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.

  Medical Update 
 
Transformational Journeys: Modern Business Planning
Harvard Business Review explores why CFO's and their finance organizations must adapt to the changing landscape of their markets and how big data, organizational collaboration, and new cloud-based planning and analysis technologies are driving successful change.
Click here to access the report.

  Emerging Trends 
 
How episodes of care help cut costs and improve quality.
Health care costs are unsustainably high and health outcomes are suboptimal. To curb these trends, the incentive and movement toward value-based care is gaining momentum. This paper describes the advanced analytics that can assist health care organizations balance cost reduction and quality improvement through analysis of episodes of care.

  Health Insurance Plan Company News 
  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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