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March 5, 2013America's Health Insurance Plans

  Top Stories 
 
  • Study supports screening to reduce advanced colon cancer risk
    A study in the Annals of Internal Medicine showed people who underwent colonoscopy in the past 10 years were 71% less likely to develop advanced colon cancer than those who did not receive screening. Researchers found those who had sigmoidoscopy had a 50% reduced risk of colon cancer, but they noted sigmoidoscopy was associated with prevention of advanced tumors on only one side of the colon. Reuters (3/4) LinkedInFacebookTwitterEmail this Story
  • Flu activity is declining in U.S., CDC says
    CDC officials reported on Friday that the number of states with widespread flu activity dropped as of last week, from 22 to 12. Twenty-eight states reported flu cases regionally. Despite the slowdown, the CDC won't declare the season officially over until there are several consecutive weeks of flu activity below the 2.2% baseline, CDC's Lyn Finelli said. USA Today (3/1) LinkedInFacebookTwitterEmail this Story
 Download Case Study: Reduce Rx Costs and Improve Member Health
Denying high-priced Rx claims may contain costs in the short term, but this practice can lead to poor adherence and complications for patients. Download this case study to learn how health plans can reduce drug spend with more affordable medication alternatives and provider and member education.
 

  Providers & Suppliers 
  • Report IDs 6 primary areas of focus for ACO metrics
    A report by MedeAnalytics found that accountable care organization metrics fall into six major categories including pediatric, ambulatory and acute care. Researchers also report that commercial ACOs were more likely to focus on ambulatory processes and cost reduction, while Medicare ACOs were more focused on quality outcomes. BeckersHospitalReview.com (3/4) LinkedInFacebookTwitterEmail this Story
  • Docs believe virtual assistants could improve care, survey says
    A survey conducted by Nuance Communications found 80% of participating physicians said virtual assistants would alter the way they utilize health care applications and EHRs over five years. Doctors also said mobile virtual assistants could boost health care delivery by improving their access to patient data and giving them more time to spend with patients. Healthcare IT News (3/1) LinkedInFacebookTwitterEmail this Story
Get Creative: 10 Ways to Think Outside the Box
No matter your business, smart solutions come from out-of-the-box thinking. We all know creativity is king, but are you doing all you can to inspire and encourage creativity in your staff? Read the article and learn 10 ways to inspire creativity at your office.

  Medical Update 
 
  • Many women experience postpartum anxiety, study shows
    Anxiety after giving birth was more common in mothers than postpartum depression, particularly among first-time mothers and those who had cesarean sections, a study in the journal Pediatrics showed. Researchers noted that this type of anxiety was associated with shorter breast-feeding time as well as use of unplanned health care within the initial two weeks following childbirth. DailyRx.com (3/3) LinkedInFacebookTwitterEmail this Story
  • Weight-loss surgery benefits obese diabetes patients, research finds
    Bariatric surgery was associated with a 25% reduction in mortality risk in obese type 2 diabetes patients, a diabetes expert said at the ADA's Advanced Postgraduate Course. Dr. John Bantle, professor of medicine and director of the division of endocrinology and diabetes at the University of Minnesota, recommended laparoscopic gastric bypass, saying some forms of surgery do not show high efficacy and others may pose health risks. InternalMedicineNews.com (free registration) (3/1) LinkedInFacebookTwitterEmail this Story
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 
 
  • New app aims to combat depression symptoms
    Harvard University psychiatry researcher Diego Pizzagalli's efforts to study depression and look for possible treatments for it have led him to develop a mobile application called MoodTune. The app, which features several games, could enhance the cognitive performance of patients as it stimulates some parts of the brain that mitigate depression symptoms. Popular Science (3/1) LinkedInFacebookTwitterEmail this Story
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 
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  Vendor Company News 
 
  Pharma News 
  Policy Watch 
  • FDA to scrutinize 30 compounders in 2 months
    The FDA plans to inspect around 30 drug compounders in the next two months amid heightened efforts following a deadly meningitis outbreak tied to compounded drugs. The pharmacies mainly produce sterile drugs for health care providers across the country, FDA spokeswoman Erica Jefferson said. Bloomberg Businessweek (3/1) LinkedInFacebookTwitterEmail this Story
Examine Policy and Legal Implications of ACOs.
ACOs and other integrated care models are raising numerous policy and legal issues. Join us for a unique event, AHIP's ACO Summit, May 15 in Washington, D.C., where industry experts, thought leaders, leading academics, and policymakers will examine policy and legal implications of hospital and physician integration into the marketplace. Click here for details.
  AHIP News 
  • Prepare for 2014 at AHIP’s June Exchange Conference
    AHIP’s next Exchange Conference, June 12 in Las Vegas, will bring together thought leaders in business, government and health care to share implementation updates and next steps, and address your questions. The Exchange Conference is being held in conjunction with AHIP’s Institute 2013, providing you an opportunity for additional learning and networking. Register today. LinkedInFacebookTwitterEmail this Story
  • Sponsorship opportunities available for AHIP's Institute 2013
    Sponsoring AHIP’s Institute 2013, June 12 to 14 in Las Vegas, will provide you with numerous opportunities for face-to-face interaction with hundreds of health care decision-makers who attend to learn and network. Contact AHIP’s Business Development Team at BusinessDevelpment@ahip.org or 866.707.AHIP (2447) to learn more. LinkedInFacebookTwitterEmail this Story
  • Navigating Through Challenges of the Health Insurance Marketplace
    Join us from 2 p.m. to 3:30 p.m. ET on March 7 to gain insight into best practices for operating an effective risk adjustment program. In addition, learn from the successes of Medicare Advantage, as well as differences between the Marketplace risk score accuracy and that of Medicare Advantage. Register now. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Chief Operating OfficerHealth Alliance Medical PlansUrbana, IL
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Vice President-Management and PerformanceUnited Health GroupNationwide, United States
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Senior Director, Product Innovation and Development Cleveland Clinic Lyndhurst CampusCleveland, OH
Medicare Product ManagerRegence Portland, OR
Chief Executive OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Clinical Care IntegrationLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative Inc. (LAHC)Metarie, LA
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Associate Medical DirectorUCareMinneapolis, MN
Vice President Member GroupLouisiana Health Cooperative, Inc.New Orleans, LA
Integrated Market Medical ExecutiveKindred HealthcareLas Vegas, NV
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
Vice President, Health Plan OperationsSatellite Health Plan, Inc.San Jose, CA
CAQH Managing Director, Finance and AdministrationCouncil for Affordable Quality HealthcareWashington, DC
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
Click here to view more job listings.

  SmartQuote 
Concentrate all your thoughts upon the work at hand. The sun's rays do not burn until brought to a focus."
--Alexander Graham Bell,
Scottish-born American inventor


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