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December 18, 2012America's Health Insurance Plans

  Top Stories 
 
  • Drug info guides too complex for many patients, study finds
    Information sheets provided with drugs deemed by the FDA to have "serious and significant" public health implications are too complicated to be understood by the average patient, according to a study published in the Journal of General Internal Medicine. The guides, which describe risks, side effects, potential interactions and importance of following prescription directions, are typically written at a 10th- or 11th-grade reading level, according to the study. Reuters (12/14) 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 www.inovalon.com.
  Providers & Suppliers 
 
  • Medical home models cut health care costs, study finds
    A study by the HealthPartners Research Foundation showed that patient-centered medical homes may help reduce total and outpatient care costs for individuals with complex conditions. Researchers said PCMHs helped curb overall costs by $446 per patient in 2005 and by $184 in 2009, while outpatient expenses were lowered by $241 per patient in 2005 and $54 in 2009. Patients with complex cases were defined as those taking at least seven medications. BeckersHospitalReview.com (12/17) LinkedInFacebookTwitterEmail this Story

Your opportunity to do more for patients? Be a Personal Pharmacistâ„¢ with OutcomesMTM, which contracts with more than 40 U.S. health plans to provide Medication Therapy Management (MTM) to 5 million patients, linking these plans to over 60,000 chain, independent, consultant and health-system pharmacy providers. Learn more: www.outcomesmtm.com.
  Medical Update 
 
  • IVF twin pregnancies carry greater risk of complications than single births
    Twin pregnancies through in vitro fertilization resulted in more complications such as premature birth and low birth weight compared with two separate IVF singleton pregnancies, Swedish researchers found. Risks for breathing problems, sepsis or jaundice were higher among twin babies, while preeclampsia and C-sections were more likely among women carrying twins, according to the study in the journal Fertility and Sterility. Reuters (12/16) LinkedInFacebookTwitterEmail this Story
  • Experts see lapses in pregnancy weight advice among providers
    Twelve of 24 overweight and obese women were advised by their health care providers to gain too much weight during pregnancy, based on guidelines for normal-weight patients rather than the appropriate ones for heavier women, a study revealed. Researchers also found only 10 women got advice about exercise during pregnancy. The findings appear in Women's Health Issues. HealthDay News (12/14) LinkedInFacebookTwitterEmail this Story
  • Pediatric caustic ingestion data suggest injuries have declined
    The estimated prevalence of injuries among children and teens from caustic ingestion appears to have declined since data were last collected in the 1970s and 1980s, falling to 1.08 per 100,000 in 2009, new research shows. The economic burden of such injuries in 2009 was estimated to be more than $22 million in hospital charges, researchers reported in the Archives of Otolaryngology and Head & Neck Surgery. Family Practice News (12/17) 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 
  • Study shows promising results for Chembio's syphilis test
    Chembio Diagnostics reported positive trial results for a point-of-care syphilis test that runs on its Dual Path Platform. The trial, which involved 3,134 samples, found the test was able to detect syphilis antibodies with sensitivities and specificities of 96.7% and 99.3% respectively in whole blood, 96.4% and 99.1% in finger prick blood, 94.6% and 99.6% in blood plasma. GenomeWeb Daily News (free registration) (12/14) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
 
  Pharma News 
  • Glaxo receives FDA OK for flu vaccine targeting four strains
    The FDA has granted GlaxoSmithKline approval for its Fluarix Quadrivalent intramuscular injections to protect adults and children at least 3 years old from flu virus subtypes A and B. The formulation protects against four strains of influenza. Three-strain formulations "have helped protect millions of people against flu, but in six of the last 11 flu seasons, the predominant circulating influenza B strain was not the strain that public health authorities selected," said GSK's Dr. Leonard Friedland. Reuters (12/17) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
  • States show improvements in EHR adoption
    Data from the 2012 Office of the National Coordinator for Health IT annual meeting revealed that Maine, Delaware and Massachusetts were among the states with the highest percentages of providers receiving incentives for adopting EHR systems. States that showed improvements in EHR attestation were also recognized. Healthcare IT News (12/13) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • 2 weeks left to save on various 2013 AHIP conferences
    Take advantage of special year-end pricing on AHIP conferences, including the National Policy Forum, Institute 2013, Medicare/Medicaid Conferences and Fall Forum. You'll learn from world-class business, health care and political speakers, and have the opportunity to network with health care professionals from throughout the country. Register by 12 p.m. ET on Dec. 31 to save. Learn more and register. LinkedInFacebookTwitterEmail this Story
  • Understanding the Summary of Benefits and Coverage
    The Summary of Benefits and Coverage (SBC) is a new tool designed to help consumers compare health insurance policies. Working in health insurance, you will want to become familiar with the SBC. Learn more with AHIP's new interactive online course, "Understanding the Summary of Benefits and Coverage." LinkedInFacebookTwitterEmail this Story
  • DM Direct -- Helping health plans advance their DM programs
    With care management advancing at such a rapid pace, keeping up with all of the changes can be difficult. AHIP's DM Direct program is composed of the industry's leading disease management suppliers, such as Healthways, which provides total population health management solutions aimed at lowering costs and improving quality of care for health plans, the government, and employers. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Project AssociateAmerica's Health Insurance Plans (AHIP)Washington, DC
Senior Provider Relations & Network Development Associate Geisinger Health Plan Bangor, ME
Chief Executive OfficerNeighborhood Health Plan of Rhode IslandProvidence, RI
Director of QI & AccreditationDenver Health & Hospital AuthorityDenver, CO
Medical DirectorArizona Integrated Physicians Inc.Peoria, AZ
Program Manager - Medicare Advantage & Part D ProductsAARP Services, IncWashington, DC
Manager Special Investigations UnitSCAN Health PlanLong Beach, CA
Program Manager, Medicare Supplemental ProductsAARP Services, IncWashington, DC
Associate General CounselBMC HealthNet PlanBoston, MA
Chief Executive OfficerBeth Israel Deaconess Care Organization (BIDCO)Boston, MA
Director of Claims AdministrationHealthSCOPE Benefits, Inc.Little Rock, AR
Vice President - Exchange BusinessMVP Health CareSchenectady or Rochester, NY
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
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
Analytics AdvisorConfidentialScottsdale, AZ
EID Program Manager Minnesota Management & BudgetSt. Paul, MN
Chief Executive OfficerHealth Plan of San JoaquinFrench Camp, CA
Click here to view more job listings.

  SmartQuote 
There are two things that one must get used to or one will find life unendurable: the damages of time and injustices of men."
--Nicolas Chamfort,
French writer


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