MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Managed Healthcare Executive Magazine Online' source. Thu, 09 Feb 2012 10:13:02 +0100 http://www.medworm.com/index.php?rid=5654806&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCandidates-propose-Medicare-shift-to-defined-contr%2FArticleStandard%2FArticle%2Fdetail%2F757580%3Fref%3D25 GOP candidate Mitt Romney argues that his proposal to convert Medicare from a defined-benefit program to a defined-contribution program will rescue Medicare by creating competition among plans and drive down costs. Republican Paul Ryan and Democratic Senator Ron Wyden have a similar proposal. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654806 Fri, 03 Feb 2012 05:00:00 +0100 5654806 http://www.medworm.com/index.php?rid=5654819&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FLess-demand-equals-lower-spending-totals%2FArticleStandard%2FArticle%2Fdetail%2F757584%3Fref%3D25 Economists reported an "extraordinary" slow down in healthcare spending for 2010, largely because of the recession and unemployment. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654819 Wed, 01 Feb 2012 05:00:00 +0100 5654819 http://www.medworm.com/index.php?rid=5654818&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FSpecialty%2Bdrugs%2FOrphan-drugs-target-smaller-populations%2FArticleStandard%2FArticle%2Fdetail%2F757592%3Fref%3D25 FDA-approved orphan drugs prompt plans to identify members. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654818 Wed, 01 Feb 2012 05:00:00 +0100 5654818 http://www.medworm.com/index.php?rid=5654817&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FHCSCs-New-Distribution-Trend%2FArticleStandard%2FArticle%2Fdetail%2F757586%3Fref%3D25 HCSC has its private-exchange model squared away. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654817 Wed, 01 Feb 2012 05:00:00 +0100 5654817 http://www.medworm.com/index.php?rid=5654816&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FPPACAs-affordability-definition-remains-unclear%2FArticleStandard%2FArticle%2Fdetail%2F757590%3Fref%3D25 When it comes to health insurance and the Patient Protection and Affordable Care Act, defintion "affordable" can be a complex and confounding task. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654816 Wed, 01 Feb 2012 05:00:00 +0100 5654816 http://www.medworm.com/index.php?rid=5654815&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FStatistics%2FSmall-firms-slow-to-shop-in-exchange%2FArticleStandard%2FArticle%2Fdetail%2F757585%3Fref%3D25 In administrating Commonwealth Care, the Massachusetts' Connector has been hugely successful in enrolling people in subsidized health plans. As of last August, nearly 40,000 people had used the Connector to purchase Commonwealth plans. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654815 Wed, 01 Feb 2012 05:00:00 +0100 5654815 http://www.medworm.com/index.php?rid=5654814&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FWellness%2FAdvance-from-prevention-efforts-to-elimination-of-%2FArticleStandard%2FArticle%2Fdetail%2F757581%3Fref%3D25 Programs need to not only prevent infections but also eliminate them. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654814 Wed, 01 Feb 2012 05:00:00 +0100 5654814 http://www.medworm.com/index.php?rid=5654813&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FWeigh-total-cost-before-moving-to-the-cloud%2FArticleStandard%2FArticle%2Fdetail%2F757583%3Fref%3D25 Consider hybrid alternatives when switching to cloud computing. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654813 Wed, 01 Feb 2012 05:00:00 +0100 5654813 http://www.medworm.com/index.php?rid=5654812&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FYoung-adults-grab-coverage-opportunity%2FArticleStandard%2FArticle%2Fdetail%2F757591%3Fref%3D25 The healthcare overhaul has allowed 2.5 million young adults to gain insurance coverage under their parents' plans, a figure that is more than double previous estimates. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654812 Wed, 01 Feb 2012 05:00:00 +0100 5654812 http://www.medworm.com/index.php?rid=5654811&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FProviders-generally-not-ready-for-electronic-remit%2FArticleStandard%2FArticle%2Fdetail%2F757589%3Fref%3D25 Savings of $4.5 billion over 10 years is the projection by the federal governement relative to a new rule to standardize electronic funds transfers. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654811 Wed, 01 Feb 2012 05:00:00 +0100 5654811 http://www.medworm.com/index.php?rid=5654810&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FLive-media-coverage-of-Supreme-Court-hearing-unlik%2FArticleStandard%2FArticle%2Fdetail%2F757587%3Fref%3D25 Supreme Court unlikely to allow live C-SPAN coverage of the five and half hour healthcare reform hearing, unfortunately. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654810 Wed, 01 Feb 2012 05:00:00 +0100 5654810 http://www.medworm.com/index.php?rid=5654809&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FCMMI-must-prove-programs-will-save-money%2FArticleStandard%2FArticle%2Fdetail%2F757579%3Fref%3D25 After drawing criticism from health reform opponents as a waste of money, the CMS Innovation Center must now justify its existence to Congress. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654809 Wed, 01 Feb 2012 05:00:00 +0100 5654809 http://www.medworm.com/index.php?rid=5654808&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FBusiness%2BStrategy%2FLogistics-of-bundled-payment%2FArticleStandard%2FArticle%2Fdetail%2F757588%3Fref%3D25 There's been a growing consensus among commerical plan executives and federal health officials that bundled payments are necessary, and have the potential to be a significant cost-saving strategy. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654808 Wed, 01 Feb 2012 05:00:00 +0100 5654808 http://www.medworm.com/index.php?rid=5654807&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FEncourage-lab-testing-to-confront-conditions-early%2FArticleStandard%2FArticle%2Fdetail%2F757582%3Fref%3D25 According to experts, improving accessibility to laboratory tests and results improves patient engagement in their health and could have significant cost saving implications for managed care. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5654807 Wed, 01 Feb 2012 05:00:00 +0100 5654807 http://www.medworm.com/index.php?rid=5602725&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHealth-Choice-increases-preventive-participation%2FArticleStandard%2FArticle%2Fdetail%2F756184%3Fref%3D25 Health Choice Arizona has instituted a new scheduling system to help it connect patients with appropriate community health resources on a timely basis. It wanted to find a way to help those members with the lowest incidence of preventive service completion quickly schedule their appointments. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5602725 Tue, 17 Jan 2012 05:00:00 +0100 5602725 http://www.medworm.com/index.php?rid=5591057&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FSpending-growth-slows-again%2FArticleStandard%2FArticle%2Fdetail%2F756182%3Fref%3D25 A slowing of the growth in use of healthcare goods and services contributed to a second year of slow health spending growth in 2010, according to federal analysts. A number of factors combined to make 2009 and 2010 the two slowest growth rates in 51-year history of National Health Expenditure Accounts estimates. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5591057 Sun, 15 Jan 2012 04:07:37 +0100 5591057 http://www.medworm.com/index.php?rid=5591056&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FEarn-their-trust-earn-their-cash%2FArticleStandard%2FArticle%2Fdetail%2F756181%3Fref%3D25 Managing consulting firm Peppers & Rogers Group released the results of its Trustability in Health Care study, which showed that consumers are willing to pay more for services from trustworthy health insurers. Respondents said they would be willing to pay on average $30 a month more to do business with a health insurer they trust, with some willing to pay up to $100 a month total (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5591056 Sun, 15 Jan 2012 04:07:37 +0100 5591056 http://www.medworm.com/index.php?rid=5591055&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHealth-Choice-increases-preventative-participation%2FArticleStandard%2FArticle%2Fdetail%2F756184%3Fref%3D25 Health Choice Arizona has instituted a new scheduling system to help it connect patients with appropriate community health resources on a timely basis. It wanted to find a way to help those members with the lowest incidence of preventive service completion quickly schedule their appointments. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5591055 Sun, 15 Jan 2012 04:07:37 +0100 5591055 http://www.medworm.com/index.php?rid=5591054&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCVS-buys-Health-Netrsquos-Medicare-PDP%2FArticleStandard%2FArticle%2Fdetail%2F756183%3Fref%3D25 One of the largest pharmacy benefits managers in the U.S. is about to get bigger. Health Net Inc. says it will sell its Medicare prescription-drug plan (PDP) business to CVS Caremark Corp. (CVS) for about $160 million in cash. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5591054 Sun, 15 Jan 2012 04:07:37 +0100 5591054 http://www.medworm.com/index.php?rid=5567147&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FSpecialty%2Bdrugs%2FEmployers-adopting-specialty-tiers%2FArticleStandard%2FArticle%2Fdetail%2F754368%3Fref%3D25 Employers got a lot more aggressive about managing specialty pharmacy costs in 2011, according to a new report by the Pharmacy Benefits Management Institute. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567147 Fri, 06 Jan 2012 05:00:00 +0100 5567147 http://www.medworm.com/index.php?rid=5567161&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHospital-systems-ACO-champions%2FArticleStandard%2FArticle%2Fdetail%2F754359%3Fref%3D25 Providers and payers appear to be moving steadily toward an accountable-care model of healthcare delivery, and competitive markets influence the development. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567161 Sun, 01 Jan 2012 05:00:00 +0100 5567161 http://www.medworm.com/index.php?rid=5567160&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FLaying-the-groundwork-for-exchanges%2FArticleStandard%2FArticle%2Fdetail%2F754367%3Fref%3D25 No one senses healthcare's urgency more than Steve Larsen, deputy administrator and director of the Center for Consumer Information and Insurance Oversight (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567160 Sun, 01 Jan 2012 05:00:00 +0100 5567160 http://www.medworm.com/index.php?rid=5567159&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFormulary%2FPreferred-networks-must-offer-access%2FArticleStandard%2FArticle%2Fdetail%2F754369%3Fref%3D25 There are a growing number of pharmacy network designs that include member savings for using "preferred" pharmacies, in addition to the savings gained from using "preferred" drugs (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567159 Sun, 01 Jan 2012 05:00:00 +0100 5567159 http://www.medworm.com/index.php?rid=5567158&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FRotating%2BFeature%2FCoordination-for-duals-long-overdue%2FArticleStandard%2FArticle%2Fdetail%2F754358%3Fref%3D25 Difficult political decisions are needed to create high-quality, coordinated-care systems for dual eligibles. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567158 Sun, 01 Jan 2012 05:00:00 +0100 5567158 http://www.medworm.com/index.php?rid=5567157&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FConsumers%2FTransparency-will-influence-how-members-choose-pro%2FArticleStandard%2FArticle%2Fdetail%2F754366%3Fref%3D25 Some plans are unable to disclose negotiated provider rates, but members need the data. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567157 Sun, 01 Jan 2012 05:00:00 +0100 5567157 http://www.medworm.com/index.php?rid=5567156&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FInsurers-seek-measures-to-manage-MLRs%2FArticleStandard%2FArticle%2Fdetail%2F754363%3Fref%3D25 In healthcare's dire situation, cutting back benefits and services is simply not an option, and managed care organizations are expected to rein in costs some other way. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567156 Sun, 01 Jan 2012 05:00:00 +0100 5567156 http://www.medworm.com/index.php?rid=5567155&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FBusiness%2BStrategy%2FCost-pressures-bite-into-dental-packages%2FArticleStandard%2FArticle%2Fdetail%2F754370%3Fref%3D25 With employers feeling ever more price pressure, it's no wonder their workers are paying more for dental and vision (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567155 Sun, 01 Jan 2012 05:00:00 +0100 5567155 http://www.medworm.com/index.php?rid=5567154&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FBe-mindful-of-state-law-regarding-arbitration-clau%2FArticleStandard%2FArticle%2Fdetail%2F754357%3Fref%3D25 Despite the Federal Arbitration Act's general rule favoring arbitration provisions in written agreements, state laws may pose challenges for health insurers. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567154 Sun, 01 Jan 2012 05:00:00 +0100 5567154 http://www.medworm.com/index.php?rid=5567153&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FMLR-rule-symbolic-at-best%2FArticleStandard%2FArticle%2Fdetail%2F754364%3Fref%3D25 The market can self-correct, and MLR rules will soon be recognized only as administrative hoops that plans must jump through. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567153 Sun, 01 Jan 2012 05:00:00 +0100 5567153 http://www.medworm.com/index.php?rid=5567152&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FTavenner-nomination-will-test-Congressional-action%2FArticleStandard%2FArticle%2Fdetail%2F754371%3Fref%3D25 The Obama administration has selected Marilyn Tavenner, but she faces an uphill climb for Congressional approval (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567152 Sun, 01 Jan 2012 05:00:00 +0100 5567152 http://www.medworm.com/index.php?rid=5567151&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FNCQA-accreditation-provides-roadmap-to-accountable%2FArticleStandard%2FArticle%2Fdetail%2F754362%3Fref%3D25 ACOs will be expected to have accreditation as a minimum standard. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567151 Sun, 01 Jan 2012 05:00:00 +0100 5567151 http://www.medworm.com/index.php?rid=5567150&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FConnection-gives-local-plans-advantages%2FArticleStandard%2FArticle%2Fdetail%2F754361%3Fref%3D25 Advocates for community-based plans are driving the message that they can and do provide value. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567150 Sun, 01 Jan 2012 05:00:00 +0100 5567150 http://www.medworm.com/index.php?rid=5567149&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FStakeholders-move-on-PPACA-initiatives%2FArticleStandard%2FArticle%2Fdetail%2F754365%3Fref%3D25 While the politicians campaign, the federal government will continue to roll out the programs created by the Patient Protection and Affordable Care Act (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567149 Sun, 01 Jan 2012 05:00:00 +0100 5567149 http://www.medworm.com/index.php?rid=5567148&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FOsteoporosis-treatments-have-several-dosing-option%2FArticleStandard%2FArticle%2Fdetail%2F754360%3Fref%3D25 Osteoporosis and low bone density affect about 44 million Americans. Bisphosphonate treatment can reduce the risk of fractures in people with osteoporosis by 40% to 50%. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5567148 Sun, 01 Jan 2012 05:00:00 +0100 5567148 http://www.medworm.com/index.php?rid=5499925&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FBCBSNC-Invests-in-Prime-Therapeutics%2FArticleStandard%2FArticle%2Fdetail%2F752512%3Fref%3D25 Prime Therapeutics (Prime) will administer pharmacy benefits for Blue Cross and Blue Shield of North Carolina (BCBSNC) commercial customers staring in April next year. The companies say the move will result in lower pharmacy costs for BCBSNC customers and more flexibility regarding services and programs. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5499925 Wed, 14 Dec 2011 04:21:10 +0100 5499925 http://www.medworm.com/index.php?rid=5499924&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCovering-Obesity-Counseling%2FArticleStandard%2FArticle%2Fdetail%2F752511%3Fref%3D25 Nearly a third of the Medicare population is obese, which leads to more serious health problems that are expensive to treat. The Centers for Medicare & Medicaid Services (CMS) have decided to cover obesity screening and counseling as a preventative measure, but are primary care physicians equipped to provide such services? (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5499924 Wed, 14 Dec 2011 04:21:10 +0100 5499924 http://www.medworm.com/index.php?rid=5499923&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FNCQA-Nonprofit-Health-Plans-Provide-Better-Quality%2FArticleStandard%2FArticle%2Fdetail%2F752509%3Fref%3D25 Most top-quality health plans in the U.S. are offered by nonprofit organizations, says Bruce McPherson, president and CEO of Alliance for Advancing Nonprofit Health Care. He bases that claim on 2011 rankings recently released by the National Committee for Quality Assurance (NCQA) (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5499923 Wed, 14 Dec 2011 04:21:10 +0100 5499923 http://www.medworm.com/index.php?rid=5499922&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCombatting-Cancer-and-Malnourishment%2FArticleStandard%2FArticle%2Fdetail%2F752510%3Fref%3D25 Cancer drives healthcare costs — to the tune of $124 billion on cancer drugs in 2010 alone — according to Medco, a pharmacy benefit manager. But nutritional counseling of cancer patients is often ignored, even though by some estimates most cancer patients will develop clinical malnutrition. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5499922 Wed, 14 Dec 2011 04:21:10 +0100 5499922 http://www.medworm.com/index.php?rid=5472874&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FStatistics%2FData-sharing-will-reduce-variation%2FArticleStandard%2FArticle%2Fdetail%2F750637%3Fref%3D25 When it comes to predicting geographic variations in cost, what's true for Medicare doesn't necessarily hold for the commercial populations. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472874 Mon, 05 Dec 2011 03:54:10 +0100 5472874 http://www.medworm.com/index.php?rid=5472892&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FMedical-homes-move-to-real-world-implementation%2FArticleStandard%2FArticle%2Fdetail%2F750641%3Fref%3D25 Patient-centered medical homes (PCMHs) are gaining traction with increasing support from health plans, based on their promise to lower costs. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472892 Thu, 01 Dec 2011 05:00:00 +0100 5472892 http://www.medworm.com/index.php?rid=5472891&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FMedicaid-and-CHIP-will-overshadow-Medicare%2FArticleStandard%2FArticle%2Fdetail%2F750639%3Fref%3D25 It is important to consider the impact the federally mandated coverage provisions might have on enrollment. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472891 Thu, 01 Dec 2011 05:00:00 +0100 5472891 http://www.medworm.com/index.php?rid=5472890&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FCould-managed-care-outlive-the-backlash-of-the-pas%2FArticleStandard%2FArticle%2Fdetail%2F750631%3Fref%3D25 Perhaps so, as federal and state programs look more to private insurers to help control spending. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472890 Thu, 01 Dec 2011 05:00:00 +0100 5472890 http://www.medworm.com/index.php?rid=5472889&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FQuality-programs-best-served-with-clinical-data-an%2FArticleStandard%2FArticle%2Fdetail%2F750634%3Fref%3D25 Paying for performance will cause many health plans to rethink how they contract with provider networks, and experts say there are tremendous changes ahead. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472889 Thu, 01 Dec 2011 05:00:00 +0100 5472889 http://www.medworm.com/index.php?rid=5472888&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FPlans-make-coverage-decisions-in-light-of-PSA-test%2FArticleStandard%2FArticle%2Fdetail%2F750644%3Fref%3D25 The U.S. Preventive Services Task Force (USPSTF) is no longer recommending the prostate-specific antigen (PSA) screening test for healthy men (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472888 Thu, 01 Dec 2011 05:00:00 +0100 5472888 http://www.medworm.com/index.php?rid=5472887&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FCoverage-policy-for-genetic-tests-should-reflect-c%2FArticleStandard%2FArticle%2Fdetail%2F750643%3Fref%3D25 Adding to the complexity is the emerging science of smart medicine, that is, the delivery of effective care based on personal attributes of the patient (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472887 Thu, 01 Dec 2011 05:00:00 +0100 5472887 http://www.medworm.com/index.php?rid=5472886&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FFor-improved-community-health-one-just-has-to-have%2FArticleStandard%2FArticle%2Fdetail%2F750647%3Fref%3D25 Hospital systems are partnering with church and community-based organizations to extend their reach into neighborhoods where access can might be problematic. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472886 Thu, 01 Dec 2011 05:00:00 +0100 5472886 http://www.medworm.com/index.php?rid=5472885&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FStates-push-forward-on-exchanges%2FArticleStandard%2FArticle%2Fdetail%2F750646%3Fref%3D25 Industry experts say although it seems early for states to establish insurance exchanges, they shouldn't risk waiting too long. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472885 Thu, 01 Dec 2011 05:00:00 +0100 5472885 http://www.medworm.com/index.php?rid=5472884&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHIPAA%2FSecondary-use-of-health-data-increases-security-ri%2FArticleStandard%2FArticle%2Fdetail%2F750636%3Fref%3D25 Patient privacy remains a key issue for health plans, according to a new survey conducted by PricewaterhouseCoopers (PwC). (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472884 Thu, 01 Dec 2011 05:00:00 +0100 5472884 http://www.medworm.com/index.php?rid=5472883&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHistoric-judgments-now-on-the-docket%2FArticleStandard%2FArticle%2Fdetail%2F750635%3Fref%3D25 As expected, the Supreme Court will decide if key provisions of the healthcare overhaul law violate the Constitution. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472883 Thu, 01 Dec 2011 05:00:00 +0100 5472883 http://www.medworm.com/index.php?rid=5472882&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHospitals-can-reduce-care-costs-by-using-more-oral%2FArticleStandard%2FArticle%2Fdetail%2F750645%3Fref%3D25 Switching patients from intravenous drugs to pill forms of the same drugs could safely save millions (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472882 Thu, 01 Dec 2011 05:00:00 +0100 5472882 http://www.medworm.com/index.php?rid=5472881&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FStatistics%2FMore-employers-opt-to-self-insure%2FArticleStandard%2FArticle%2Fdetail%2F750632%3Fref%3D25 While health plans might point to legislation and expansion of public programs as a hindrance, an increase in administrative services only (ASO) arrangements is taking a bite out of the business as well (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472881 Thu, 01 Dec 2011 05:00:00 +0100 5472881 http://www.medworm.com/index.php?rid=5472880&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealthcare%2BReform%2FRisk-adjustment-calls-for-deep-dive-into-data%2FArticleStandard%2FArticle%2Fdetail%2F750630%3Fref%3D25 Medicare Advantage plans are evaluating best practices in risk adjustment for the upcoming health exchanges and accountable care organizations. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472880 Thu, 01 Dec 2011 05:00:00 +0100 5472880 http://www.medworm.com/index.php?rid=5472879&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FRotating%2BFeature%2FRoundtable-Private-market-ACOs%2FArticleStandard%2FArticle%2Fdetail%2F750633%3Fref%3D25 The advent of ACOs will reshape healthcare delivery, however, the commercial market is positioned to drive the revolution much faster. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472879 Thu, 01 Dec 2011 05:00:00 +0100 5472879 http://www.medworm.com/index.php?rid=5472878&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FPositive-outlook-for-managed-care-stocks-in-2012%2FArticleStandard%2FArticle%2Fdetail%2F750642%3Fref%3D25 Lower utilization and steady service costs bode well for managed care overall. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472878 Thu, 01 Dec 2011 05:00:00 +0100 5472878 http://www.medworm.com/index.php?rid=5472877&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FWellness-programs-integral-to-cost-savings%2FArticleStandard%2FArticle%2Fdetail%2F750629%3Fref%3D25 To fight the rising cost of healthcare, some companies are cutting back but, it doesn't help employees become healthier. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472877 Thu, 01 Dec 2011 05:00:00 +0100 5472877 http://www.medworm.com/index.php?rid=5472876&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FSpecialty%2Bdrugs%2FSpecialty-tier-falling-out-of-favor%2FArticleStandard%2FArticle%2Fdetail%2F750638%3Fref%3D25 Introducing a specialty drug tier to the formulary raises a red flag on access issues. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472876 Thu, 01 Dec 2011 05:00:00 +0100 5472876 http://www.medworm.com/index.php?rid=5472875&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FProducts-sold-in-private-exchanges-will-deliver-en%2FArticleStandard%2FArticle%2Fdetail%2F750640%3Fref%3D25 Private exchanges are moving aggressively to address the challenges of providing quality healthcare at an affordable price, according to experts. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5472875 Thu, 01 Dec 2011 05:00:00 +0100 5472875 http://www.medworm.com/index.php?rid=5415758&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FThe-Right-Medicines-for-Different-Genes%2FArticleStandard%2FArticle%2Fdetail%2F748575%3Fref%3D25 The Archon Genomics X PRIZE presented by Medco will measure teams on accuracy, cost, speed and completeness of genome sequencing. The goal is to push the industry to develop, more accurate, faster and more cost effective sequencing technologies. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5415758 Thu, 17 Nov 2011 05:00:00 +0100 5415758 http://www.medworm.com/index.php?rid=5453160&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FExclusives%2FKaren-Davis-to-step-down-from-Commonwealth-Fund%2FArticleStandard%2FArticle%2Fdetail%2F750487%3Fref%3D25 Davis leaves a legacy of health policy research and practical improvments (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5453160 Tue, 15 Nov 2011 05:00:00 +0100 5453160 http://www.medworm.com/index.php?rid=5415760&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FGet-Schooled-on-Lowering-Costs%2FArticleStandard%2FArticle%2Fdetail%2F748572%3Fref%3D25 Two University of Michigan (UM) developed healthcare initiatives were recommended to the U.S. Secretary of Health and Human Services in an Institute of Medicine report about the future of the nation’s healthcare. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5415760 Tue, 15 Nov 2011 05:00:00 +0100 5415760 http://www.medworm.com/index.php?rid=5415759&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FMedication-Adherence-Poses-Challenges%2FArticleStandard%2FArticle%2Fdetail%2F748574%3Fref%3D25 Medicare Advantage plans may have a difficult time attaining four- and five-star ratings under the Centers for Medicare & Medicaid Services’ (CMS) Five-Star Quality Rating System if they don’t keep up with the system’s changes. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5415759 Tue, 15 Nov 2011 05:00:00 +0100 5415759 http://www.medworm.com/index.php?rid=5372328&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FMHE-2012-Editorial-Calendar%2FArticleStandard%2FArticle%2Fdetail%2F747267%3Fref%3D25 Editorial content subject to change (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5372328 Fri, 04 Nov 2011 04:00:00 +0100 5372328 http://www.medworm.com/index.php?rid=5394684&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FAdvanced-call-center-models-measure-more-than-just%2FArticleStandard%2FArticle%2Fdetail%2F747555%3Fref%3D25 The interface for health plan member services must keep up with new demands. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394684 Tue, 01 Nov 2011 04:00:00 +0100 5394684 http://www.medworm.com/index.php?rid=5394683&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FExecutive%2BProfile%2FWindow-to-the-marketplace%2FArticleStandard%2FArticle%2Fdetail%2F747558%3Fref%3D25 The industry's database of usual-and-customary charge information is a transparent, public information source called FAIR Health. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394683 Tue, 01 Nov 2011 04:00:00 +0100 5394683 http://www.medworm.com/index.php?rid=5394682&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FROI%2FInvesting-in-providers%2FArticleStandard%2FArticle%2Fdetail%2F747548%3Fref%3D25 Large health insurers are expanding, diversifying and strategically acquiring on the provider side (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394682 Tue, 01 Nov 2011 04:00:00 +0100 5394682 http://www.medworm.com/index.php?rid=5394681&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCosts-will-influence-essential-benefits%2FArticleStandard%2FArticle%2Fdetail%2F747561%3Fref%3D25 The Obama administration has moved one step closer to defining the healthcare services insurers will have to offer in exchanges. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394681 Tue, 01 Nov 2011 04:00:00 +0100 5394681 http://www.medworm.com/index.php?rid=5394680&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FReimbursement%2FMember-attitudes-influence-prescribing%2FArticleStandard%2FArticle%2Fdetail%2F747560%3Fref%3D25 Every day physicians have to walk a fine line between undertreating and overtreating patients (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394680 Tue, 01 Nov 2011 04:00:00 +0100 5394680 http://www.medworm.com/index.php?rid=5394679&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FFive-star-quality-scoring-becoming-gold-standard%2FArticleStandard%2FArticle%2Fdetail%2F747551%3Fref%3D25 The 2012 Medicare Advantage average overall plan rating is 3.44 stars, up from 3.18 stars last year. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394679 Tue, 01 Nov 2011 04:00:00 +0100 5394679 http://www.medworm.com/index.php?rid=5394678&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FSupreme-Court-will-rule-on-individual-mandate%2FArticleStandard%2FArticle%2Fdetail%2F747552%3Fref%3D25 Most observers recognize that the U.S. Supreme Court will likely have the last say on the individual mandate. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394678 Tue, 01 Nov 2011 04:00:00 +0100 5394678 http://www.medworm.com/index.php?rid=5394677&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FMember%2Bservice%2FDispel-myths-among-members-who-fail-to-get-their-f%2FArticleStandard%2FArticle%2Fdetail%2F747553%3Fref%3D25 The biggest challenge health insurers face each year is convincing members to get their flu shots. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394677 Tue, 01 Nov 2011 04:00:00 +0100 5394677 http://www.medworm.com/index.php?rid=5394676&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FPlans-re-evaluate-their-COPD-programs-in-light-of-%2FArticleStandard%2FArticle%2Fdetail%2F747547%3Fref%3D25 New drugs to treat chronic obstructive pulmonary disease have increased treatment options. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394676 Tue, 01 Nov 2011 04:00:00 +0100 5394676 http://www.medworm.com/index.php?rid=5394675&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FMedicare-Advantage-grows-in-size-percentage-of-tot%2FArticleStandard%2FArticle%2Fdetail%2F747557%3Fref%3D25 Enrollment in Medicare Advantage plans climbed this year, despite the fact that payment rates were frozen (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394675 Tue, 01 Nov 2011 04:00:00 +0100 5394675 http://www.medworm.com/index.php?rid=5394674&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FCompetition%2FAggressive-cost-containment%2FArticleStandard%2FArticle%2Fdetail%2F747549%3Fref%3D25 Facing utilization and cost growth, health plans are trying a variety of aggressive approaches to curb inappropriate use (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394674 Tue, 01 Nov 2011 04:00:00 +0100 5394674 http://www.medworm.com/index.php?rid=5394673&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FInsurers-face-aggressive-premium-rate-review%2FArticleStandard%2FArticle%2Fdetail%2F747556%3Fref%3D25 To assist states in evaluating and challenging premium rate increases, HHS awarded additional funds. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394673 Tue, 01 Nov 2011 04:00:00 +0100 5394673 http://www.medworm.com/index.php?rid=5394672&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FHospitals-struggle-to-measure-efficiencies%2FArticleStandard%2FArticle%2Fdetail%2F747554%3Fref%3D25 Hospitals are frustrated with proposed policy changes that would alter payment systems. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394672 Tue, 01 Nov 2011 04:00:00 +0100 5394672 http://www.medworm.com/index.php?rid=5394671&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FTighter-coverage-restrictions-certain-for-costly-t%2FArticleStandard%2FArticle%2Fdetail%2F747550%3Fref%3D25 Blue Shield California will no longer pay for the use of Avastin to treat metastatic breast cancer. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394671 Tue, 01 Nov 2011 04:00:00 +0100 5394671 http://www.medworm.com/index.php?rid=5394670&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FDrug%2BClass%2BOverview%2FMigraines-can-be-managed-with-preventive-therapies%2FArticleStandard%2FArticle%2Fdetail%2F747559%3Fref%3D25 Several different classes of medications are used to prevent migraine attacks. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5394670 Tue, 01 Nov 2011 04:00:00 +0100 5394670 http://www.medworm.com/index.php?rid=5372329&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FExclusives%2FHealthSpring-a-good-fit-for-Cigna%2FArticleStandard%2FArticle%2Fdetail%2F746183%3Fref%3D25 Cigna recognizes potential of Medicare Advantage market (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5372329 Thu, 27 Oct 2011 04:00:00 +0100 5372329 http://www.medworm.com/index.php?rid=5320206&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FBCBSNC-to-Cover-Practicesrsquo-EHR-Costs%2FArticleStandard%2FArticle%2Fdetail%2F744095%3Fref%3D25 Blue Cross and Blue Shield of North Carolina will cover 85% of the EHR software and setup costs for 600 physicians in eligible independent practices and 100% of the costs for 39 eligible free clinics over the next five years (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320206 Sun, 16 Oct 2011 04:00:00 +0100 5320206 http://www.medworm.com/index.php?rid=5320211&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FInsurers-Turn-Over-Claims-Data%2FArticleStandard%2FArticle%2Fdetail%2F744094%3Fref%3D25 Aetna, Humana, Kaiser Permanente and the UnitedHeath Group will provide data for more than 5 billion medical claims to the Health Care Cost Institute (HCCI) to offer new insights into healthcare costs, utilization, and intensity. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320211 Fri, 14 Oct 2011 04:00:00 +0100 5320211 http://www.medworm.com/index.php?rid=5320210&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHAP-Acquires-MHP-for-Medicaid-Access%2FArticleStandard%2FArticle%2Fdetail%2F744092%3Fref%3D25 Health Alliance Plan (HAP) will acquire Midwest Health Plan (MHP), a for-profit Medicaid HMO with 74,000 members based in Dearborn, MI (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320210 Fri, 14 Oct 2011 04:00:00 +0100 5320210 http://www.medworm.com/index.php?rid=5320209&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCIGNA-Acquires-UK-Foothold%2FArticleStandard%2FArticle%2Fdetail%2F744093%3Fref%3D25 Cigna will acquire FirstAssist Insurance Services, a travel and protection insurance company based in the United Kingdom, from Barclays Private Equity. The acquisition will add a new product line to Cigna's global portfolio, enabling the company to expand its individual business. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320209 Fri, 14 Oct 2011 04:00:00 +0100 5320209 http://www.medworm.com/index.php?rid=5320208&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FLose-Weight-Save-Medicare-35-Billion%2FArticleStandard%2FArticle%2Fdetail%2F744091%3Fref%3D25 A 10% weight loss in patients age 60 to 64 may be able to provide Medicare savings of $8 billion over 10 years and $35 billion over their lifetime, according to Kenneth E. Thorpe, PhD. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320208 Fri, 14 Oct 2011 04:00:00 +0100 5320208 http://www.medworm.com/index.php?rid=5320207&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FPremiums-Up-9-in-2011%2FArticleStandard%2FArticle%2Fdetail%2F744090%3Fref%3D25 Annual premiums for employer-sponsored family health coverage increased 9% from last year, according to the Kaiser Family Foundation/Health Research & Educational Trust 2011 Employer Health Benefits Survey. That's more than four times the average increase in workers' wages and nearly triple the rate of inflation. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5320207 Fri, 14 Oct 2011 04:00:00 +0100 5320207 http://www.medworm.com/index.php?rid=5372330&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FExclusives%2FAMCP-announces-new-CEO%2FArticleStandard%2FArticle%2Fdetail%2F746184%3Fref%3D25 Edith Rosato will take over for long-time CEO Judith Cahill, who announced retirement plans earlier this year. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5372330 Sat, 01 Oct 2011 04:00:00 +0100 5372330 http://www.medworm.com/index.php?rid=5291519&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Medicare-models%2FArticleStandard%2FArticle%2Fdetail%2F743105%3Fref%3D25 Proposals aimed at cutting Medicare costs have called for major changes in the program, including a shift from the current defined-benefit structure to a defined-contribution plan. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291519 Sat, 01 Oct 2011 04:00:00 +0100 5291519 http://www.medworm.com/index.php?rid=5291518&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Coverage-mandate%2FArticleStandard%2FArticle%2Fdetail%2F743111%3Fref%3D25 Employers of all sizes will offer health insurance to workers in the next decade. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291518 Sat, 01 Oct 2011 04:00:00 +0100 5291518 http://www.medworm.com/index.php?rid=5291517&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Spending-trend%2FArticleStandard%2FArticle%2Fdetail%2F743103%3Fref%3D25 Readers generally predict an 8% healthcare spending trend overall. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291517 Sat, 01 Oct 2011 04:00:00 +0100 5291517 http://www.medworm.com/index.php?rid=5291516&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Winners-amp-Losers%2FArticleStandard%2FArticle%2Fdetail%2F743110%3Fref%3D25 Take a pause and determine where the PPACA fallout will be. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291516 Sat, 01 Oct 2011 04:00:00 +0100 5291516 http://www.medworm.com/index.php?rid=5291515&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FState-of-the-Industry-2012-Member-messages%2FArticleStandard%2FArticle%2Fdetail%2F743107%3Fref%3D25 While social networking has become a dominant trend, its impact on healthcare had, to date, been fairly limited. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291515 Sat, 01 Oct 2011 04:00:00 +0100 5291515 http://www.medworm.com/index.php?rid=5291514&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-ACO-forecast%2FArticleStandard%2FArticle%2Fdetail%2F743106%3Fref%3D25 The attention accountable care organizations have received indicates their importance, but the reality has yet to be determined (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291514 Sat, 01 Oct 2011 04:00:00 +0100 5291514 http://www.medworm.com/index.php?rid=5291513&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Halting-fraud%2FArticleStandard%2FArticle%2Fdetail%2F743102%3Fref%3D25 Staying one step ahead of fraud is extremely difficult, if not outright impossible. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291513 Sat, 01 Oct 2011 04:00:00 +0100 5291513 http://www.medworm.com/index.php?rid=5291512&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Medicaid-models%2FArticleStandard%2FArticle%2Fdetail%2F743100%3Fref%3D25 The suggestion to convert Medicaid funding to block grants has been around since the Reagan administration, but the issue has arisen again as part of federal debt discussions. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291512 Sat, 01 Oct 2011 04:00:00 +0100 5291512 http://www.medworm.com/index.php?rid=5291511&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-ICD-10%2FArticleStandard%2FArticle%2Fdetail%2F743109%3Fref%3D25 Healthcare organizations are dragging their feet on the ICD-10 transition, and few are ready for the October 1, 2013, changeover. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291511 Sat, 01 Oct 2011 04:00:00 +0100 5291511 http://www.medworm.com/index.php?rid=5291510&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Legal-questions%2FArticleStandard%2FArticle%2Fdetail%2F743108%3Fref%3D25 The main issue surrounding the constitutionality of the Patient Protection and Affordable Care act is whether the individual mandate provision is a legally permissible. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291510 Sat, 01 Oct 2011 04:00:00 +0100 5291510 http://www.medworm.com/index.php?rid=5291509&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Plan-pain-points%2FArticleStandard%2FArticle%2Fdetail%2F743099%3Fref%3D25 The challenge of reining in the unsustainable pattern of cost infllation will get tougher in coming years, especially given that insurers will be required to pay premium taxes (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291509 Sat, 01 Oct 2011 04:00:00 +0100 5291509 http://www.medworm.com/index.php?rid=5291508&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FState-of-the-Industry-2012-Insurance-exchanges%2FArticleStandard%2FArticle%2Fdetail%2F743101%3Fref%3D25 Commercial insurers that are expected to participate in exchanges will see a rise in enrollment. However, many enrollees will have complex, neglected medical conditions. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5291508 Sat, 01 Oct 2011 04:00:00 +0100 5291508 http://www.medworm.com/index.php?rid=5266981&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FInsurers-must-up-their-game-to-reach-a-new-generat%2FArticleStandard%2FArticle%2Fdetail%2F741529%3Fref%3D25 The author considers his 21-year-old daughter's needs when discussing health plan desires for Gen Y (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266981 Fri, 30 Sep 2011 05:11:07 +0100 5266981 http://www.medworm.com/index.php?rid=5266980&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealthcare%2BReform%2FWithout-a-team-of-pharmacists-your-ACO-will-be-inc%2FArticleStandard%2FArticle%2Fdetail%2F741517%3Fref%3D25 Perhaps the tide will turn as accountable care organizations and patient-centered medical homes make inroads. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266980 Fri, 30 Sep 2011 05:11:07 +0100 5266980 http://www.medworm.com/index.php?rid=5266979&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FGain-insight-into-member-needs-with-social-media-t%2FArticleStandard%2FArticle%2Fdetail%2F741525%3Fref%3D25 Social media began as a one-way street, but all that is changing. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266979 Fri, 30 Sep 2011 05:11:07 +0100 5266979 http://www.medworm.com/index.php?rid=5266978&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FDiabetes-ripple-effect-more-costly-than-most-membe%2FArticleStandard%2FArticle%2Fdetail%2F741527%3Fref%3D25 Health plan spending has been driven by the costs of diabetes and its associated conditions. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266978 Fri, 30 Sep 2011 05:11:07 +0100 5266978 http://www.medworm.com/index.php?rid=5266977&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FHHS-grants-five-states-breathing-room-on-MLRs%2FArticleStandard%2FArticle%2Fdetail%2F741528%3Fref%3D25 Individuals could see a decline in coverage options as insurers struggle to meet medical loss ratio standards established by the Patient Protection and Affordable Care Act. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266977 Fri, 30 Sep 2011 05:11:07 +0100 5266977 http://www.medworm.com/index.php?rid=5266976&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FSpecialty-drug-coverage-undefined-for-essential-be%2FArticleStandard%2FArticle%2Fdetail%2F741514%3Fref%3D25 Four-tier formularies have emerged as one method to control the rising costs associated with specialty pharmaceuticals. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266976 Fri, 30 Sep 2011 05:11:07 +0100 5266976 http://www.medworm.com/index.php?rid=5266975&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FCO-OP-plans-need-capital-intellectual-investment%2FArticleStandard%2FArticle%2Fdetail%2F741526%3Fref%3D25 The Consumer Oriented and Operated Plan program is designed to foster consumer-governed, private, nonprofit health insurers in every state (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266975 Fri, 30 Sep 2011 05:11:07 +0100 5266975 http://www.medworm.com/index.php?rid=5266974&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCentral-hub-to-monitor-doctor-shopping%2FArticleStandard%2FArticle%2Fdetail%2F741523%3Fref%3D25 The National Association of Boards of Pharmacy has developed a platform for sharing prescription monitoring programs (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266974 Fri, 30 Sep 2011 05:11:07 +0100 5266974 http://www.medworm.com/index.php?rid=5266973&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FDrug%2Bcompliance%2FFraudulent-claims-can-drain-billions-from-pharmacy%2FArticleStandard%2FArticle%2Fdetail%2F741519%3Fref%3D25 Illegal drug diversion and distribution costs public and private insurers an estimated $72.5 billion a year, according to a 2007 study. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266973 Fri, 30 Sep 2011 05:11:07 +0100 5266973 http://www.medworm.com/index.php?rid=5266972&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FCompetition%2FMember-service-must-aim-toward-individual-experien%2FArticleStandard%2FArticle%2Fdetail%2F741515%3Fref%3D25 Insurers must invent new healthcare solutions to be competitive in the market emerging under the Patient Protection and Affordable Care Act, according to a new report. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266972 Fri, 30 Sep 2011 05:11:07 +0100 5266972 http://www.medworm.com/index.php?rid=5266971&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHospitals%2B%2526%2BProviders%2BStrategy%2FQuell-elective-early-deliveries-with-reimbursement%2FArticleStandard%2FArticle%2Fdetail%2F741516%3Fref%3D25 Pregnancies lasting at least 39 weeks have better outcomes than elective induction or caesarian section occurring earlier in the pregnancy (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266971 Fri, 30 Sep 2011 05:11:07 +0100 5266971 http://www.medworm.com/index.php?rid=5266970&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FCompetition%2FRegulators-review-market-consolidation%2FArticleStandard%2FArticle%2Fdetail%2F741521%3Fref%3D25 A wave of consolidation among providers is being blamed for driving up costs. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266970 Fri, 30 Sep 2011 05:11:07 +0100 5266970 http://www.medworm.com/index.php?rid=5266969&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FDrug%2Bcompliance%2FDrug-trends-vary-by-age-group%2FArticleStandard%2FArticle%2Fdetail%2F741520%3Fref%3D25 While drug trend increased a manageable 3.7% last year, the number masks some dramatic differences in cost and utilization by age group. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266969 Fri, 30 Sep 2011 05:11:07 +0100 5266969 http://www.medworm.com/index.php?rid=5266968&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FPlans-begin-ACO-development-in-commercial-markets%2FArticleStandard%2FArticle%2Fdetail%2F741524%3Fref%3D25 Large health plans across the country are diving into accountable care with some degree of success. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266968 Fri, 30 Sep 2011 05:11:07 +0100 5266968 http://www.medworm.com/index.php?rid=5266967&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FCapitalize-on-the-chance-to-create-superior-ACOs%2FArticleStandard%2FArticle%2Fdetail%2F741522%3Fref%3D25 The accountable care organization trend will be led by the commercial market with CMS scampering behind (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5266967 Fri, 30 Sep 2011 04:00:00 +0100 5266967 http://www.medworm.com/index.php?rid=5231421&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealthcare-Costs-Accelerate%2FArticleStandard%2FArticle%2Fdetail%2F739618%3Fref%3D25 Data released by S&P Indices for the S&P Healthcare Economic Composite Index indicate that the average per capita cost of healthcare services covered by commercial insurance and Medicare programs increased by 5.61% over the 12-months ending June 2011. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5231421 Mon, 19 Sep 2011 04:00:00 +0100 5231421 http://www.medworm.com/index.php?rid=5231424&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FStudy-Consolidation-Lowers-Hospital-Costs%2FArticleStandard%2FArticle%2Fdetail%2F739619%3Fref%3D25 Increased consolidation among health plans nationally may benefit consumers by lowering hospital prices, at least in those regions where health plans are the most consolidated, according to a new RAND Corporation study. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5231424 Thu, 15 Sep 2011 04:00:00 +0100 5231424 http://www.medworm.com/index.php?rid=5231423&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHow-to-Save-100-Billion%2FArticleStandard%2FArticle%2Fdetail%2F739617%3Fref%3D25 The Pharmaceutical Care Management Association (PCMA) sent a letter to the Joint Select Committee on Deficit Reduction that outlined greater use of pharmacy benefit management (PBM) tools to save more than $100 billion in prescription drug costs over the next 10 years. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5231423 Thu, 15 Sep 2011 04:00:00 +0100 5231423 http://www.medworm.com/index.php?rid=5231422&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealthcare-is-a-Hassle%2FArticleStandard%2FArticle%2Fdetail%2F739607%3Fref%3D25 A recent survey of uninsured Americans by Oliver Wyman shows they are eager for new healthcare products and services, but don't understand their options. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5231422 Thu, 15 Sep 2011 04:00:00 +0100 5231422 http://www.medworm.com/index.php?rid=5202338&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FPremium-variation-remains-wide-among-small-groups-%2FArticleStandard%2FArticle%2Fdetail%2F739098%3Fref%3D25 Premiums for small group insurance fall as size increases and companies gain economies of scale. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202338 Sun, 11 Sep 2011 01:55:01 +0100 5202338 http://www.medworm.com/index.php?rid=5202353&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FBlues-create-foothold-in-Medicaid-market%2FArticleStandard%2FArticle%2Fdetail%2F739107%3Fref%3D25 Two independent Blues plans have announced a strategic joint investment, expecting to capitalize on future opportunities in Medicaid business. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202353 Thu, 01 Sep 2011 04:00:00 +0100 5202353 http://www.medworm.com/index.php?rid=5202352&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FConsumers%2FDrug-discount-cards-might-work-against-payers-prog%2FArticleStandard%2FArticle%2Fdetail%2F739102%3Fref%3D25 Drug discount programs for consumers can drive high costs. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202352 Thu, 01 Sep 2011 04:00:00 +0100 5202352 http://www.medworm.com/index.php?rid=5202351&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FTechnology%2BStrategy%2FExchange-environment-brings-service-considerations%2FArticleStandard%2FArticle%2Fdetail%2F739109%3Fref%3D25 Insurance exchanges have an ultimate deadline of January 2014. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202351 Thu, 01 Sep 2011 04:00:00 +0100 5202351 http://www.medworm.com/index.php?rid=5202350&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FFDA-opens-discussion-on-guidance-for-companion-dia%2FArticleStandard%2FArticle%2Fdetail%2F739100%3Fref%3D25 FDA issued a new draft guidance to facilitate the development and review of companion diagnostics—tests used to help clinicians determine optimal pharmaceutical use. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202350 Thu, 01 Sep 2011 04:00:00 +0100 5202350 http://www.medworm.com/index.php?rid=5202349&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHospitals%2B%2526%2BProviders%2BStrategy%2FRules-for-independent-review-mirror-current-state-%2FArticleStandard%2FArticle%2Fdetail%2F739101%3Fref%3D25 Current state policies vary greatly, however, and new standards for external review could drive up costs (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202349 Thu, 01 Sep 2011 04:00:00 +0100 5202349 http://www.medworm.com/index.php?rid=5202348&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FWeight-loss-drugs-affect-appetite-and-fat-absorpti%2FArticleStandard%2FArticle%2Fdetail%2F739097%3Fref%3D25 A number of different diets are effective in producing some degree of weight loss; the significant issue is how to maintain weight loss over time. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202348 Thu, 01 Sep 2011 04:00:00 +0100 5202348 http://www.medworm.com/index.php?rid=5202347&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FIdentify-future-profit-pools-to-improve-performanc%2FArticleStandard%2FArticle%2Fdetail%2F739095%3Fref%3D25 Today, healthcare executives are contemplating what they must do to generate sustainable, profitable growth in the new healthcare environment. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202347 Thu, 01 Sep 2011 04:00:00 +0100 5202347 http://www.medworm.com/index.php?rid=5202346&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FPast-experience-will-make-FTC-wary-of-Medco-deal%2FArticleStandard%2FArticle%2Fdetail%2F739106%3Fref%3D25 When the Federal Trade Commission evaluates Express Scripts' intended acquisition of Medco, it might take a more meticulous look at the PBM market than it has in the past. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202346 Thu, 01 Sep 2011 04:00:00 +0100 5202346 http://www.medworm.com/index.php?rid=5202345&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FOpponents-bristle-at-IPABs-overly-broad-authority%2FArticleStandard%2FArticle%2Fdetail%2F739099%3Fref%3D25 Republicans are fairly united in seeking to kill the Independent Payment Advisory Board and have gained support from physicians, pharma, insurers, and some consumer groups. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202345 Thu, 01 Sep 2011 04:00:00 +0100 5202345 http://www.medworm.com/index.php?rid=5202344&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FBusiness%2BStrategy%2FAnother-brutal-year%2FArticleStandard%2FArticle%2Fdetail%2F739096%3Fref%3D25 With the continuation of double-digit rate increases and a shaky recovery from the recession, employers are running scared of what might happen next. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202344 Thu, 01 Sep 2011 04:00:00 +0100 5202344 http://www.medworm.com/index.php?rid=5202343&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FThought%2BLeadership%2FGlobally-mobile%2FArticleStandard%2FArticle%2Fdetail%2F739104%3Fref%3D25 In a year of stalled growth for many health insurers, CIGNA has seen its international revenue grow 30% (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202343 Thu, 01 Sep 2011 04:00:00 +0100 5202343 http://www.medworm.com/index.php?rid=5202342&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FCommittee-likely-to-recommend-super-cost-cuts-for-%2FArticleStandard%2FArticle%2Fdetail%2F739094%3Fref%3D25 The debt ceiling legislation finalized last month calls for significant reductions in federal spending over the next decade. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202342 Thu, 01 Sep 2011 04:00:00 +0100 5202342 http://www.medworm.com/index.php?rid=5202341&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FEconomic-data-supports-improved-vaccination-reimbu%2FArticleStandard%2FArticle%2Fdetail%2F739103%3Fref%3D25 As the focus of managed care strategy includes implementing preventative initiatives, it is critical not to overlook vaccines. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202341 Thu, 01 Sep 2011 04:00:00 +0100 5202341 http://www.medworm.com/index.php?rid=5202340&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FProvider%2Bnetworks%2FSmall-firms-want-individualized-attention%2FArticleStandard%2FArticle%2Fdetail%2F739108%3Fref%3D25 Health plans that want to please employers need to understand that cost is only one factor in determining employer satisfaction. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202340 Thu, 01 Sep 2011 04:00:00 +0100 5202340 http://www.medworm.com/index.php?rid=5202339&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FRecent-amendments-apply-standards-of-external-revi%2FArticleStandard%2FArticle%2Fdetail%2F739105%3Fref%3D25 Regulations were designed to provide uniform federal standards to govern consumers' right to appeal denials of claims or coverage by health plans. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5202339 Thu, 01 Sep 2011 04:00:00 +0100 5202339 http://www.medworm.com/index.php?rid=5136822&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FMedicare-Part-D-reduces-nondrug-medical-spending%2FArticleStandard%2FArticle%2Fdetail%2F735669%3Fref%3D25 ?Implementation of Medicare Part D and Nondrug Medical Spending for Elderly Adults With Limited Prior Drug Coverage? report finds that Part D implementation reduces nondrug medical spending for Medicare beneficiaries with limited prior drug coverage. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5136822 Tue, 16 Aug 2011 23:00:00 +0100 5136822 http://www.medworm.com/index.php?rid=5136825&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHealth-insurance-plans-to-cover-birth-control-at-1%2FArticleStandard%2FArticle%2Fdetail%2F735653%3Fref%3D25 New guidelines announced by the U.S. Department of Health and Human Services (HHS) require new health insurance plans to cover women?s preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a co-payment, co-insurance or a deductible (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5136825 Sun, 14 Aug 2011 23:00:00 +0100 5136825 http://www.medworm.com/index.php?rid=5136824&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FPlan-scientists-genotype-100000-members-DNA%2FArticleStandard%2FArticle%2Fdetail%2F735666%3Fref%3D25 Kaiser Permanente and University of California, San Francisco (UCSF) scientists have genotyped the DNA and analyzed the length of chromosome tips in more than 100,000 members. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5136824 Sun, 14 Aug 2011 23:00:00 +0100 5136824 http://www.medworm.com/index.php?rid=5136823&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FMembers-earn-250-for-wellness-activities%2FArticleStandard%2FArticle%2Fdetail%2F735668%3Fref%3D25 Pennsylvania?s HealthAmerica has announced the HealthAmericaOne Rewards program, which pays members for successfully completing health-promoting wellness activities. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5136823 Sun, 14 Aug 2011 23:00:00 +0100 5136823 http://www.medworm.com/index.php?rid=5129431&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FJournal-of-the-American-Medical-Association-JAMA-p%2FArticleStandard%2FArticle%2Fdetail%2F735669%3Fref%3D25 ?Implementation of Medicare Part D and Nondrug Medical Spending for Elderly Adults With Limited Prior Drug Coverage? report finds that Part D implementation reduces nondrug medical spending for Medicare beneficiaries with limited prior drug coverage. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5129431 Sun, 14 Aug 2011 23:00:00 +0100 5129431 http://www.medworm.com/index.php?rid=5129430&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FNew-HHS-guidelines-require-health-insurance-plans-%2FArticleStandard%2FArticle%2Fdetail%2F735653%3Fref%3D25 New guidelines announced by the U.S. Department of Health and Human Services (HHS) require new health insurance plans to cover women?s preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a co-payment, co-insurance or a deductible (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5129430 Sun, 14 Aug 2011 23:00:00 +0100 5129430 http://www.medworm.com/index.php?rid=5129429&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FHealthAmerica-pays-members-up-to-250-a-year-for-co%2FArticleStandard%2FArticle%2Fdetail%2F735668%3Fref%3D25 Pennsylvania?s HealthAmerica has announced the HealthAmericaOne Rewards program, which pays members for successfully completing health-promoting wellness activities. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5129429 Sun, 14 Aug 2011 23:00:00 +0100 5129429 http://www.medworm.com/index.php?rid=5129428&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FKaiser-Permanente-and-University-of-California-San%2FArticleStandard%2FArticle%2Fdetail%2F735666%3Fref%3D25 Kaiser Permanente and University of California, San Francisco (UCSF) scientists have genotyped the DNA and analyzed the length of chromosome tips in more than 100,000 members. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5129428 Sun, 14 Aug 2011 23:00:00 +0100 5129428 http://www.medworm.com/index.php?rid=5123676&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FExclusives%2FFAQs-AmeriHealth-Mercy-acquisition%2FArticleStandard%2FArticle%2Fdetail%2F735495%3Fref%3D25 On August 9, Independence Blue Cross and Blue Cross Blue Shield of Michigan announced their alignment (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5123676 Sun, 31 Jul 2011 23:00:00 +0100 5123676 http://www.medworm.com/index.php?rid=5075121&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FFor%2BYour%2BBenefit%2FConsider-modernizing-prior-auth-processes%2FArticleStandard%2FArticle%2Fdetail%2F732913%3Fref%3D25 There's a bill working its way through California that would require health plans to standardize their prior authorization paperwork. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075121 Fri, 29 Jul 2011 23:25:01 +0100 5075121 http://www.medworm.com/index.php?rid=5075120&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FStates-can-shape-exchange-details%2FArticleStandard%2FArticle%2Fdetail%2F732915%3Fref%3D25 A main theme of new rules for state-based health insurance exchanges is flexibility for states. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075120 Fri, 29 Jul 2011 23:25:01 +0100 5075120 http://www.medworm.com/index.php?rid=5075119&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FLetter%2Bof%2Bthe%2BLaw%2FConsider-how-exchange-rules-might-fit-with-your-st%2FArticleStandard%2FArticle%2Fdetail%2F732925%3Fref%3D25 A new wave of exchange guidance is about to hit from the Center for Consumer Information and Insurance Oversight (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075119 Fri, 29 Jul 2011 23:25:01 +0100 5075119 http://www.medworm.com/index.php?rid=5075118&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FHealth%252FDisease%2BStrategy%2FHealth-status-weighs-heavily-on-Mississippi-econom%2FArticleStandard%2FArticle%2Fdetail%2F732916%3Fref%3D25 Mississippi consistently ranks low in health measures. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075118 Fri, 29 Jul 2011 23:25:01 +0100 5075118 http://www.medworm.com/index.php?rid=5075117&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPolitics%2Band%2BPolicy%2FNew-approaches-sought-for-Medicare%2FArticleStandard%2FArticle%2Fdetail%2F732923%3Fref%3D25 Dual eligibles cost federal and state governments approximately $120 billion a year. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075117 Fri, 29 Jul 2011 23:25:01 +0100 5075117 http://www.medworm.com/index.php?rid=5075116&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FPharmacy%2BStrategy%2FHealth-plan-collaboration-helps-advance-e-Rx-initi%2FArticleStandard%2FArticle%2Fdetail%2F732918%3Fref%3D25 The Hitech Act of 2009 provides the requirements for meaningful use of an electronic health record, including transmitting 40% of prescriptions electronically. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075116 Fri, 29 Jul 2011 23:25:01 +0100 5075116 http://www.medworm.com/index.php?rid=5075115&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FRotating%2BFeature%2FCo-ops-await-launch-commands%2FArticleStandard%2FArticle%2Fdetail%2F732943%3Fref%3D25 Reform calls for establishment of the Consumer Operated and Oriented Plan, which permits new nonprofit insurers to offer plans in individual and small group markets (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075115 Fri, 29 Jul 2011 23:25:01 +0100 5075115 http://www.medworm.com/index.php?rid=5075114&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FNews%2BAnalysis%2FFew-agree-on-outlook-for-employer-coverage%2FArticleStandard%2FArticle%2Fdetail%2F732917%3Fref%3D25 Up to 30% of employers might drop employee coverage after 2014. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075114 Fri, 29 Jul 2011 23:25:01 +0100 5075114 http://www.medworm.com/index.php?rid=5075113&cid=s_31309_51_f&fid=31309&url=http%3A%2F%2Fmanagedhealthcareexecutive.modernmedicine.com%2Fmhe%2FManaged%2BCare%2BOutlook%2FTransition-toward-plain-language%2FArticleStandard%2FArticle%2Fdetail%2F732921%3Fref%3D25 A report shows that two out of five adult Americans have difficulty understanding the basic health information and services needed to make decisions. (Source: Managed Healthcare Executive Magazine Online) Managed Healthcare Executive Magazine Online news http://www.medworm.com/rss/comments.php?id=5075113 Fri, 29 Jul 2011 23:25:01 +0100 5075113