Managed Healthcare Executive Magazine Online
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Medica creates mobile app for comparing healthcare costs
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Medica releases iPhone app based on MainStreetMedica.com, which helps consumers compare costs of
medical procedures. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 17, 2009 Category: Health Management Source Type: info
CVS Caremark researches pharmacy benefit plan design
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CVS Caremark research finds $0 copay for generic medications can increase dispensing. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 16, 2009 Category: Health Management Source Type: info
MGMA research reflects importance of transparent, standardized processes
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Medical Group Management Association (MGMA) study highlights member satisfaction with major health
plans. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 16, 2009 Category: Health Management Source Type: info
BCBS Massachusetts contributed $1.6 billion to state economy
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An economic impact analysis found that Blue Cross Blue Shield of Massachusetts' (BCBSMA) contributed
nearly $1.6 billion to the Commonwealth?s economy. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 16, 2009 Category: Health Management Source Type: info
Rocky Mountain Health Plans to cover heavy babies
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Discovery of flaw in system leads Rocky Mountain Health Plans to change policy regarding coverage of
heavy babies. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 16, 2009 Category: Health Management Source Type: info
We're All In This Together
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UnitedHealth's Dr. Reed Tuckson believes managing the health of large populations and individuals
calls for the best in every stakeholder (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 7, 2009 Category: Health Management Source Type: info
Additional drug benefit possible
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Over the next 20 years, expect to see funky formularies and new drug benefit designs to manage
costs (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 4, 2009 Category: Health Management Source Type: info
Quality Models
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Sure, the integrated delivery model produces good outcomes and lower costs, but it's not applicable
everywhere, in spite of what politicians think (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Q&A with Seattle Children's Hospital Director of Environmental Services
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More healthcare facilities want to cut back on consumption to save money and save the
environment (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Exchanges would need local participation
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State-level insurance exchanges are more likely to thrive in the market by taking advantage of
integration (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Upper Midwest states report best performance measures
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Scorecard from the Commonwealth Fund notes stark gaps between best and worst performing
states (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Employer plan costs up 10% in a struggling US economy
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New survey shows financial pain for employers and employees with few good options to manage the
trend (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Deeper data points revealed in health risk assessments
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More data is better when it comes to health measurement and inspiration for wellness
programs (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Plans begin massive effort to reduce paperwork
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Eight Ohio health plans are participating in a pilot to streamline administration with hopes that
national efforts could come next (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Industry shoots holes in Senate reform legislation
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Coverage percentages in the high 90s needed to reach critical mass and spread risk (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
We're All In This Together
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UnitedHealth's Dr. Reed Tuckson believes managing the health of large populations and individuals
calls for the best in every stakeholder (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
To speed up transactions, there's no time like real time
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Physicians have historically been lacking in collecting on bad debt, and now the cost of tracking it
down might not be worth it (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
NCQA tracks plateau in quality yet increased reporting of measures
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Decades of quality improvement now giving way to a leveling off trend in many areas (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Encourage depression screening for all pregnant women
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Physicians must evaluate the use of antidepressant medications based on new guidelines from two
gynecological organizations (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Green initiatives growing among healthcare facilities
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Reducing water and electricity use can produce immediate savings for hospitals while recycling efforts
pay off in the longrun (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Final legislation tough to hammer out
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Congress is hard at work blending multiple bills while most believe reform will be enacted this
year (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Political maneuvering misses the point on rising costs
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Few are paying attention to the cost curve and the potential for state to enact their own reform
measures (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Quality Models
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Sure, the integrated delivery model produces good outcomes and lower costs, but it's not applicable
everywhere, in spite of what politicians think (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
State Report: Mississippi
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Commonwealth Fund State Performance Ranking (2009): 51 (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - November 1, 2009 Category: Health Management Source Type: info
Family health premiums up 5%
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The big issues are still the rising cost of coverage and the impact that rising costs have on health
plan membership (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 16, 2009 Category: Health Management Source Type: info
Pfizer pay-out shows compliance is needed
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Pfizer's $2.3 billion civil and criminal penalty over off-label promotions, shows that the federal
government is serious about compliance in the health industry (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Fewer hospital days for seniors in MA
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Medicare Advantage beneficiaries in California spent 30% fewer days in the hospitals than patients
with FFS Medicare (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Drug benefit chips away at costs
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Nearly two-thirds of plan sponsors say the economy is causing a shift toward placing greater
accountability on members to manage their own health so plan dollars are spent more wisely (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Healthcare spending consumes personal income
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Even if excess health spending?the gap between health spending and income growth?were cut in half, a
very large share of income growth will be devoted to healthcare (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Family health premiums up 5%
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The big issues are still the rising cost of coverage and the impact that rising costs have on health
plan membership (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Neuro conditions cited in H1N1 deaths
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Almost two-thirds of the children who died with H1N1 had epilepsy, cerebral palsy or other
neurodevelopmental conditions. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 14, 2009 Category: Health Management Source Type: info
Helping People Help Themselves: Driving Participation In Health Improvement Programs
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Programs designed to improve health and lower health care costs only work if people use them. In an
effort to increase participation, Health Management Corporation (HMC), a wholly owned subsidiary of WellPoint,
Inc., researched what drives health plan members to enroll and engage in programs to improve their
health. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 2, 2009 Category: Health Management Source Type: info
Disease Management: a Look Back & Ahead
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Disease management (DM) in the US can trace its roots back to the mid-1980s with the early work of
California health plans and has come a long way since then. However, it wasn't until the mid 1990s that disease
management became part of mainstream thinking, after several private for-profit companies introduced outsourced
disease-management programs to large commercial health insurance providers. The "process/evolution"
of DM in the United States has been and continues to be the major difference between disease management in the US
and the UK...and other countries. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
The Missing Link in Healthcare Reform Why Healthy Living & Prevention Aren't Part of the
Plan...But Need To Be
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At this moment in history, we have a real opportunity to re-invent and revolutionize our entire
healthcare system. However, current proposals are nothing more than a band-aid, missing the chance for true
healthcare system reform. The proposed "fix" does very little to keep healthcare sustainable 10, 20
or 30 years from now. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Best Practices in On-Site Wellness Series: Guidelines for Choosing a Health Screening and Flu Shot
Vendor
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Today, more companies are implementing wellness programs in order to improve the health and
productivity of their employees, while at the same time reducing overall health care expenses. However, it is easy
to think of health screenings as a commodity instead of what they truly are ? health care. (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Whitepaper - Choosing A Flu Shot Vendor
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(Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Whitepaper - Healthcare Reform
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(Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Whitepaper - Disease Management: a Look Back & Ahead
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(Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Whitepaper - Helping People Help Themselves
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(Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Intense family programs address motivation to reduce risk associated with weight
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One case of a mother and child shows promise in family-oriented weight management and risk
reduction (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - October 1, 2009 Category: Health Management Source Type: info
Intense family programs address motivation for weight loss
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One case of a mother and child shows promise in family-oriented weight management and risk
reduction (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
State Report: Tennesee
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Commonwealth Fund State Performance Ranking (2007): 40 (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Predicted pharmaceutical spending 2010
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Self-management techniques lacking among asthma patients
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Just 8% of asthma patients recieve proper education, and insurance status is not the ultimate
factor (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Reasons why health plans are called 'dishonest'
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Predicted progress of patient-centered medical homes through 2013
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Predicted progress of EMR adoption through 2013
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Claims data still a secret weapon in care, cost containment
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Data mining and predictive modeling can get us over the electronic data hump until EMRs reach critical
mass (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Factors having greatest impact on performance in the next three years
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
Predicted overall healthcare spending increase 2010
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State of the Industry survey results (Source: Managed Healthcare Executive Magazine Online)
Source: Managed Healthcare Executive Magazine Online - September 30, 2009 Category: Health Management Source Type: info
