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October 3, 2007
Open Enrollment
Brad Cain, Senior Editor-Managed Care

Fall is the traditional open enrollment period for employer-sponsored health plans--a time when workers across the country receive carefully prepared packages of materials explaining their health plan options, the changes to their benefits and information on how much they'll have to pay to cover themselves and their families. Too often they're seeing their level of benefit coverage drop or their share of the bill increase. Or both. But it's not always about bad news. [Read More]

Editor's Picks
Spotlight on pay, care at Philadelphia-area hospitals
Pay-for-performance initiatives are slowly taking root in Philadelphia-area hospitals. The trend signals a shift in how money changes hands in healthcare, as insurers are beginning to tie payments not just to diagnosis codes but also to the quality of care. [Read More]
Healthy behavior saves, even for hospitals
My counterpart Philip Betbeze has an interesting column on Jewish Hospital & St. Mary's Healthcare in Louisville, KY, using population health management and consumer-directed health plans to lower its healthcare costs. The system estimates a savings of nearly $6 million. [Read More]
Insurers' payments to Massachusetts hospitals soon online
In the name of transparency, Massachusetts regulators next year will begin posting online the prices individual hospitals are paid by insurers for performing specific procedures. State officials hope it will encourage comparison shopping and reduce medical costs. [Read More]
Cultural diversity and disease management
Brenda Schmidt, managing director of Diversity Wellness in Phoenix, AZ, discusses the healthcare disparity problem, how to develop disease management programs focusing on ethnic and racial populations, and what's in store for DM programs in multi-cultural environments. She was interviewed by Les Masterson, managing editor for HCPro. [Read More]
Feds OK Indiana health insurance program
The federal government has given Indiana the go-ahead on its state-subsidized healthcare plan for low-income adults, allowing the state to provide health insurance to about 130,000 uninsured residents. [Read More]
Managed Care Headlines
Doctor-insurer disputes force parents to pay up front for shots
San Francisco Chronicle, October 3, 2007
Maryland task force begins study on doctors' pay
Baltimore Sun, October 3, 2007
One-third of United States lacked health insurance, survey shows
Reuters/Yahoo News, October 3, 2007
Missouri governor's health plan gets lukewarm reception
Kansas City Star, October 3, 2007
Leaner times for Minnesota HMOs
Minneapolis Star Tribune, October 3, 2007
Upcoming Events
Developments in DM

Connecting with youth
Health plans and vendors are designing programs to educate the growing number of adolescents with type 2 diabetes to take better care of themselves. Reaching out to young diabetics takes different techniques and approaches. HCPro's Disease Management News explores the trend in this article. [Read More]
From HealthLeaders Magazine
States Take Lead on Covering Uninsured
In many states, poorer hospitals could soon be the beneficiaries of the comparative largesse of their better-performing peers if some state legislatures have their way with a variety of plans aimed at covering the uninsured. [Read More]
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