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December 5, 2007
Thanks for Offering, But. . .
Brad Cain, Senior Editor-Managed Care

A handful of articles has crossed my desk recently detailing a growing and somewhat troubling trend in workplace health benefits--one that could have long-term ramifications for the group and individual health plan markets. The reports note that increasing numbers of workers are opting to forgo the healthcare coverage offered by their employer and instead find a health plan to cover themselves and their dependents on their own. The move is a reaction to the ongoing trend of more costs being shifted onto the end-user in recent years, which has increased the financial burden on working families. [Read More]

Editor's Picks
UnitedHealth forces P4P measures in new contract
Under a new contract announced between Advocate Health Care and UnitedHealth Group, Advocate doctors will now be subject to pay-for-performance measures. Advocate Health Care is the Chicago area's largest provider of medical care, and the deal means Advocate providers will be in United's network of providers effective Dec. 1. [Read More]
Union power struggle may shape California healthcare overhaul
Leaders of the SEIU California State Council, the state's largest and most influential healthcare union, are embroiled in a power struggle that could affect the shape of any deal lawmakers reach to overhaul California's healthcare system. [Read More]
As medical costs soar, the insured face huge tab
As spending on healthcare has climbed to almost $2 trillion a year, the number of Americans burdened with massive medical bills has soared as well. Million-dollar medical bills, while still unusual, are becoming more common as insurance policies once thought to provide catastrophic coverage prove inadequate when it comes to high-cost illnesses. [Read More]
Managed Care Headlines
UAW-GM health model to be a test
AP/Chicago Tribune, December 5, 2007
Tenet, United Healthcare ink agreement
St. Louis Business Journal, December 5, 2007
California public health officials wary of bill to cover uninsured
San Francisco Chronicle, December 5, 2007
Forum offers healthcare fixes
South Florida Sun-Sentinel, December 5, 2007
Payment dispute settlement could cost Highmark $14 million
Pittsburgh Post-Gazette, December 5, 2007
Top salaries key to approval of Blues merger
Philadelphia Inquirer, December 5, 2007
Tennessee will insure thousands more people
The Tennessean, December 5, 2007
Upcoming Events
Consumer Corner

Conventional plans increasingly shift costs, analysis finds: Remember the old commercial for Palmolive dishwashing liquid? Madge the manicurist extols the virtues of Palmolive to a client, who is shocked that dishwashing liquid could soften her hands. Then Madge delivers her trademark line: "You're soaking in it." Well, a new report suggests that those who have dismissed or attacked CDHPs because of their HDHP component could take a cue from Madge: They're soaking in it. [Read More]
From HealthLeaders Magazine
20 People Who Make Healthcare Better
Who is finding innovative solutions to healthcare's myriad problems? Who is showing courage in the face of daunting challenges? In short, who is genuinely making a difference in healthcare? [Read More]
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Resources From HCPro

Prove the ROI on your disease management program.
Find how to reach out to cultural populations and address healthcare disparities.
Discover checklists, forms, letters, and clauses to help you with managed care contracts.
Learn why consumer-driven healthcare is like a big hug.
Compare your capitation rates against national averages and help craft workable capitation contracts.
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