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April 30, 2008
Getting Personal Engages Members
Les Masterson, Senior Editor-Managed Care

Health plans are not effectively reaching the sickest Americans, and consequently not spurring them to make the proper health and lifestyle changes to improve their wellbeing, according to the Silverlink HealthComm Behavior Index. Silverlink shows the disconnect between health plans’ communication programs and their members, and finds Americans are dissatisfied with their communications. [Read More]

Editor's Picks
Bipartisan vote shields Medicaid funds
House Republicans joined Democrats in showing support for a one-year moratorium on the Bush administration's restrictions on how states can spend federal Medicaid money. The restrictions were widely panned by governors, who claimed the loss in aid would result in program cuts and the states needing to pick up a larger portion of Medicaid funding. Supporters of the restrictions say the changes would save $30 billion over 10 years and that it would target alleged waste and abuse. [Read More]
Poll: Healthcare system pains California voters
Nearly three-quarters of Californians suggest they would have supported a healthcare reform plan that failed the Legislature this year, according to a Field Poll released this week. The healthcare reform proposal, backed by Gov. Arnold Schwarzenegger, would have created near-universal coverage by requiring nearly all citizens to have insurance and requiring employers to provide coverage. In the survey, voters voiced concerns about paying medical bills and potentially losing health insurance. [Read More]
One in four uninsured eligible for aid but not enrolled
Twelve million Americans are not enrolled in Medicaid or the State Children's Health Insurance Program though they are eligible, according to the National Institute for Health Care Management Foundation. Those who are eligible but not enrolled gave the following reasons for not taking advantage of the programs: they did not know about them, they don't know how to enroll, they fear the stigma associated with being on a publicly financed program, and it is difficult to stay enrolled. [Read More]
Providing healthcare a challenge for small business
More than half of the small businesses that responded to a recent survey do not offer employee health insurance because it is too expensive. Fewer small businesses are offering health insurance than two years ago though nearly 30% of small business owners who do not offer health insurance say they feel a duty to provide the services, but simply can't afford it. [Read More]
MI bill would give motorists choice in medical coverage
Michigan lawmakers are reviewing legislation that would let motorists save up to 16% on their car insurance by choosing less medical coverage. The legislation would allow motorists to choose medical coverage worth between $50,000 and $400,000 or continue paying for unlimited coverage through the Michigan Catastrophic Claims Association, which helps support seriously injured accident victims. [Read More]
Managed Care Headlines
Senate passes genetic discrimination bill
AP/Yahoo News, April 30, 2008
Polls show healthcare a growing concern
San Francisco Chronicle, April 29, 2008
Separate managed care deals ordered for Illinois hospitals
Chicago Tribune, April 29, 2008
TN Medical Association wants to insure more young adults
The Tennessean, April 24, 2008
Illinois governor appeals blocking of healthcare expansion
Chicago Tribune, April 24, 2008
Increase in diagnostic imaging fueled by doctors
HealthDay/Washington Post, April 25, 2008
Health coverage compromise sought in Michigan
Detroit Free Press, April 25, 2008
CT House passes bill opening insurance to more people
Hartford Courant, April 24, 2008
McCain focuses on lower costs on healthcare tour
Reuters/Washington Post, April 28, 2008
Upcoming Events
5/13/08: Legal and Tax Implications of Incentive Program Designs
Sponsored Headlines From IBM

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Healthcare 2015 and U.S. health plans: New roles, new competencies: The U.S. healthcare system is on an unsustainable path. Health plan providers must help shape and lead the healthcare transformation or risk being marginalized.

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Listen Up
Staying Legal
Michael Dermer, president and CEO of IncentOne, talks about legal and tax implications of incentive program design. He will be part of an audioconference on the topic on May 13. [Listen Here]
Capitation Corner
A New Beginning?
In a move that's surely being watched by payers in other states, Blue Cross Blue Shield of Massachusetts in Boston plans to stop paying certain doctors and hospitals in its statewide network for each patient visit or treatment and return to capitation. [Read More]
From HealthLeaders Magazine
Claims Quagmire

HealthLeaders April 2008
Despite federal laws to facilitate transactions, reimbursement claims processing remains mired in a complex tangle. [Read More]
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Contact Lisa Brown, Director of Integrated Sales, at lbrown@healthleadersmedia.com or call 781.639.1872.
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