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Disagreement About Overloaded Physicians
Les Masterson, Senior Editor-Managed Care
A Massachusetts Medical Society report suggests a number of physician specialties are operating under severe labor market conditions, but health plans think differently. [Read More]
  October 8, 2008

Editor's Picks
Take Part in HealthLeaders Survey
What's your take on the healthcare industry? If you've got 10 minutes to spare, I think you'll want to check out our HealthLeaders Media Industry Survey 2009. It's specifically designed for health plan executives. This survey is part of a broader, cross-industry survey project with a number of different healthcare leaders, including hospital CEOs, finance, technology, physicians, marketing, quality, and community and rural. This is a unique opportunity for managed care leaders to participate in this wide-ranging survey and compare what your pain points and expectations are compared to others. We'll provide comprehensive analysis of the survey results in Health Plan Insider and the February 2009 HealthLeaders magazine. [Take the Survey Now]
Louisiana Medicaid overhaul races clock
Louisiana Gov. Bobby Jindal hopes to strike a deal with the Bush administration that would move 380,000 Medicaid recipients into managed-care networks. Jindal plans to launch the program in the New Orleans, Baton Rouge, Lake Charles, and Shreveport regions by the middle of 2010. Louisiana is one of the few states with only a fee-for-service model for its Medicaid services. [Read More]
Costly ER still draws many now insured in Massachusetts
Thousands of the newly insured who are covered thanks to the Massachusetts healthcare reform are using emergency rooms for routine care. A higher percentage of the newly insured utilize emergency rooms than the state and national averages. The reform was implemented partly to relieve the overburdening of emergency rooms, but the report shows the newly insured are still using the more expensive care alternative most likely because there are simply not enough primary care physicians to provide timely appointments. [Read More]
Bailout provides more mental health coverage
The nation's financial crisis may indirectly help those suffering from mental illness. The economic bailout bill included a provision that requires insurers to provide equal coverage for mental and physical illnesses. Federal officials say the new law will improve coverage for 113 million people. Opponents of coverage mandates have railed against the added costs that come from these requirements, but the Congressional Budget Office estimates the new requirement will increase premiums by only an average of about two-tenths of 1%. [Read More]
Doctors know little about consumer-directed health plans
Health plans are not adequately educating people on the front lines about consumer-driven healthcare. A recent study found that 43% of doctors surveyed said they have heard little, if anything, about the plans, and only 48% claimed they are ready to discuss medical budgeting with their patients. [Read More]
Medicare expands its crackdown on fraud
Medicare is cracking down on fraud in seven states, targeting companies that improperly provide patients with medical equipment such as wheelchairs and oxygen supplies. The feds will require more stringent background checks of equipment suppliers, unannounced visits to businesses, and more scrutiny of billing records submitted by doctors. The announcement comes after several congressional reports questioned Medicare payments. [Read More]
Managed Care Headlines
UAW: healthcare trust needs automakers' cash
AP/Yahoo News - October 8, 2008
Massachusetts asking companies to pay more insurance costs
AP/Yahoo News - October 3, 2008
Out-of-pocket costs slow medical demand in Minnesota
Minneapolis Star Tribune - October 2, 2008
Michigan health costs rise fastest
Detroit Free Press - October 3, 2008
Minnesota leading healthcare innovations
Minneapolis Star Tribune - October 2, 2008
Pennsylvania governor makes push on healthcare for uninsured
Philadelphia Inquirer - October 6, 2008
Report: Obama's health plan may help more uninsured
Reuters/Yahoo News - October 2, 2008
Business cool toward McCain's health coverage plan
New York Times - October 7, 2008

October 29: In-sourcing vs. Outsourcing Disease and Health Management: What's the Right Mix
On Demand: Health Literacy: Four Ways to Create a Successful Program
On Demand: Legal and Tax Implications of Incentive Program Designs
On Demand: Value-based insurance design: Alternative to high-deductible plans
Listen Up
Time is right for CDH
Frank Hone, founder and CEO of Healthcentric Partners, Inc., a healthcare consumerism strategy and training company, talks about what is needed to educate a healthcare consumer and why the environment is right for consumer-driven healthcare. [Listen Now]
From HealthLeaders Media
Uncompensated Care is a $31 Billion Problem Waiting to Be Solved

HealthLeaders contributor Ricardo Guggenheim, MD, discusses why health systems should pay for outpatient care for uninsured patients with chronic diseases. Not only can it help control costs, he says, but it also helps hospitals better manage the medical needs of patients in their community. [Read More]
Knee Replacement Surgery? Please Hold For Your Price

When given a choice, employees are largely not opting for the high-deductible health plan option due to a variety of factors. However, many employees aren't getting that choice. [Read More]
From HealthLeaders Magazine
10 Events That Could Change Healthcare

No one knows what the future holds, but several scenarios could significantly alter the healthcare landscape and pose formidable strategic, financial, and clinical challenges for senior leaders. Get ready. [Read More]
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