HCPro Health Plan Insider - November 5, 2008 | Medicare Advantage in the Crosshairs View as a Webpage | Subscribe for Free
Medicare Advantage in the Crosshairs
Les Masterson, Senior Editor-Managed Care

With the Democrats in control, they will have an opportunity to place their own stamp on wide-ranging changes, which will mean a movement away from private insurers and greater emphasis on government programs. In his first year in office, president-elect Barack Obama will likely expand the State Children's Health Insurance Program and cut Medicare Advantage. [Read More]
  November 5, 2008

Editor's Picks
Women buying health policies pay a penalty
Women can pay hundreds of dollars more per year than men in the individual health insurance market, according to a new study. Insurers say they charge higher premiums for women between the ages of 19 and 55 because they typically use more healthcare than men, especially in the childbearing years. However, women still pay more for their individual insurance for plans that do not cover maternity care. The individual market has seen growth in recent years as more employers have ended their health benefits, forcing employees into individual insurance. [Read More]
States cut health coverage for poor
Faced with a tough economy, many states are cutting Medicaid programs that cover 50 million low-income Americans, including nearly half of those in nursing homes. The joint federal-state program is usually on the list of cuts because it consumes an average 17% of state budgets, which is behind only education in state spending. Medicaid cuts don't only affect those currently in the program but people who may become unemployed because of the struggling economy. For every 1% jump in unemployment, about 1 million more people enroll in Medicaid, according to the Kaiser Family Foundation. [Read More]
AARP questioned on health plans
The leading Republican on the Senate Finance Committee is concerned about whether AARP's health plans mislead consumers into thinking they're protected from catastrophic health costs. As part of a broader health coverage and cost inquiry, Sen. Chuck Grassley, R-Iowa, is sending more than a dozen questions to AARP CEO William Novelli about the plans that cover about 1 million people. [Read More]
Texas leads nation in number of uninsured children, study says
One in five children in Texas do not have health insurance, which is the highest in the nation, according to a report released by Families USA. The study reported that 1.4 million children did not have insurance from 2005 to 2007. The number of uninsured children in the state grew by more than 33,000 between 2003 and 2007. Sixty-five percent of the uninsured children were in low-income families. [Read More]
Managed Care Headlines
Court blocks White House push on Medicare expenses
New York Times, November 4, 2008
Health insurers offer online therapy for insomnia
Los Angeles Times, November 3, 2008
Commentary: Call this a crisis? Just wait
CNN.com, October 31, 2008
Plan would expand BadgerCare to adults without children
Milwaukee Journal Sentinel, November 3, 2008
Insurers unveil plan in Utah
The Salt Lake Tribune, November 3, 2008
CT-based nonprofit group goes to polls to push for universal care
Hartford Courant, November 5, 2008

Events/Audio Conferences

December 16, 2008: What Your Practice Is Worth: Calculating Fair Market Value
On Demand: Financial Meltdown: Managing Through The Crisis
On Demand: 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
Listen Up
How Population Health Helps in the Medical Home
Tracey Moorhead, president and CEO of DMAA: The Care Continuum Alliance, discusses the opportunities for population health improvement and disease management companies in a medical home and the changes those companies will need to make to contract with physicians rather than health plans. [Listen Here]
Health Plan Update
Study: Most-Integrated Health Plans in Better Shape
The gulf between the most- and least-integrated health plans and healthcare systems will continue to widen in the medium term as integrated organizations benefit from steady cash flow and synergies in areas such as medical management technology, administration, and marketing, according to a senior financial analyst at A.M. Best Company. [Read More]
From HealthLeaders Magazine
Model for Success

Running a medical group has never been more complex. But many practices have found ways to not only survive?but thrive. [Read More]
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