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CDHPs Doomed Without
Physician Support

Les Masterson, Senior Editor-Managed Care

A recent study showed that most primary care physicians don't understand CDHPs and medical savings accounts, can't advise patients financially about procedures outside of their practices, and don't trust quality-of-care information on health insurers' Web sites. [Read More]
  November 12, 2008

Editor's Picks
Healthcare in a Time for Change
Will a new era of historic change in America be a time of historic change in healthcare? HealthLeaders Media asked U.S. Rep. Jim Cooper (D-TN), Alegent Health CEO Wayne Sensor, and North Shore-LIJ Health System CEO Michael Dowling to share their hopes. [Listen Now]
Senators hurry to keep healthcare in forefront
Two U.S. Senators are creating plans to push President-elect Barack Obama to take action on healthcare. Senate Finance Committee Chairman Max Baucus expects to unveil a blueprint today and Sen. Edward M. Kennedy, who is battling brain cancer, has been working with stakeholders in hopes of creating legislation by the time Obama takes office in January. [Read More]
Obama urged to overhaul healthcare, stat
Four leading advocacy groups in the areas of business, labor, and retirees are asking President-elect Barack Obama to enact comprehensive healthcare reform in his first 100 days in office. Business Roundtable, the National Federation of Independent Businesses, AARP, and the Service Employees International Union plan to spend nearly $1 million to promote the cause in television and newspaper ads. [Read More]
Insurers hire radiology police to vet scanning
In an attempt to contain healthcare costs, health insurers are increasingly turning to third parties to make sure imaging scans like MRIs are being done properly. Large insurers, such as Aetna, WellPoint, and Cigna, have hired radiology benefits managers to ensure that doctors use high-tech scans only when the patients will benefit. The companies require doctors to get permission to perform scans before the insurer will agree to fund the procedure. Some doctors say the review wastes staff time and can delay procedures. [Read More]
New U.S. rule pares outpatient Medicaid services
Claiming the rule would reduce Medicaid payments to many hospitals, public hospitals and state officials criticized a move by the Bush administration that narrows the scope of services that can be provided under Medicaid's outpatient hospital benefit. The administration said it was merely clarifying the definition of outpatient services because the ambiguity allowed states to claim excessive payments. The rule narrows the definition of outpatient hospital services to exclude those that could be provided and covered outside a hospital. [Read More]
AARP suspends sales of some health plans
After a high-ranking Republican Senate leader questioned its health insurance plans last week, AARP said it will voluntarily suspend sales of those plans. The "limited benefit" plans, which are backed by UnitedHealth Group, restrict how much the plan will pay per day, year, or procedure rather than paying a percentage of total costs. AARP says there are about 1 million people in AARP's limited benefit plans, which mostly cover people between the ages of 50 and 64. [Read More]
Managed Care Headlines
Health insurers prime for new business with Democratic rule
Wall Street Journal (subscription required) - November 6, 2008
Medicare, Medicaid deficits loom over health priorities
Wall Street Journal (subscription required) - November 6, 2008
Some GM retirees are in a healthcare squeeze
New York Times - November 10, 2008
Pennsylvania governor urges Senate to take up health insurance expansion
Philadelphia Inquirer - November 11, 2008
Report card rates New Jersey HMOs and sees higher scores
Newark Star-Ledger - November 10, 2008
Hearing set on FamilyCare coverage in Illinois
AP/Chicago Tribune - November 12, 2008
Heathcare providers blast managed care plan
Springfield News-Leader - November 12, 2008

Events/Audio conferences
December 16: 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: Value-based insurance design: Alternative to high-deductible plans
Listen Up
Helping the Little Guy
Thomas Dwyer, COO of Atlantis Health Plan, discusses the small employer health insurance market and what small businesses want from their health plans. [Listen Here]
From HealthLeaders Media
What Women Want—But Rarely Get
Only 9% of women who work in the healthcare industry are very satisfied with their work/life balance, according to a recent study by the Studer Group. [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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Resources From HCPro

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