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ICD-10 Implementation: Four Critical Steps Insurers Must Take Now
Les Masterson, Senior Editor-Managed Care

With a public insurance option hanging over their heads and a sputtering employer-based market, health insurers are rightfully concerned about their future. But there is another issue slated for 2013 that could prove as difficult for health insurers. [Read More]
  August 5, 2009

Editor's Picks
Comparing the Three Main Health Reform Bills
Healthcare reform news from Washington has been constant over the past couple months. As the House enjoys its break and the Senate prepares for their time off, it's a good time to review where we are now. In this article, colleague John Commins features the three main health reform bills and breaks down the specifics of each bill. [Read More]
AHIP Decries Demonization of Private Health Insurance
While President Obama speaks positively about the Pharma industry as a part of the healthcare reform solution, he and Democrats continue to pummel health insurers. Now, insurers are fighting back. Karen Ignagni, president/CEO of America's Health Insurance Plans, who was careful not to directly accuse President Obama and Democratic leaders in Congress of leading the effort, criticized "the same old Washington politics of 'find an enemy and go to war.'" [Read More]
Prevention and Health Promotion Could Save Medicare $1.4 Trillion Over 10 Years
One way to pay a large portion of healthcare reform is investing more in prevention programs, according to a new Center for Health Research at Healthways report. The report suggested that government health promotion and prevention programs for pre-Medicare and Medicare populations could save the country as much as $1.4 trillion over 10 years?and add on average as many as 6 years on Medicare beneficiaries' lives. [Read More]
Florida Medicaid clients dropped in computer failure
In another black eye for the Florida Medicaid program, the state reports that roughly 1 million of Florida's 2.6 million Medicaid patients were mistakenly deleted from eligibility rolls. The state Agency for Health Care Administration said state officials don't know the cause of the problem, but say the problem has been fixed. Out of that roughly 1 million, about 400,000 of people who were deleted were in managed care programs. Can you imagine the uproar and Congressional hearings if it were a health insurer and not a state Medicaid program that lost 1 million patients because of a computer error? [Read More]
Managed Care Headlines
Senate Democrats willing to bypass GOP on health bill
Wall Street Journal, August 4, 2009
Two sides take healthcare debate outside Washington
New York Times, August 3, 2009
Health fund for Massachusetts jobless runs low
Boston Globe, August 5, 2009
Blue Cross Blue Shield of Georgia will cover H1N1 vaccines
Atlanta Business Chronicle, August 4, 2009
California deal leaves more kids uninsured
Wall Street Journal, August 3, 2009
Atlanta-based St. Joseph's, United Healthcare contract may end
Atlanta Journal-Constitution, August 3, 2009
Health Card Companies Defrauding Hospitals and Patients Shut Down
Cheryl Clark, for HealthLeaders Media, August 3, 2009

Webcasts/Audio conferences
August 18: Advanced Service Line Marketing: New Orthopedics Growth Strategies
August 20: Service Lines Strategies Workshop 2009: Gastroenterology
On Demand: Service Line Strategies Workshop 2009: Spine Care

Listen Up
Shared Decision-making in Health Reform

Lance Lang, MD, consulting medical director at Health Dialog, speaks about why shared decision-making should be a key component of healthcare reform. [Sponsored by Emdeon] [Listen Now]
Health Forum
PBMs: An Unexpected Ally in Patient Care

Contributor Brian K. Solow, MD, explains how pharmacy benefit managers can alleviate physicians' administrative burdens and ensure quality care for patients. [Read More]
From HealthLeaders Media
Are We Missing Gawande's Point?

We've known about vast waste in healthcare spending for more than 20 years now. When are we going to actually do something about it? [Read More]
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Resources From HCPro

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