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Four Lessons From Massachusetts Health Reform
Les Masterson, Senior Editor-Managed Care

One idea that could make it through the health reform process is an insurance exchange that could be run federally, or more likely at the state level with seed money from the feds. The benefit to the insurance exchange is that Massachusetts has already tested the model. [Read More]
  September 23, 2009

Editor's Picks
Three Possible Changes to the Senate Finance Health Reform Bill
Fasten your seat belts: It's going to be a lively week for the Senate Finance Committee. Given the number of amendments and grandstanding expected, the reform bill debate should not end anytime soon. Here are three parts of the Senate Finance Committee bill that are most likely to see changes as the committee marks up the bill. [Read More]
A proposed tax on the Cadillac health insurance plans may also hit the Chevys
The Senate Finance Committee's proposed tax on so-called Cadillac health insurance plans may also affect the middle class. The new excise tax on the most expensive health insurance plans, which is supposed to raise more than a quarter of the bill's price tag, is meant to discourage Americans from overly generous coverage. However, critics are claiming that the tax could also hurt the middle class. The Center on Budget and Policy Priorities suggested that about one in 10 family insurance plans would be subject to the new tax. Good luck getting that one through Congress. [Read More]
Businesses Not Interested in Absorbing Costs for Healthcare Reform
A plank of President Barack Obama's health reform pitch is that all Americans must shoulder some of the responsibility (i.e. pain). Well, most midsized and large companies, already facing layoffs, higher health costs, and reduced benefits, are not willing to shoulder the load. A Towers Perrin study of human resources and benefits executives found that almost nine of 10 said their bottom line won't absorb any additional costs that may result from healthcare reform. [Read More]
Newark, NJ, creating health plan for uninsured
Newark, NJ, isn't waiting to see what health reform plan comes out of Washington. The city has enrolled 400 uninsured and underinsured residents in a pilot program that officials hope can prevent people with chronic diseases from getting their care in hospital emergency rooms. The program allows members to get routine medical care from primary care physicians and officials expect the program will save area hospitals more than $2 million. [Read More]
Managed Care Headlines
CMS Tells Insurers to Stop Health Reform-Related Mailings
Les Masterson, for HealthLeaders Media, September 22, 2009
House Committee Turns Heat on Insurers
Janice Simmons, for HealthLeaders Media, September 22, 2009
Five Health Leaders Respond to Baucus Bill
Les Masterson, for HealthLeaders Media, September 17, 2009
Toughest test coming up for healthcare overhaul
AP/Boston Globe, September 21, 2009
Biden says rising health premiums show need for overhaul
New York Times, September 23, 2009
Many Children in CHIP Receive Little or No Care
Cheryl Clark, for HealthLeaders Media, September 18, 2009
Kaiser Permanente's chief optimistic about health overhaul effort
New York Times, September 23, 2009
Medicare to fund medical home model
Wall Street Journal, September 17, 2009

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Health Forum
The Real Trend in Population Health

Last week, the population health management industry paused to consider the implications of a bankruptcy filing by LifeMasters Supported SelfCare. Those who follow the industry closely recognize that events leading to LifeMasters' Chapter 11 filing were both unfortunate for, and unique to, that organization. But one unique and unfortunate occurrence does not a trend make. [Read More]
From HealthLeaders Media
Facing a $100 Million Loss, Downey Regional Files for Bankruptcy

Downey Regional Medical Center has filed for Chapter 11 bankruptcy protection in an effort to escape unprofitable HMO contracts in favor of patients in preferred provider organizations. [Read More]
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