HCPro Health Plan Insider - March 31, 2010 | Two Reasons Health Reform Will Bring Medicaid Managed Care Expansion View as a Webpage | Subscribe for Free
Two Reasons Health Reform Will Bring Medicaid Managed Care Expansion
Les Masterson, Senior Editor-Managed Care

Health insurance companies were largely winners in health reform as millions of new customers will soon flood their care pools. Sure, there will be those with pre-existing conditions and people who have gone years without preventive care because they have not had insurance. But reform will also mean many of the so-called "young invincibles" will buy insurance rather than face a fine. That's good news for health insurers. But there is a segment of health insurance that may get an even bigger boost—Medicaid managed care. [Read More]
  March 31, 2010

Editor's Picks
Health Reform Does Not Control Premiums, States Look to Fill Void
Health reform opens up coverage opportunities for the millions who are uninsured, most notably people with pre-existing conditions and those who previously could not afford coverage. However, health insurance critics are concerned that the federal health reform package does not have mechanisms to keep health insurance premiums under control. One state, California, is already working to put controls in place, such as requiring health plans to get prior approval before raising premiums over a certain threshold. [Read More]
Health premiums could rise 17% for young adults
An important piece of the health reform law is getting more young people insured. This is critical to health reform's success because bringing the so-called "young invincibles" into the care pool will help pay for the other newly-insured who have been denied coverage because of pre-existing conditions. Though many young adults will likely celebrate getting insurance, the other side of the issue is that their premiums will probably increase to help pay for the new, sicker members. [Read More]
Health insurers to comply with rules on children
Health insurers have agreed to comply with rules requiring them to cover children with pre-existing conditions this year. HHS Secretary Kathleen Sebelius spoke out earlier this week about concerns that insurers were going to use a loophole to not accept all children until 2014. In turn, insurers said this week that they will accept children regardless of pre-existing conditions later this year. [Read More]
Feds Provide $27 Million to Fund, Test Chronic Disease Programs
Health reform will likely provide a spark to the population health management industry and there was more good news for chronic disease programs this week. HHS Secretary Kathleen Sebelius announced $27 million worth of grants that will go to states to create and test chronic disease programs. The money comes from the stimulus package approved last year and federal officials hope the grants will help reduce Medicare's chronic disease care costs. CMS says that two-thirds of Medicare spending is for beneficiaries with five or more chronic conditions. [Read More]
Managed Care Headlines
Will Obama Name Don Berwick to Lead CMS?
Cheryl Clark, for HealthLeaders Media, March 29, 2010
Lobbyists Are Health Reform Winners
John Commins, for HealthLeaders Media, March 26, 2010
Eight Health Reform Provisions That Could Improve Women's Health Coverage
Janice Simmons, for HealthLeaders Media, March 29, 2010
Law may do little to help curb unnecessary care
New York Times, March 30, 2010
Keystone Mercy Health Plan restricts patients in dispute
Philadelphia Inquirer, March 29, 2010
Aetna creates new position: Chief nursing officer
Harford Courant, March 31, 2010

Webcasts/Audio conferences
April 22: Neuroscience Service Lines Strategies
May 13: Integrated Compensation Plans to Enhance Physician Performance
May 19: Five Proven Steps to Improve Patient Satisfaction Scores

Stay Connected to Health Plan Insider
To help us ensure future delivery of Health Plan Insider, please add our "From" address—health_plan_insider@list.hcpro.com—to your address book or e-mail whitelist.

Audio Feature
Strategies for Reducing Drug Spending

Find out how Virginia Commonwealth University Health System saved $2.5 million annually from their outpatient drug spending by working with a nonprofit group to qualify more patients for their appropriate prescription benefits and reducing their drug purchase costs through bulk purchasing. [Sponsored by Emdeon] [Listen Now]
Audio Feature
Giving Every Patient a Medical Home

Lisa Sasko, director of clinical transformation at Capital District Physicians' Health Plan in Albany, NY, talks about CDPHP's medical home project, which is expanding to 100 area providers in September. [Sponsored by Emdeon] [Listen Now]
Health Plan Forum
Voice Personality is a Powerful Lever to Motivate Health Behavior

In healthcare, individuals are educated and supported in the decisions they make about their health through communications. This article highlights a recent study of the impact of voice in healthcare communications and how individuals perceive voice as it relates to health messaging. [Read Now]
From HealthLeaders Magazine
Avoiding the $10K Deductible

Health insurance deductibles increase every year as employers and health plans look to pass costs to members and create better healthcare consumers. The average health plan deductible is about $5,000, as employers and health plans have expanded the deductible concept to PPOs and HMOs. If we follow this path, deductibles could balloon to $10,000 within the decade. That's one path. Another is happening in Oregon. [Read More]
Sponsor Health Plan Insider

Contact Paul Mattioli, Sr. Director of Sales, at pmattioli@healthleadersmedia.com or call 800.639.7477.
Resources From HCPro

Sign up to receive our new, free e-mail publication that offers concise updates on the top nursing leadership headlines, as well as best practices, practical advice, and expert strategies from nurse industry thought leaders.
Learn how increased collaboration between providers and managed care payers has the potential to reduce costs, improve processes, and enhance patient care.
Discover how to integrate wellness into your DM programs.
Read about practical strategies for maximizing the effectiveness of health and disease management programs.
Learn how to educate and engage members.
MAGAZINE   |   NEWS   |   TERMS OF SERVICE   |   PRIVACY POLICY © 2010 HealthLeaders Media
If you prefer not to receive this email newsletter, you can unsubscribe here
Health Plan Insider © 2010 HCPro, Inc.
200 Hoods Lane
Marblehead, MA 01945