HealthLeaders Media Health Plan Insider - January 12, 2011 | Healthcare Data Worth its Weight in Gold View as a Webpage | Subscribe for Free
Healthcare Data Worth its Weight in Gold
Jeff Elliott, HealthLeaders Media

Health plans are looking at new ways to lower their exposure to medical expenses. Turns out they're sitting on a treasure trove, so to speak: terabytes upon terabytes of valuable medical data.[Read More]
cora nucci
  January 12, 2011

Editor's Picks
CMS Releases Value-Based Purchasing Incentive Plan
The Centers for Medicare & Medicaid Services proposal, issued late Friday, incorporates 17 clinical process-of-care measures used in five health categories, acute myocardial infarction, heart failure, pneumonia, healthcare associated infections and surgical care improvement. It also will use eight measures from the hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey that reflects how patients view their care experiences. [Read More]
5 Reasons Why ACOs Could Fail
A report in Health Affairs says that provider efforts to manage costs make up "a dismal history" and that accountable care organizations that try to do so are "unlikely to accomplish" their objectives. For starters, the ACO model predisposes collaboration between hospitals and physicians who overall have not collaborated well with each other in the past. [Read More]
CMS: Healthcare Spending Grew at Slowest Rate in 50 Years in 2009
National healthcare spending rose at its slowest rate in 50 years in 2009 because of the recession, according to analysis by the Centers for Medicare & Medicaid Services. Not only was federal spending diminished, but consumers spent less out-of-pocket, and private health insurance spending troughed as well. [Read More]
Rounds: Cardiac Care Leadership for Improved Alignment and Outcomes
Medical specialties are tied back to hospitals and health systems like never before; nowhere are the resulting alignment challenges more acute than in the cardiac service line, where independent practices find themselves seeking the financial shelter of integration. Join us on February 15 live from Baylor Heart and Vascular Hospital and share in the lessons from executives at leading national cardiac service lines and medical groups on shared governance, clinical integration, and physician alignment. [Read More]
Webcast: Proven Strategies to Market Women's Services
Women are a vital audience to reach—is your marketing cutting it? As the primary healthcare decision-makers and the key to unlocking additional service audiences, you need up-to-date, effective marketing strategies to win women’s loyalty—thus, business—and expand your market share. Join HealthLeaders Media on January 31, at 1 p.m. (EST) for this 90-minute Webcast, including Q&A, and learn from women’s health marketing experts. [Read More]

Managed Care Headlines
11 Hot Healthcare Buzzwords for 2011
HealthLeaders Media, January 6, 2011

BCBSA Hires Former OK Insurance Commissioner
HealthLeaders Media, January 11, 2011

How to Appeal Denied Claims
HealthLeaders Media, January 10, 2011

Beth Israel Deaconess CEO Levy to Step Down
HealthLeaders Media, January 7, 2011

White House balances health insurance benefits, costs
Kaiser Health News, January 12, 2011

Insurance industry says no to repeal of healthcare reform
The CT Mirror, January 11, 2011

California expands review of insurance rate increases
The Los Angeles Times, January 12, 2011

Sponsored Headlines
Forrester Whitepaper: CMO's Must Connect the Dots of the Online Brand: Digital has been widely embraced by consumers and by many parts of the enterprise. But the adoption of digital channels—Web sites, mobile apps, online sales and customer service, and other smart touches—has often occurred in a piecemeal way. This has resulted in three potential mishaps.

Openness: The Basis for a Sound Unified Communications Strategy: The vast majority of customer environments are mixed environments. In this IBM® podcast you'll hear how an open approach provides you with choice. So instead of ripping out a perfectly good infrastructure, you can integrate what you've already invested in and create additional business value.

AMA Webcast: The Online Customer Experience—Make it Exceptional: IBM has defined a forward-looking vision for how organizations will turn today's customer experiences into exceptional experiences that drive business results. Join us on September 21 to hear Kristen Lauria, Vice President of Marketing & Channels at IBM, talk about this vision and introduce two innovative clients who are achieving results today by bringing together the right combination of capabilities online.

Your world, your way: the IBM WebSphere: For a business to stay competitive, it needs to be more productive and respond quicker to business opportunities. Watch this demo to see how IBM® WebSphere® Portal software enables you to connect your users with the right people, applications, and information—to drive business efficiency and success.

IBM WebSphere Portal for insurance demo: With so many insurance companies to choose from, how can you stand out from the rest? Watch this demo to see how one insurance company did just that. By using IBM® WebSphere® Portal and related Lotus® software, their customers can now learn about products, file claims and much more; while their agents have access to the tools and resources they need.

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From HealthLeaders Magazine
20 People Who Make Healthcare Better

Some are revered; others would not win many popularity contests. All of them are playing a crucial role in making the healthcare industry better. [Read More]
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Resources From HCPro

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.

Audio Feature
Will DOJ Quash Insurers' Most Favored Nation Clauses?

A recent Department of Justice lawsuit threatens the "most favored nation" clauses common to many insurer contracts with healthcare providers. Attorney Dale Grimes of Bass, Berry & Sims discusses the potential upheaval associated with this contracting mainstay. [Sponsored by Emdeon] [Listen Now]
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