HealthLeaders Media Health Plan Insider - February 9, 2011 | High Healthcare Costs Continue to Provoke Finger Pointing View as a Webpage | Subscribe for Free
High Healthcare Costs Continue to Provoke Finger Pointing
Jeff Elliott, HealthLeaders Media

Judging by the bickering over who holds the cards when it comes to rising rates, providers and health insurers should share the blame along with John Q. Public, who doesn't take nearly as good enough care of himself as he should. [Read More]
cora nucci
  February 9, 2011

Editor's Picks
OIG Posts 'Most Wanted' List of Medicare Fraudsters
The Office of Inspector General has for the first time issued a list of top 10 fugitives wanted for Medicare fraud. The suspects—representing the worst of the worst from a list of 170 fugitives—are allegedly responsible for about $124 million in fraudulent claims. [Read More]
Health Insurer Competition Absent, AMA Says
Ninety-nine percent of the U.S. health insurance market is highly concentrated with one or two dominating health insurers, an American Medical Association claims. The lack of competition, it says, puts physicians and patients at a disadvantage. [Read More]
Leadership Priorities for Healthcare Reform Survival
To meet the challenges of healthcare reform, hospital executives must commit themselves to hospital efficiency and quality performance using real-time logistics technology and process improvement methodologies, says one expert. [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]

Managed Care Headlines
Healthcare law supporters tap Democratic strategist to defend it
The Washington Post, February 8, 2011

More MA residents get waivers of health insurance
The Boston Globe, February 8, 2011

Alternatives to mandating insurance? Maybe
NPR, February 7, 2011

Insurers roll out alternatives to pricey long-term care coverage
The Wall Street Journal, February 7, 2011

HHS looking to help states cut Medicaid costs
Los Angeles Times, February 4, 2011

Symposium spotlights value in healthcare
The Boston Globe, February 7, 2011

Sponsored Headlines
Case Study: Mayo Clinic helps radiologists pinpoint potential problems : Mayo Clinic transforms the way it processes and interprets medical imaging results to enable more accurate detection. Powerful algorithms pinpoint potential problem areas within medical images and flag them based on the probability of abnormality. This process transformation increases diagnostic sensitivity for detection of brain aneurysms through intelligent flagging of high-risk areas.

Case Study: University College London Hospitals: UCLH had to adhere to the 18wkRTT requirements stated by the U.K. government. The BPM based Patient Tracking System (PTS) enabled them to better manage their clinical pathways and resources and also help improve patient experience by reducing uncertainty in the scheduling of treatments.

Discover, Interact, and Optimize for Smarter Healthcare with BPM Powered by Smart SOA: This IBM® RedguideTM describes one of the most significant challenges in healthcare today: the need for healthcare providers to effect patient care positively and proactively in the face of increasing patient load and information overload. IBM WebSphere® business process management (BPM) powered by smart service-oriented architecture (SOA), or BPM powered by Smart SOA, has the potential to maintain the medical common body of knowledge. It also makes critical, current data available to practitioners in a manner that is consistent with the evidence-based, event-driven environment to which healthcare aspires. BPM powered by Smart SOA can also automate healthcare provider administrative and care delivery processes.

Stay Connected to Health Plan Insider
To help us ensure future delivery of Health Plan Insider, please add our "From" address——to your address book or e-mail whitelist.
From HealthLeaders Magazine
Healthcare Reform Spawns Daunting Regulations

The volume of new regulations required by healthcare reform legislation is daunting, but what has healthcare leaders especially concerned are the particulars, which are still under development. [Read More]
Sponsor Health Plan Insider

Contact Paul Mattioli, Sr. Director of Sales, at or call 800.639.7477.

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]
MAGAZINE   |   NEWS   |   TERMS OF SERVICE   |   PRIVACY POLICY © 2011 HealthLeaders Media
If you prefer not to receive this email newsletter, you can unsubscribe here
Health Plan Insider © 2011 HCPro, Inc.
75 Sylvan Street, Suite A-101,
Danvers, MA 01923