HealthLeaders Media Health Plan Insider - May 11, 2011 | NAIC Summary of Health Plan Coverage Ready for Testing View as a Webpage | Subscribe for Free
NAIC Summary of Health Plan Coverage Ready for Testing
Margaret Dick Tocknell, Senior Editor

The government-mandated summary of health insurance benefits and coverage, entrusted to the National Association of Insurance Commissioners, is about to undergo consumer testing by Blue Cross Blue Shield Association and America?s Health Insurance Plans.[Read More]
  May 11, 2011

Editor's Picks
Get Ready for Healthcare Conglomerates
The business case for healthcare conglomerates seems compelling, thanks to federal demonstration projects, accountable care organizations, and bundled payment initiatives. [Read More]
ACO Hurdles, Risks, Could Dampen Provider Enthusiasm
Some healthcare executives are openly skeptical about the benefits of joining accountable care organizations, whose eventual downside risks could be considerable. Providers are raising legitimate concerns, a health researcher says. [Read More]
High-volume Hospitals Recommended for High-Risk Heart Transplants
Older, sicker heart transplant patients are more likely to be alive a year after their operations if they've been treated at hospitals that perform more than 15 transplants annually, study shows. [Read More]
Webcast: Achieving Ambulatory Surgery Center Success in the Reform Era
Reform, reimbursement, and reintegration--a triple threat to ambulatory surgery centers (ASCs) or new opportunities for ROI? Join HealthLeaders Media for a 90-minute Webcast, including Q&A, to learn how to increase the financial return of ASC operations from leaders with proven ambulatory care ROI. [Read More]
Rounds: Neurological Service Line Growth: Telestroke & Brain Tumor Innovations
Neurological service line success is all about managing the collision of technology, research, and care coordination. Get strategies for managing the collision on May 18, live from Barrow Neurological Institute with invited thought leaders from St. John Providence Health System and St. Luke Hospital. [Read More]
Impact Analysis: Leaders Respond to CMS' Proposed ACO Regulations
The proposed regulations are indeed out, but what do they really mean to your organization and the industry? Get reactions from leaders at hospitals, health plans, and physician practices that are already well-versed in ACOs, including Monarch Healthcare, Alegent Health, Kaiser Foundation Health Plan /Kaiser Foundation Hospitals, Geisinger Health System, Dean Health System, and Scripps Health. [Read More]

Health Plan Forum
13 Hot ACO Buzzwords
Just in time to accompany the proposed accountable care organization guidelines from the Centers for Medicare & Medicaid Services, comes a handy glossary of federal healthcare policy lingo. [Read More]

Managed Care Headlines
Up to $49B unpaid by uninsured for hospitalizations
USA Today, May 11, 2011

Conviction in $9.1 Million Medicare Fraud Scheme
HealthLeaders Media, May 9, 2011

CHIME Raises Concerns on ACO Data Sharing
HealthLeaders Media, May 11, 2011

Study: 44M could lose Medicaid coverage under GOP plan
PBS NewsHour, May 11, 2011

Healthcare law gets friendly reception from appeals court
Los Angeles Times, May 11, 2011

CMS answers more provider questions on MU
Government Health IT, May 10, 2011

How rich healthcare mandates could bust the budget
Fortune, May 5, 2011

Financial ties bind medical societies to drug, device makers
Pro Publica/USA Today, May 6, 2011


May 11: Webcast: Achieving Ambulatory Surgery Center Success in the Reform Era

May 18: Rounds: Neurological Service Line Growth: Telestroke & Brain Tumor Innovations

May 18: Webcast: Ratchet Up Physician Referrals: Proven Methods & Measures

May 24: Webcast: Blueprint for an Integrated and Alignment-Driven Physician Compensation Plan


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From HealthLeaders Magazine
In an ACO, Who's Accountable?

It can be the hospital, but health plans, physician practices and medical service organizations can also serve as the "accountable" party. [Read More]

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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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