HealthLeaders Media Health Plan Insider - May 25, 2011 | Oral Cancer Drugs Deserve Parity View as a Webpage | Subscribe for Free
Oral Cancer Drugs Deserve Parity
Margaret Dick Tocknell, Senior Editor

Oral cancer drugs account for 25% to 35% of the drugs in the cancer drug pipeline. But their high costs are causing some cancer patients to avoid them. It's time for health plans to treat these drugs like injectable cancer-fighting medications. [Read More]
  May 25, 2011

Editor's Picks
Medicare Fund Gets an Independent Actuarial Review
Medicare's Hospital Insurance Trust Fund is projected to remain solvent only until 2024, the 2011 Medicare Trustees report shows. But an alternative scenario outlined in an independent actuarial study of the Medicare Trustees Report presented to the Centers for Medicare & Medicaid Services this month, paints a darker picture of the program's prospects. It projects sharp cost increases and difficulties in achieving sustainable reductions in spending on hospital services. [Read More]
HHS Issues Final Regulation on Health Insurance Rate Hikes
The final regulation for health insurance rate increases for the individual and small group markets will require insurers to publically disclose and justify any rate increase in excess of 10%. The proposed increases will be subject to state and federal review. [Read More]
Healthcare Costs Continue to Climb, but Rate Slows
The average per capita cost of healthcare services covered by commercial insurance and Medicare grew 5.77% over the 12 months ending in March 2011, continuing a nearly year-long deceleration of cost growth, Standard & Poor's Healthcare Economic Indices show. March's results represent the lowest cost growth in the six-year history of the measure. [Read More]
Webcast: Alternative ACO Strategies
Go beyond the ACO regs furor to uncover commercial and Medicare alternatives for your ACO strategy. Join HealthLeaders Media for this 90-minute Webcast, including Q&A, for a deep dive with leading experts savvy on the legal and business operation of ACOs in commercial markets and CMS programs other than Medicare Shared Savings. [Read More]
Rounds: Coordinating Systems of Care
Whether your hospital system is pursuing an accountable care organization or a broader program of clinical integration, the real work of creating high-value, cost-effective healthcare is in transforming the systems of care. But the solutions may not be as big and unmanageable as you think. Join us live or via live webcast from Gundersen Lutheran Health System with Gundersen?s clinical and executive leadership team and invited guest Fairview Health Services, two of the nation's health system pioneers in high-quality, lower-cost healthcare. [Read More]

Health Plan Forum
ACO or Not, Fairview Builds Shared Savings into All Payer Contracts
Minneapolis-based Fairview Health Services has taken a model for shared savings and quality improvements and gradually embedded the concepts into all of its commercial insurance contracts. [Read More]

Managed Care Headlines
Senators Urge White House to Withdraw ACO Proposal
Cheryl Clark, for HealthLeaders Media, May 25, 2011

Senator Urges FTC to Examine Link Between Drug Shortages, Pharma Consolidation
John Commins, for HealthLeaders Media, May 23, 2011

NPA Names 'Top 5' Cost Drivers in Primary Care
John Commins, for HealthLeaders Media, May 24, 2011

Metal artificial hips may need a hip check
NPR, May 23, 2011

Lap-Band maker targets teenagers
Los Angeles Times, May 24, 2011


June 7: Webcast: Alternative ACO Strategies

June 9: Rounds: Coordinating Systems of Care


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From HealthLeaders Magazine
The New ED: Keep Patients Out (but Happy)

While not exactly a checkpoint to bar patients from the hospital, the doors of the ED will become increasingly important as an exit. [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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