HealthLeaders Media Health Plan Insider - June 8, 2011 | Vermont Single-Payer Law Has a Long Way To Go View as a Webpage | Subscribe for Free
Vermont Single-Payer Law Has a Long Way To Go
Margaret Dick Tocknell, Senior Editor

If everything proceeds as expected, Vermonters will be covered by a single-payer health insurance system sometime in 2017. Major players such as Blue Cross Blue Shield of Vermont and the Vermont Hospital Association are on board, but there are many questions to answer before the law takes effect. [Read More]
  June 8, 2011

Editor's Picks
Blue Shield of CA Announces $180M Refund, Cap on Income
Vowing to help solve the problem of rising healthcare costs, Blue Shield of California says it will limit its income to 2% of revenue and hand back about $180 million to policyholders, physicians, hospitals, and the Blue Shield Foundation. [Read More]
Study Sees Cuts to Health Plans
A report by McKinsey & Co. has found that 30% of employers are likely to stop offering workers health insurance after the bulk of the Obama administration's health overhaul takes effect in 2014. The findings come as a growing number of employers are seeking waivers from an early provision in the overhaul that requires them to enrich their benefits this year. [Read More]
MLR Testimony Heard by House Subcommittee
The House Energy and Commerce Committee's subcommittee on health heard testimony about medical loss ratios from representatives of small businesses, insurance underwriters, policy analysts, consumer advocates, and health plans. [Read More]
White House Relaxes PCIP Requirements to Kick-Start Enrollments
With enrollment in the Pre-Existing Condition Insurance Plan lagging well behind original estimates, the Obama administration has announced steps to lower premiums and increase enrollment in the high-risk insurance plans. And, to generate program interest among agents and brokers, payments will be made for successfully connecting eligible people with PCIPs. [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]
Breakthroughs: The Coordinated ED
Your emergency department is at the forefront of access and quality. Dynamic health systems are maximizing the efficiency, throughput, and patient experience of today?s ED in a shrinking reimbursement environment. In this free report, leading hospital systems?Scripps Health, Grady Health System, Mercy Medical Center, and Cambridge Health Alliance?share insights and lessons learned on maximizing the ED. [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
Hospitals push to reduce 4.4M preventable re-admissions each year
The Wall Street Journal, June 7, 2011

IOM Calls for Medicare Reimbursement Formula Overhaul
Cheryl Clark, for HealthLeaders Media, June 3, 2011

Q&A: Methodist Health CEO on an ACO Alternative
Margaret Dick Tocknell, for HealthLeaders Media, June 1, 2011

Why Medicaid managed care is spreading, June 1, 2011

SC to cut Medicaid payments to docs
The Post and Courier, June 7, 2011


June 9: Rounds: Coordinating Systems of Care


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

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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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