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5 Big Ideas from the AHIP Conference
Margaret Dick Tocknell, Senior Editor

There was no shortage of speakers, workshops, and networking opportunities at the America's Health Insurance Plans conference last week. Here are five concepts that had attendees buzzing; you'll be hearing a lot about these in the coming months. [Read More]
  June 22, 2011

Editor's Picks
AMA: 1 in 5 Insurance Claims Bungled
Commercial health insurers bungled an average 19% of claims in 2011—meaning they were improperly denied or paid the wrong amount. That's an increase of 2% percent—or about 3.6 million additional claims errors compared to 2010, according to the 2011 National Health Insurer Report Card from the American Medical Association. [Read More]
5 Strategies to Combat Health Reform Pressures
Health plan executives say their three major industry challenges include addressing healthcare reform, the health insurance industry's systemic shift from wholesale to retail business, and bending the cost curve. Resolving the challenges will require health plans to shift their focus from group to individual sales, identify and test new behavior predictors, and shorten the timeline of product development. [Read More]
Under HIX, Quality Ratings May Be 'Market Movers'
Health insurance exchanges will transform the way customers think about health insurance and the way they compare products. To respond to this challenge, health plans need to become more engaged with their existing and potential customers, leaders at the America's Health Insurance Plans conference in San Francisco say. [Read More]
Webcast: Cultivating Physician-Hospital Alignment in the ACO Era
Date: July 20, 2011
About: Integration will be the key to success in the accountable care era, whether your organization develops an official ACO or not. Organizations must develop strong relationships with employed and affiliated physicians. Join us to get alignment strategies to thrive in an increasingly integrated industry.
[Read More]
Webcast: Transform Your ED into a Profit Center
Date: June 23, 2011
About: Get in-the-trenches management tools and techniques to grow your ED's bottom line. Learn how Heartland Health revamped processes and increased revenue from $15 million to $33.5 million and turned its ED into a profit center with a 40% margin.
[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
Healthcare Cost Growth Deceleration Continues
John Commins, for HealthLeaders Media, June 17, 2011

MI tax on health claims would raise rates
The Detroit News , June 22, 2011

CMS Clarifies IPPS Rule on Services Made 'Under Arrangement'
James Carroll, for HealthLeaders Media, June 22, 2011

CDC: Sepsis Cost $14.6B in 2008
John Commins, for HealthLeaders Media, June 22, 2011

Medicaid for the middle class?
Margaret Dick Tocknell, for HealthLeaders Media, June 22, 2011

AMA Affirms Support for Individual Mandate
Cheryl Clark, for HealthLeaders Media, June 21, 2011

UnitedHealth sues DOD over Tricare fight
Minneapolis Star, June 22, 2011

MedPAC urges closer look at costs for MRIs, CT scans
PBS News Hour, June 21, 2011

Mostashari: We need a better marketplace
Government Health IT, June 16, 2011


June 23: Webcast: Transform Your ED into a Profit Center

July 20: Webcast: Cultivating Physician-Hospital Alignment in the ACO Era

August 16: Rounds: The Real Value of ACOs


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