HealthLeaders Media Health Plan Insider - August 3, 2011 | Rethinking Health Plan Customer Service View as a Webpage | Subscribe for Free
Rethinking Health Plan Customer Service
Margaret Dick Tocknell, Senior Editor

With millions of folks ready to enter the individual market for insurance, health plans have an opportunity to win new business and loyal customers with true customer service. [Read More]
  August 3, 2011

Editor's Picks
CMS Scales Back on Payment Cuts
The final rule change for the Inpatient Prospective Payment System means $1.13 billion more for hospitals in FY 2012. The Centers for Medicare & Medicaid Services has set a documentation and coding adjustment of -2.0% instead of the proposed -3.15%. [Read More]
HHS: No Co-Pays for Preventive Women's Health Services
The Department of Health and Human Services has accepted guidelines developed by IOM that require health insurance plans to cover women's preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a co-payment, co-insurance, or a deductible. [Read More]
States to Get Drug Rebates Even Under Managed Care
A provision in the Affordable Care Act changes states' incentives on drug plans and represents billions in potential savings and better coordination of prescription drug usage for Medicaid patients. [Read More]
CMS Releases SNF PPS Final Rule for 2012
The Skilled Nursing Facilities Prospective Payment System final rule reduces payment rates in FY 2012 by $3.87 billion in order to correct an unintended spike in payment levels and better align Medicare payments with costs, the Centers for Medicare & Medicaid Services says. [Read More]
Rounds: The Real Value of ACOs
Date: August 16, 2011
What: Attend on-site or participate via live webcast.
About: Get accountable care strategies from ACO pioneers Norton Healthcare, Humana, and Palmetto Health--first movers who already have experienced the challenges of building a new framework for healthcare delivery.
[Read More]
Rounds: Women's Health Strategies for Service Line Growth and Quality
Date: September 15, 2011
About: Attend on-site or participate via live simulcast. Learn how host Bon Secours Richmond Health System and invited guest Geisinger Health System maximize downstream revenue in their women's health services, as well as opportunities for integration, quality and customer loyalty.
[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
AHA, NNU Pan Debt Ceiling Proposal
John Commins, for HealthLeaders Media, August 2, 2011

Nearly 20% of GDP to be Spent on Healthcare By 2020
John Commins, for HealthLeaders Media, July 28, 2011

UT's health insurance experiment built around small businesses
PBS NewsHour, August 3, 2011

MA wins judgment on discount health plans
The Boston Globe, August 3, 2011

Hospitals boost IT spending plans
InformationWeek, July 29, 2011

PA beats other states in high-risk health insurance push
Post-Gazette, July 29, 2011


August 16: Rounds: The Real Value of ACOs

Sept 15: Rounds: Women's Health Strategies for Service Line Growth and Quality


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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
ACO Appeal for Hospitals Needs a Boost

Stephen L. Mansfield, PhD., president and CEO of Methodist Health System in Dallas discusses what needs to happen to get hospitals excited about ACOs and what it will take to make ACOs sustainable. [Sponsored by Emdeon] [Listen Now]
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