HealthLeaders Media Health Plan Insider - October 12, 2011 | Are CDHP Savings All Smoke and Mirrors? View as a Webpage | Subscribe for Free
Are CDHP Savings All Smoke and Mirrors?
Margaret Dick Tocknell, Senior Editor

Is the engaged consumer who will use the power of the marketplace to reduce his healthcare bill in fact a myth? New research shows that consumer- directed health plans (CDHPs) too often trade necessary medical care for cost savings. [Read More]
  October 12, 2011

Editor's Picks
HHS to Seek Public Input on Essential Health Benefits
The Department of Health and Human Services will pursue listening sessions to elicit public opinion as it works to define and update the essential health benefits package to be offered by health insurance exchanges. [Read More]
IOM Details Essential Health Benefits, Emphasizes Cost
With proposed rules governing each state's health insurance exchanges under review, the National Committee on Quality Assurance is urging the Centers for Medicare & Medicaid Services to make sure that employers and the public can understand what they are buying. [Read More]
MedPAC Votes to Kill SGR
The Medicare Payment Advisory Commission has voted to repeal the contentious sustainable growth rate formula and replace it with a controversial plan that would include reimbursement cuts to specialists and pay freezes for primary care physicians. [Read More]
AHA Lobbies Congress for 'Shared Sacrifice'
The American Hospital Association is calling for "shared sacrifice" from the greater society—even if it means higher taxes or raising the Medicare eligibility age—to help the nation's hospitals avoid further reimbursement cuts over the next decade. [Read More]
BCBSA Says It Can Help U.S. Save $319B by 2021
The Blue Cross and Blue Shield Association says it has a 20-point plan that could trim $319 billion in Medicare and Medicaid savings over the next decade. Its recommendations include investing in the primary care workforce, coordinating care to better manage chronic conditions, and designing incentive programs to drive safety. [Read More]
*NEW* Industry Survey 2012
Take the 2012 Industry Survey now—and enter to win a free iPad! In 10 minutes or less, share your insight and help define industry trends. We know you have something to say. And we want to hear it. [Read More]
Webcast: Achieving Alignment on Strategic Marketing Initiatives
Date: November 8, 2011
About: In this 90-minute Webcast, benefit from lessons learned from Catholic Health Initiatives' communication campaign for EHR implementation, and learn what your service lines can mean for marketing opportunities.
[Register Today]

Health Plan Forum
Norton, Humana Commercial ACO Notches Cost Savings
In a pilot, the partners have begun to track improvement along several initiatives, including a joint replacement accountability study that has seen a 7.3% reduction in direct variable cost, a 6.7% reduction in length of stay, and a 13% reduction in 30-day readmissions. [Read More]

Managed Care Headlines
In seeking NY rate increases, insurers fight to keep secrets
The New York Times, October 12, 2011

MA's Blue Cross to remain nonprofit public charity
The Boston Globe, October 12, 2011

Healthcare Leads U.S. Job Growth in September
John Commins, for HealthLeaders Media, October 10, 2011

Highmark is double-talking, UPMC filing declares
Pittsburgh Post-Gazette, October 7, 2011

TX docs experiment with care, payment models
The Texas Tribune, October 7, 2011

Lowest Quality Care Goes to Poor, Minority Patients
Cheryl Clark, for HealthLeaders Media, October 7, 2011

MA's Partners announces deal with Blue Cross to save $240M
The Boston Globe, October 6, 2011


Oct 26: Rounds: Performance Improvement for Quality and Bottom-Line Outcomes

Nov 8: Webcast: Achieving Alignment on Strategic Marketing Initiatives

Nov 11: Rounds: The Business and Clinical Path to Medical Home


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Group Practice Innovators Invest in Success

Group practice innovators have been creating their own approaches to treat high-risk and chronic-care and patients. [Read More]
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Audio Feature
Wellness Plans from Health Plans Aim to Add Value Across Provider Networks

Kevin Riley, CEO of GuideWell, a subsidiary of Blue Cross Blue Shield of Florida, discusses the rising interest in wellness by health plans and what this means for employers and healthcare costs. [Sponsored by Emdeon] [Listen Now]
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