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  November 9, 2011 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Health Plans Must Prep for Consumer-Oriented Business Model

Margaret Dick Tocknell

The coming shift from the B2B business model to a consumer-oriented retail model will require that health plans rethink much of what they do today. But health plans don't need to reinvent the wheel, just begin to adopt the practices of successful retailers. >>>


Editor's Picks

Health Plans Step Into Retail Operations

Blue Shield of California opens its first retail location and joins a handful of health insurers across the country that have opened retail stores in recent years. The move is a response to changing market forces linked to a decline in employer-sponsored insurance benefits. >>>

Highmark Says Quality Blue Program Saves Lives, Dollars

Highmark, one of the nation’s largest Blue Cross and Blue Shield affiliates, says physicians and hospitals in its Quality BLUE pay-for-performance initiatives consistently outperform providers who are not part of the program. The secret is “skin in the game” from hospitals. >>>

Universal Healthcare Would Slow VT Cost Growth

Vermont's bid for state-wide universal healthcare could double its healthcare costs by 2020—but that would still be less expensive than maintaining the current system of private insurance plans, says a report prepared by lawmakers. >>>

Commenters Knock HHS Rules on Health Insurance Exchanges

The Department of Health and Human Services'  three proposed rules on health insurance exchanges don't give states adequate time to plan or enough flexibility and control to operate them, according to state governments and business groups. >>>

News Headlines

More employers question need to offer insurance

Winston-Salem Journal, November 9, 2011

Details of Highmark-West Penn Allegheny agreement released

Pittsburgh Post-Gazette, November 9, 2011

Feds give GA insurers more time to comply with healthcare law

The Atlanta Journal-Constitution, November 9, 2011

Highmark deal would make it healthcare pioneer

Pittsburgh Post-Gazette, November 7, 2011

A scramble to shape the new health insurance exchanges

The Washington Post, November 7, 2011

Healthcare Job Growth Slows in October

HealthLeaders Media, November 7, 2011

MA health leaders say they can control costs themselves

Boston Globe, November 4, 2011

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Rounds: A Programmatic Approach to Cancer Care

Date: December 16, 2011
About: Attend on-site or via live simulcast. Live at host Banner MD Anderson Cancer Center with invited guest UNC Lineberger Comprehensive Cancer Center, learn from one of the world's most respected cancer brands as it takes its proven success models to a community health system.  >>>

Webcast: Winning With Value-Based Purchasing

Date: November 17, 2011
About: Value-based purchasing brings real financial implications in the amount of CMS payment at risk, quality penalties, and the investments required to avoid those penalties. The stability of your future finances depends on your ability to successfully implement VBP. Join us for a 60-minute audio conference with VBP experts from Aurora Health Care and Premier. >>>

From HealthLeaders Magazine

Patient Engagement Takes Physician Leadership

As providers become increasingly accountable for healthcare outcomes, patient engagement grows in significance. Individuals should take responsibility for their health, but what role do the providers play in turning consumers of care into partners in care? >>>


Managing the Continuum


Treating Patient as Partner

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