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  November 16, 2011 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

ACOs Without the Rules: Private Sector Offers Route to Reform

Margaret Dick Tocknell

While not exactly greeting reform with open arms, the healthcare industry sees value in redesigning the delivery system to include Affordable Care Act fundamentals such as integrated and coordinated care. Sustainable health communities offer an alternative route to the triple aim of better health, better care, and lower cost. >>>


Editor's Picks

Aetna Scores with Interactive Patient Engagement Game

The goal of Aetna's online wellness platform is to engage patient-consumers in their own health and encourage them to live healthier lifestyles. The insurer has tapped into technology, social media, gamification, and behavioral health principals to create a site that's part motivation, part information, part action plan, and a whole lot of fun. >>>

4 States Await Word on MLR Waiver Requests

Federal officials are in the final stages of reviewing applications from Indiana, Florida, Louisiana and Michigan to determine if their medical loss ratio waiver requests will be approved. >>>

Medicaid Red Tape Stymies Innovation, States Say

State Medicaid directors say the federal focus on bureaucratic process measures has quashed innovation efforts in the Medicaid program. A new report outlines changes needed before costs and enrollments rise. >>>

'Observation' Status Prompts Federal Class Action Suit

The Center for Medicare Advocacy and the National Senior Citizens Law Center have filed petitions in U.S. District Court against Health and Human Services Secretary Kathleen Sebelius. The lawsuit aims "to end the use of observation status as a way of depriving people of Part A Medicare coverage." >>>

News Headlines

Medicare costs: More or less?

The Wall Street Journal, November 16, 2011

MA Blue Cross flap with Tufts Medical Center escalates

Boston Herald, November 16, 2011

Aetna to cut co-pays for heart patients to increase drug use

Bloomberg BusinessWeek, November 15, 2011

5 big questions before Supreme Court on health reform law

PBS NewsHour, November 11, 2011

Wal-Mart considers expanding healthcare services at its clinics

Los Angeles Times, November 10, 2011

OH voters say no to health insurance mandates

The Columbus Dispatch, November 10, 2011

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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. >>>

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.  >>>

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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